Mundania

Mundania is a residential care home providing accommodation and personal care for up to 6 people in 1 adapted building. The service provides support to younger adults, adults with learning disabilities and autistic adults. At the time of our inspection there were 5 people using the service.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

People’s experience of using this service and what we found

Right Support: People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. People were supported in a safe, clean and well-furnished environment.

Right Care: People’s equality and diversity was promoted. Care workers understood people’s needs and provided culturally appropriate care. People received kind and compassionate care, and their privacy and dignity were respected.

Right Culture: People were supported by care workers who understood best practice in relation to the strengths, impairments and sensitives of people with learning disabilities. People’s quality of life was enhanced by the service’s culture of improvement and inclusivity.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Relatives we spoke to told us they felt people received safe care and support in the service. A person told us, “I do feel good, I am in safe hands.”

The provider had a wide range of audits and checks in place to monitor and keep people safe. The home was clean and well equipped. There were enough care workers available to support people with their care needs throughout the day.

People told us they thought the home was well-led. A relative told us, “The [registered] manager has improved [the home] a lot and is doing a great job.”

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 12 February 2020).

Why we inspected

The inspection was prompted in part by notification of an incident following which a person using the service died. This incident is subject to further investigation by CQC as to whether any regulatory action should be taken. As a result, this inspection did not examine the circumstances of the incident. However, the information shared with CQC about the incident indicated potential concerns about the management of assessments. A decision was made for us to inspect and examine those risks.

We found no evidence during this inspection that people were at risk of harm from this concern.

Please see the Safe and Well led sections of this full report.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

The building is a five-bedroom residential property with a lounge, kitchen and dining area as well as a garden. The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

People’s experience of using this service

Mundania provides accommodation and support to up to five people with a learning disability. At the time of our inspection four people were using the service.

The provider had identified and appropriately mitigated risks to people’s health and safety. There were clear systems in place for the identification, reporting and investigation of allegations of abuse. There were enough suitably qualified and appropriately vetted staff to work with people. People were given appropriate support with their medicines by staff who had received annual training, however their competencies were not checked every year. The home was clean and tidy on the day of our inspection and the provider had appropriate systems in place to prevent the risk of infection. There were clear systems in place to deal with accidents and incidents.

Staff were supported to do their roles. People were given the support they needed with their health and nutrition. The home was appropriately designed and decorated to meet people’s needs. The provider was not always following best practise guidance as staff were not always receiving medicines administration competency assessments.

People’s care was planned to ensure their needs and preferences were met. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People’s cultural and religious needs were met and they were supported to express their views. People’s privacy and dignity was respected and promoted and people were encouraged to be as independent as they wanted to be.

The provider had detailed communication care plans in place and effectively communicated with people. The provider was meeting the requirements of the Accessible Information Standards (AIS) and was able to provide information to people in different formats when needed. People’s recreational needs were met and there was a clear complaints and end of life care policy and procedure in place.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

People and their relatives gave good feedback about the care workers as well as the quality of the service. The registered manager and other members of staff understood their responsibilities. The quality of care was effectively monitored.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection:

This service was registered with us on 11 January 2019 and this is the first inspection.

Why we inspected

This was a planned inspection based on when the service registered with us.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.