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Inspection Summary


Overall summary & rating

Good

Updated 19 July 2019

About the service

Mandale Care Home is a care home which is registered to provide nursing and residential care for up to 57 older people, including some who may live with dementia. At the time of inspection nursing care was not being provided. At the time of inspection 42 people were using the service. Mandale Care Home is a detached purpose-built care home set out over two floors.

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

At our last inspection the provider had failed to fully assess and reduce risks to people. Medicine management was not safe. People did not have complete, up to date plans of care. Care plans did not document people’s choices and preferences. Quality assurance systems were not robust. At this inspection we found these issues had been addressed.

People told us they felt safe living at Mandale Care Home. Staff knew how to safeguard people from abuse. Staff were recruited using systems which reduced the risk of unsuitable candidates being employed. Risks to people and for tasks carried out by staff were identified and actions were taken to mitigate these. Medicines were managed safely. Staff gave us mixed feedback on staffing levels. People told us call bells were answered promptly.

Some improvements had been made to the building since the last inspection. Further work was needed and an improvement plan was in place to address this. Safety actions identified in a recent fire service visit were being carried out at the time of inspection.

Staff had the skills and knowledge to deliver care and support in a person-centred way. They were supported through induction, training and supervision. People’s care needs were thoroughly assessed. 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.

Staff and relatives told us staff were caring. A range of was available to people. People’s health needs were met. The service worked with other professionals to best meet people’s needs.

A complaints system was in place. The provider and registered manager carried out a range of audits to identify and address issues. Lessons were learnt from adverse incidents.

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 3 July 2018). 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 was a planned inspection based on the 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.

Inspection areas

Safe

Good

Updated 19 July 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 19 July 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 19 July 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 19 July 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 19 July 2019

The service was well-led.

Details are in our well-led findings below.