Miramar Nursing Home

Updated 1 August 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection was conducted by one adult social care inspector on both days of the inspection.

Service and service type

Miramar Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We looked at information we held about the service. We reviewed the provider information return. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We sought feedback from the local authority and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all of this information to plan the inspection.

During the inspection

We spoke with 10 people who used the service about their experience of the care provided. We spoke with eight members of staff including the registered manager, administrator, two nurses, two care workers, a housekeeper and maintenance person.

We looked at records related to people’s care and the management of the service. We viewed six people's care records, medication records, three staff recruitment and induction files, training and supervision information, staff rotas and records used to monitor the quality and safety of the service.

After the inspection

We continued to review evidence from the inspection and spoke to the registered manager again to gather further information.

Updated 1 August 2019

About the service

Miramar Nursing Home is a care home providing personal and nursing care to 21 people with mental health needs at the time of the inspection. The service can support up to 28 people.

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

People received care from staff who were trained and supported in their role. Risks to people’s safety and wellbeing were assessed and minimised. Staff were aware how to identify and report any signs of abuse and there were systems in place to ensure people received their medicines in line with their prescription. Regular cleaning and maintenance took place, but the building and décor was dated in parts, making it harder to keep clean. We have made a recommendation about this.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People were generally satisfied with their care and knew the staff who supported them. Activities were available but some people told us they would like more things to do. The registered manager agreed to continue working with people to identify more options.

Staff were responsive to people’s needs and there were detailed care plans with guidance for staff to follow.

Systems were in place to check the quality and safety of the service and regular audits were conducted. We received positive feedback about the management and leadership of the service. Staff told us the team worked well together.

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

Rating at last inspection

At the last inspection the service was rated Good overall (published 30 November 2016).

Why we inspected

This was a scheduled inspection based on the service’s previous rating.

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.