12 November 2022
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked 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 Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
The inspection was undertaken by one inspector.
Service and service type
Mermaid Lodge is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Mermaid Lodge is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We reviewed documentation, inspected the safety of the premises and carried out observations in communal areas. We spoke with three people who used the service about their experiences of the care and support they received. We spoke with three members of staff including the registered manager and care support staff. We looked at a range of records. This included the care and medicine records for four people and staff files in relation to recruitment and supervision. Policies and procedures, environmental safety and information relating to the governance of the service were also reviewed.
12 November 2022
About the service
Mermaid Lodge is a residential care home providing accommodation and personal care to up to nine people in one adapted building. The service provides support to people who have mental health needs. Some people required support with addictions and substance misuse. Mermaid Lodge provides people with a safe place to live and promotes people’s independence and rehabilitation. At the time of our inspection there were six people using the service.
People’s experience of using this service and what we found
People told us that they felt safe. Risks to people had been identified and assessed. There was a flexible approach to risk management which promoted people’s independence. Staff were recruited safely and there were enough staff to meet people’s needs. Medicines were managed safely. Infection prevention and control processes protected people from the risk of infections.
Systems and process were in place to monitor the quality of the service being delivered. The culture of the service was positive, and people and staff were complementary of the management. People were treated with dignity and compassion by a kind, caring staff and management team who understood people's individual needs, choices and preferences well. People and staff told us that they felt supported and valued.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 11 December 2019) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
We carried out an unannounced comprehensive inspection of this service on 12 November 2019. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment and good governance.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Mermaid Lodge on our website at www.cqc.org.uk.
We will continue to monitor information we receive about the service, which will help inform when we next inspect.