Mira Social Care

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

This is the first assessment for this service. This key question has been rated good.

This meant people’s outcomes were consistently good, and people’s feedback confirmed.

This service scored 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider did not always ensure people’s assessed needs were reflected accurately in care records, meaning staff did not have reliable written guidance to deliver consistently effective care.

Initial assessments were completed, and families were involved in early planning, but care records were not updated when people’s needs changed. This meant important information about health or wellbeing was sometimes missing or out of date.

Relatives told us staff understood the person’s needs in practice and tried to involve them as much as possible. However, gaps in documentation limited the provider’s ability to assure effective, personalised care or demonstrate that assessed needs were reviewed in a timely way.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

Staff encouraged effective use of mobility aids, supervised meal preparation and followed agreed routines. These approaches were documented clearly in care plans viewed. Staff also followed updated guidance following any changes people’s circumstances, helping reduce preventable harm and maintain wellbeing. Relatives confirmed staff delivered care in ways that aligned with people’s preferences. A relative told us staff supported their family member in the way their family member preferred and were attentive to changes in behaviour and health.

The provider supported effective communication and coordination within the staff team, helping ensure people received consistent care.

The provider gave staff regular updates about changes in people’s needs, which helped ensure care remained appropriate and safe. The registered manager shared important information promptly through meetings and routine phone calls, enabling effective coordination across the service.

Staff described communication within the team as clear and reliable. They told us they received routine calls when rotas were issued and that handovers between visits were consistent, helping ensure people’s needs were understood and met. Staff said they felt comfortable contacting colleagues and managers for support, and concerns were reported quickly and clearly. These effective communication arrangements supported continuity of care and contributed to safe, well‑coordinated practice across the service.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

Staff encouraged people to stay hydrated, supported meal preparation when needed and ensured medication compliance for people they supported. They also implemented safety measures recorded in the care plan, to mitigate risk.

Staff recognised early changes in health and adapted support to prevent deterioration. A relative described staff as “helpful and on top of changes”, explaining that staff maintained consistent routines that protected their family member’s wellbeing. These consistent approaches contributed to healthier, safer daily living.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

Staff supported positive outcomes through meaningful activities, including dementia‑friendly games, memory‑based board activities and walks outside, which promoted mobility, concentration and independence.

Staff also encouraged healthier lifestyles through good nutrition, exercise and regular check‑ups, and worked with people and families to maintain independence. These approaches helped ensure people’s goals were met and that care remained aligned with expectations and personal preferences.

The provider ensured people’s rights around consent were understood and respected, and staff delivered person‑centred care in line with people’s preferences.

Staff explained tasks before providing support and checked for agreement throughout each visit. A care worker told us, “I always ask before giving care. If they refuse, I don’t force them; I try again later.” Mental capacity assessments had been completed where required, and staff had received Mental Capacity Act (MCA) training, which helped them apply the principles of the Act when supporting people to make decisions.

Care plans captured people’s routines, communication needs and preferences, giving staff clear guidance on how to support them. Although some risk assessments were outdated, care plans contained enough detail to guide staff practice.

Staff also used reassurance to reduce confusion linked to dementia, enabling cooperation with care. Relatives described staff as polite and considerate, and said care was delivered with dignity.