Miramar Care Home

Updated 3 October 2019

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 Care Act 2014.

Inspection team

This inspection was completed by two inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Miramar Care Home is a ‘care home’. People in care homes receive accommodation and 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 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. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with 15 people who used the service and four relatives about their experience of the care provided. We spoke with eleven members of staff including the registered manager, regional support manager, the new manager, deputy manager, advanced carer worker, senior care workers, care workers and the chef.

We reviewed a range of records. This included seven people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 3 October 2019

About the service

Miramar Care Home is a residential care home providing personal to older people and people living with dementia. Not everyone who lived at Miramar Care Home received personal care. There were 34 people receiving personal care at the time of the inspection. The service can support up to 122 people in one purpose built building.

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

People felt safe and at home at Miramar Care Home. One person told us, “It can be so miserable having to leave one’s own home, but I am made to feel so welcome here. There is never a dull moment, and I have settled in marvellously. Even though it will never be like my own home, it’s the next best thing”.

People were protected from the risks of harm and abuse and any concerns they or staff had, were listened to and acted on to keep people safe. People were treated with dignity and respect and their lifestyle and equality needs and choices were understood and respected. People had privacy.

Risks to people had been assessed. People were supported to remain independent, understand risks and take them when they wanted to. Staff supported people to remain healthy and were offered a balanced diet which met their needs. People’s medicines were managed safely. People were protected from the risk of infection.

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 had planned their care with staff. They were supported to take part in a wider range of activities. People had been offered the opportunity to share their end of life preferences.

The provider and management team had oversight of the service. They completed regular checks on the quality of care people received. People and staff were asked for their views, which were listened to and acted on to improve the service. Records of people’s care were now accurate and complete.

The registered manager understood their legal responsibilities and had shared information with us and others when they needed to.

There were enough staff working at the service each day to support people. Staff had the skills they needed to care for people and were supported by the management team. Staff were recruited safely.

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 25 January 2019) and there were multiple 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 was a planned inspection based on the previous rating.