During an assessment under our new approach
Date of assessment – 29 May 2025 to 20 June 2025
Monaveen provides care and support to people living in specialist 'extra care' housing. Extra care housing is purpose built or adapted single household accommodation in a shared site or building for adults with varying needs. Not everyone who lived at Monaveen received personal care. CQC only inspects where people receive personal care; this is help with tasks related to personal hygiene and eating. We assessed Monaveen because it was a newly registered service under a new provider and because of risks highlighted by the local authority.
The quality of people’s care was not always supported by effective quality assurance systems. Systems and processes were in place to help mitigate the risk of harm to people and to protect them from abuse. However, staff did not always have a clear understanding of their responsibilities under safeguarding and what was a reportable incident. While the provider understood their regulatory responsibilities, not all incidents were reported by staff. This meant that there was a risk that not all incidents were referred to the relevant authorities if needed.
The provider was in breach of the legal regulation relating to governance of the service for not identifying the shortfalls at this assessment.
People’s management of risk to their care and support was not managed effectively. People were supported by enough staff who had received the appropriate training to meet their s needs, but not all risks had been clearly and effectively recorded to help guide staff appropriately. Appropriate infection control procedures were in place to keep people safe.
People received effective care. People’s needs, preferences were assessed, and staff understood these needs. People were supported to access healthcare services. People were encouraged to maintain relationships with family and friends. People received personalised care that was tailored to meet their individual needs, preferences and choices. People were supported, when needed, to access healthcare services. People were encouraged to maintain relationships with family and friends. Concerns and complaints were listened to and used to improve the service people received.
People, staff and relatives spoke positively about the registered manager. The registered manager encouraged feedback from people, staff and professionals involved in people’s care.