12 February 2021
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
As part of CQC’s response to care homes with outbreaks of coronavirus, we are conducting reviews to ensure that the Infection Prevention and Control practice was safe, and the service was compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place.
This inspection took place on 22 January 2021 and was announced.
12 February 2021
We inspected Wisma Mulia on the 24 and 30 April 2018. Wisma Mulia is registered to provide accommodation and personal care to 17 older people. The service also provided community care to people who lived at Wisma Mulia through extra care sheltered housing. At the time of our inspection 17 people were receiving accommodation and personal care support and two people were being supported through extra care sheltered housing support provided by the service.
Wisma Mulia is based in its own grounds within Frampton on Severn, very close to range of amenities and the Severn canal. The service grounds contain a main house, self-contained flats and additional buildings which people can rent or use without receiving care. Wisma Mulia which means “honoured home” is closely linked to SUBUD (a spiritual movement) and has its own Latihan (which also provides a meeting hall facility) for spiritual services. This was an unannounced inspection.
We last inspected the home on 4 and 5 February 2016 and awarded an overall rating of “Good”. However we rated the “Is the service safe?” as “Requires Improvement” as we found that people did not always receive their medicines as prescribed which could have a negative impact on their health and wellbeing. We carried out a focused inspection regarding people’s prescribed medicines on 20 March 2017. In March 2017 we found the provider was meeting the requirements of the regulation, however further actions were required in relation to the safe administration and recording of people’s prescribed medicines. At our April 2018 inspection we found improvements had been sustained and we rated the service ‘Good’ overall.
There was no registered manager however, there was an interim manager in post while the provider recruited a manager with the intention of them registering with CQC. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People were safe living at Wisma Mulia. There were enough staff deployed to ensure people’s needs were being met. People received the support they required to meet their health and wellbeing needs. People enjoyed engaging and interacting with care staff. People were supported to maintain their independence and many people enjoyed accessing the community independently.
Care staff treated people with dignity and ensured they had their nutritional needs met and received their medicines as prescribed. Care staff were aware of and met people’s individual needs. Staff spoke positively about the support and communication they received. All care staff felt the interim manager and head of care were approachable and that they had access to the skills and support they required to carry out their role.
People and their relatives felt their concerns and views were listened to and acted upon. Relatives told us the management team was responsive and approachable. The provider and care staff worked alongside healthcare professionals to ensure people’s ongoing needs were met.
The interim manager, head of care and provider had systems to monitor and improve the quality of service people received at Wisma Mulia. Some staff had not received supervision as frequently as the provider planned. Where people were living with dementia care assessments did not always reflect the support they required. Neither of these concerns were having an impact on people receiving a service. Therefore, we have made a recommendation to the provider which is designed to help the service continuously improve.