About the service MIG House Residential Care Home is a residential care home for people with learning disabilities or autistic spectrum disorder. The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
The service was a large home, bigger than most domestic style properties. It was registered for the support of up to seven people. At the time of the inspection six people were using the service. This is larger than current best practice guidance. However. the size of the service having a negative impact on people was mitigated by the building design fitting into the residential area and the other large domestic homes of a similar size. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.
People’s experience of using this service and what we found
Relatives of people using the service told us they felt their loved one was safe. One relative said, “I’ve not had any incidents. I think [family member] is safe.” Systems were in place to protect people from abuse. Relatives told us they felt there were enough staff to meet people’s needs. Risk assessments were completed to identify and manage risks to keep people safe. Medicines were being managed safely and measures were in place to protect people from the spread of infection. Pre-employment checks were carried out to ensure staff were suitable to support people. Systems were in place to manage incidents and to minimise the risk of re-occurrence through learning from lessons.
The service carried out assessments of people’s needs prior to admission to the service to ensure they could meet their needs. 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.
People were supported to eat and drink enough to meet their needs. Staff had completed required training to perform their roles effectively and felt supported in their role. The service worked with other agencies to promote people’s health, safety and well-being. Complaints and concerns were dealt with in a timely manner. One relative told us, “Any time I have a concern, they deal with it and put an action plan in place. It’s dealt with.”
Relatives told us they were happy with the care and support provided. One relative said, “They [staff] are doing really well with [family members] care.” Relatives were included in decisions about their family members care and support. People received care and support from staff who were caring and compassionate. Staff treated people in a respectful manner maintaining their dignity and encouraging independence. Systems were in place to protect people’s right to confidentiality. The service was inclusive and people, and staff were respected for their differences.
Support plans were person centred and included the individual needs of people. Support plans were reviewed monthly to reflect people’s changing needs. People had access to meaningful activities and were supported to maintain relationships with their family and friends.
Relatives of people using the service and staff told us they found the management team approachable and supportive. Staff were positive about the culture of the service. Effective quality assurance systems were in place to review and improve the quality of the service.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good on 10 May 2017 (published 28 June 2017).
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.