Background to this inspection
Updated
14 January 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 Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by one inspector.
Service and service type
MIG House is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. MIG House is a care home without nursing care. 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 CQC 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
This inspection was unannounced.
What we did before the inspection
We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We tried to seek feedback from partner agencies and professionals. We also assessed feedback received from the local authority as part of the concerns raised with us. We used all this information to plan our inspection.
During the inspection
We observed the care people received to help us understand the experience of people who could not talk with us.
We spoke with two relatives of people who used the service to help us understand the experience of people who could not speak with us. We spoke with the registered manager and three care staff. We reviewed the care records of three people using the service, personnel files of three care staff and other records about the management of the service.
Updated
14 January 2023
MIG House is a residential care home providing accommodation and personal care to up to seven people with a learning disability and autism. At the time of our inspection there were five people using the service, however, one person was admitted to hospital during our inspection.
People’s experience of using this service and what we found
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports the Care Quality Commission (CQC) to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.
Right Support:
The service gave people care and support in a safe, clean and well-maintained environment that met their sensory and physical needs. People were supported to follow their interests. Staff supported people to make decisions following best practice in decision-making. Staff communicated with people in ways that met their needs. Staff supported people with their medicines safely. Staff followed positive behaviour support guidelines and worked in the least restrictive way when people who use the service showed signs of distress.
Right Care:
Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it. People received kind and compassionate care. Staff protected and respected people's privacy and dignity. They understood and responded to their individual needs. People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs. The service had enough appropriately skilled staff to meet people's needs and keep them safe. Staff received training for their roles including how to safely undertake physical intervention as a last resort. Known risks were assessed, mitigated and reviewed regularly.
Right Culture:
People and those important to them were involved in planning their care. Staff ensured risks of a closed culture were minimised so that people received support based on transparency, respect and inclusivity. Staff evaluated the quality of support provided to people, involving the person, their families and other professionals as appropriate. Staff knew and understood people well. The registered manager sought to drive continuous improvements in the service for the benefit of people living there.
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 good (published 20 February 2020)
Why we inspected
The inspection was prompted in part due to concerns received.
We received concerns in relation to people who use the service lacking food, choice of activities and poor management of the home by the registered manager. As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe, effective and well-led sections of this full report. 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 remained 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.