Archived: Mandalay

Updated 6 April 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

One inspector carried out this inspection.

Service and service type:

Mandalay is a residential care home that was providing personal care for up to seven people living with severe learning disabilities, autism spectrum disorder and behaviour that challenges. The home has been developed and designed in line with the values that underpin the 'Registering the Right Support' and other best practice guidance. People in care homes receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The service had a registered manager. The service is required to have a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

This inspection was announced. We gave the service 24 hours’ notice of our inspection so that people living at Mandalay knew to expect our arrival and to reduce the impact of our presence. Inspection site visit activity took place on Friday 8 February 2019.

What we did:

• We reviewed information we had received about the service since the last inspection. This included details about incidents the provider must notify us about. We assessed the information we require providers to send us at least once annually to give some key information about the service. We used all this information to plan our inspection.

• We spoke with relatives of one person who uses the service.

• We also spoke with four members of staff including the registered manager, who is also the managing director for the provider, and care staff.

• We observed how people received their care in communal areas of the service.

• We looked at records in relation to people who used the service.

• We also looked at records relating to the management of the service, recruitment, policies and systems for monitoring quality.

Updated 6 April 2019

About the service: Mandalay is a residential care home that was providing accommodation and personal care to six people at the time of the inspection.

People’s experience of using this service:

Mandalay has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

All staff interacted inclusively and engagingly with people. The culture of the service was completely focussed on people's individualities and their contribution. The service worked flexibly and innovatively to ensure people who used the service felt at home. Staff were kind and caring and promoted people’s dignity. Staff understood the importance of treating people with respect and ensured they did this. People were observed to have good relationships with the staff team. Staff actively ensured people maintained links with their friends and family.

The risks to the quality and safety of the service were identified and acted on. There was enough staff on duty to enable people to remain safe and receive care in a timely way. The environment was safe and people had access to appropriate equipment where needed. People were supported to take their medicines in a safe way.

Staff had received appropriate training and support to enable them to carry out their role safely. Peoples health was well managed and staff had positive links with professionals, which promoted well-being for them.

Staff were motivated and enjoyed strong team work. The register manager had extensive experience and knowledge in supporting people with complex needs. Staff saw the registered manager as inspirational and a role model to develop their own practice. Information from audits, incidents and quality checks was used to drive continuous improvements to the service people received.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection: Good (Published September 2017)

Why we inspected: This was a scheduled inspection based on our previous rating.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.