Medihands Healthcare

Updated 1 March 2023

The inspection

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 conducted by one inspector.

Service and service type

This service is a 'care home'. People in care homes receive accommodation and nursing or 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.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

The inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since it had registered with us.

The provider completed a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used this information to plan our inspection.

During the inspection

We spoke with 2 people who used the service. We spoke with the registered manager, the deputy manager, the premises manager and 2 care workers.

We reviewed a range of records. This included 2 care records, 4 staff files in relation to their recruitment, training and support, and medicines records. A variety of other records relating to the overall management and governance of the service were also looked at.

Updated 1 March 2023

About the service

Medihands Healthcare provides accommodation and personal care for up to 17 adults with mental health needs. At the time of the inspection there were 17 people using the service, only 2 people who used the service received help with personal care. The Care Quality Commission (CQC) only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.

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

people using the service were happy and told us they felt safe living there.

The provider had acted upon the breaches we found at the last inspection in relation to managing risk, premises and equipment, staffing and good governance.

The service employed enough staff to support people and there were robust recruitment checks in place. Medicines were administered safely by staff who had received the appropriate training to do so. Staff followed infection control guidance and the home environment was clean.

Risks to people, including those in relation to smoking and emergency evacuation plans had been updated recently.

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.

Staff received regular training and supervision which allowed them to support people effectively.

The home had undergone extensive refurbishment since the last inspection, these included new fire compliant doors, a new lounge with improved seating and lighting and accessible flooring and bathroom facilities.

People received appropriate support in relation to their diet and nutrition, including religious needs. Their healthcare needs continued to be met by the provider.

Feedback from people was that the service was well-led. There was warm atmosphere in the home and we noted some pleasant interaction between people and staff. The provider undertook a number of checks which helped to assure themselves that the quality of service was good.

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 03 November 2021) and there were breaches of regulation in relation to safe care and treatment, premises and equipment, staffing and good governance. The provider completed an action plan after the last inspection to show what they would do and by when to improve.

At this inspection enough improvement had been made in relation to the breaches and the provider was no longer in breach of these regulations.

Why we inspected

This inspection was carried out to look at improvements against the breaches found at the previous inspection. As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has changed to good based on the findings of this inspection.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Medihands Healthcare on our website at www.cqc.org.uk