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Inspection Summary


Overall summary & rating

Requires improvement

Updated 21 September 2019

About the service

Mauricare is a care home providing personal and nursing care to 13 people aged 65 and over at the time of the inspection. The service at the time of the inspection was not providing nursing care.

The service can support up to 17 people, in one adapted building.

The registered manager was on planned leave at the time of the inspection site visit. The inspection was facilitated by a registered manager from another of the provider’s services, at the request of the provider.

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

Ineffective monitoring of the service by the provider and registered manager, and a lack of oversight by the provider, meant shortfalls in the service were not identified. Plans to bring about improvement were not in place, this impacted on the quality outcomes for people.

An external organisation had issued an enforcement notice, to bring about improvement to promote people’s safety, and bring about compliance.

Systems to promote people’s safety, which included assessment of risk, and safe recruitment practices for staff were not robust. Staff did not fully understand their responsibilities in safeguarding, all of which had the potential to place people at risk.

Audits on infection control were not an accurate reflection of the service. The audits recorded the service was clean, and furnishings and fixtures were in good condition. We found the service was not sufficiently clean, and some soft furnishings, floor coverings and mattresses to be damaged and stained.

People lived at a service that was not sufficiently maintained, both internally and externally.

People’s needs were not regularly reviewed, and their care plans were not written with their involvement. This meant people were not supported to have maximum choice and control of their lives, and staff did not always support them in the least restrictive way possible. The policies and systems in the service did not support this practice.

Opportunities for people to engage in social activities, develop interests within the service and the wider community were limited. Activities, as detailed on the notice board did not take place.

People’s health and welfare were kept under review by staff, who organised health care referrals and appointments on people’s behalf. Staff supported people to access health care appointments, and implemented the guidance given to them to promote people’s well-being.

People’s views about the service were sought. People we spoke with expressed satisfaction with the care they received, and spoke favourably about the staff who worked at Mauricare.

Staff were supported to perform their role through training and supervision.

People’s medicines were managed safely and people were supported to access a range of health care professionals, to monitor and promote their health.

People who were able, accessed the wider community independently or with support from family members.

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 22 February 2017)

The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection.

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified breaches in relation to: The effective governance of the service. Effective systems and practices to prevent and control the spread of infection. Maintenance of the premises, to promote the safety of people and their well-being. Effective assessment of potential risk, including staff recruitment practices. And, person centred care, enabling people to be involved in the development and review of their care.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

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Inspection areas

Safe

Requires improvement

Updated 21 September 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 21 September 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 21 September 2019

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 21 September 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 21 September 2019

The service was not always well-led.

Details are in our well-Led findings below.