CQC report explained · a residential care home
What the CQC found at Casa Mia Care Home
Rated Outstanding: inspectors found the home performing exceptionally well.
What inspectors found, April 2019
Casa Mia Care Home was rated Outstanding overall, with exceptionally caring and responsive support and Good ratings in the other areas.
Inspectors visited without notice on 11 January 2019. They spoke with nine people, two relatives, four staff members, managers, the providers and a health professional. They also reviewed care records, medicines records, staff records and service policies.
The home was rated Outstanding overall. Caring and Responsive were rated Outstanding. Safe, Effective and Well-led were rated Good. Inspectors found that people were treated as individuals, involved in decisions and supported to maintain their independence, relationships and interests.
The report describes personalised care based on people's life histories, goals and preferences. People were supported with activities, health needs, communication and plans for more independent living. Medicines, staffing, safeguarding, risk management and governance were found to meet the required standard.
The previous overall rating was Good in September 2016. This inspection found an improved overall rating of Outstanding. The report says follow-up would be through ongoing monitoring.
Kind, individual care
Inspectors found that staff understood people's personalities and life histories. This helped people feel valued, develop confidence and enjoy meaningful activities.
“People were at the heart of the service. The provider's philosophy, vision and values were understood and shared across the staff team.” from the report
Personal choice and independence
People were supported to make decisions about their care and daily lives. Staff helped people build life skills and prepare for more independent living.
“People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.” from the report
Highly personalised support
Staff adapted support to people's goals, interests and past experiences. The report gives examples of trips, hobbies, pets, activities and changes to the building that improved people's wellbeing.
“People benefited from receiving highly personalised care which reflected their unique needs and preferences.” from the report
Good safety and staffing arrangements
Inspectors found enough staff, low staff turnover and suitable recruitment checks. Staff understood safeguarding, risk management and how to learn from incidents.
“There was a low staff turnover and people were supported by enough staff to meet their physical and social needs.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you match staff to my relative's personality, interests and life history?
- 02How could my relative be supported to manage their own medicines, and how would this be reviewed?
- 03Which health professionals would be involved if my relative needed mental health, physical health or rehabilitation support?
- 04How would you identify and review my relative's personal goals, hobbies and plans for greater independence?
- 05How would you meet my relative's communication needs, including through large print or pictorial information if needed?
This was an unannounced inspection of the care home, covering accommodation and care and assessing all five CQC questions. This explanation was written from the published report of 9 April 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, September 2016
Casa Mia Care Home was rated Good overall, with Outstanding caring and strong personalised support.
This was an unannounced inspection on 12 and 14 July 2016. One inspector spoke with people living at the home, relatives, staff and a healthcare professional. The inspector also observed care and checked care plans, medicines, complaints, incidents and recruitment records.
The home was rated Good for being safe, effective, responsive and well-led. People were protected from harm, received their medicines safely and had enough staff support. Staff were trained, knew people's needs and supported access to healthcare, activities and family contact.
Caring was rated Outstanding. Inspectors saw warm and respectful relationships. People were supported to make choices, remain independent and take part in activities they enjoyed. Relatives described staff as going above and beyond.
The overall Good rating means the inspection found the home was meeting the regulations and providing a good standard of care at that time. The report does not record any breaches or enforcement action.
Kind and respectful care
Inspectors saw staff build warm relationships and provide affection when people wanted it. Staff respected people's privacy, dignity and personal space.
“Throughout our inspection we saw that staff asked a person's permission before supporting them” from the report
Personalised support
Staff knew people's routines, interests and ways of communicating. People helped plan their care and were supported to make choices about their days.
“People were involved in the planning of their care and support.” from the report
Family and community links
People were supported to keep in touch with relatives and take part in family events and local activities. Relatives were welcomed when they visited.
“Relatives were free to visit whenever they wanted and felt welcomed and supported by staff too.” from the report
Safe staffing and medicines
Inspectors found enough staff to meet people's needs, with staffing changed when extra support was needed. Medicine staff had training and followed written guidance.
“There are enough staff but it's flexible based on people's needs.” from the report
Choice and independence
People chose how to spend their time and were encouraged to do everyday tasks and maintain skills, including cooking and domestic activities.
“We saw that all people were encouraged to remain independent.” from the report
Inspectors raised no specific concerns in this report.
- 01What has changed since the July 2016 inspection, including any changes to management or the staff team?
- 02Has the extension been completed, and are the bird aviary, vegetable plot and other planned facilities available now?
- 03How do you adjust staffing when a person's health or support needs increase?
- 04How are people and relatives involved in reviewing care plans and making decisions about support?
- 05How do you support people to maintain family contact, community links and their personal interests?
This was an unannounced comprehensive inspection covering all five key questions and the overall quality of the service. This explanation was written from the published report of 28 September 2016 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Casa Mia Care Home
2 rated inspections over 3 years: the service has improved, from Good to Outstanding.
- April 2019Outstandingcurrent ratingup from GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Good
- September 2016GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good
- June 2014
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 23 December 2010.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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At least 100 live-in carers within about an hour of Worcestershire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,260 a week. 85 can care for a couple. 9 years' experience on average.
“I have never met a person who is so kind and thinks about others before himself to such an extent as Chris Malagala.”
“She was very caring, kind and patient to all his needs, she built up a wondetful rapport with him, she was dedicated and was there for him through good times as well as through the tough times”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.