Madeira House

Updated 8 March 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team: The inspection team was made up of two inspectors.

Service and service type: Madeira House is a care home. 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 did not have manager registered with the Care Quality Commission at the time of our inspection. The manager's application was being processed by CQC and was authorised in November 2018. 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: The inspection was unannounced.

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, such as poor practice concerns; and we sought feedback from the local authority and other professionals who work with the service. We assessed the information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection we spoke with seven people and three relatives to ask about their experience of the care provided. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We spoke with ten members of staff including the registered manager, the head housekeeper, the cook and three members of care staff.

We reviewed a range of records. This included five people's care records and two medication records. We also looked at three staff files around staff recruitment. In addition, we looked at various records in relation to training and supervision of staff, records relating to the management of the home and a variety of policies and procedures developed and implemented by the provider.

Updated 8 March 2019

What life is like for people using this service:

Systems and processes were in place to safeguarded people from the risk of abuse. People had their risk of harm assessed and reviewed. There were sufficient numbers of staff on duty to look after people. People received their medicine from staff who were competent to do so. The service was clean. Lessons were learnt when things went wrong.

Staff delivered care in line with national guidance. Staff are supported to develop and maintain their knowledge and skills. People are provided with a nutritious, varied and balanced diet. People are enabled to access their GP, dentist and optician. All areas of the service are accessible. People’s rights were maintained under the Mental Capacity Act 2005.

People were looked after by kind, caring and compassionate staff. People were enabled to have a say in their care and the running of the service. Staff treated people with dignity and respect.

People received person centred care. Staff enabled people to maintain their hobbies, interests and pastimes. There were systems in place to manage complaints. People at the end of their life were supported to have a dignified and pain free death.

The manager is an approachable and visible leader. The manager and their team were committed to improving the quality and standards of care people received. Links are being built with the local community and partner agencies. There is a good governance framework, leading to improvements in the service.

The service met the characteristics of Good in all areas that we inspected. More information is in the full report.

Rating at last inspection: Good (report published 01 February 2016)

About the service: Madeira House is a residential care home for up to 51 older people or people living with dementia, a sensory impairment or a physical disability. On the day of our inspection 35 people lived there.

Why we inspected: This was a planned inspection based on the rating at the last inspection. The service remained rated Good overall.

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.