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CQC report explained · a residential care home

What the CQC found at Mallands Residential Care Home

Outstandingpublished 4 May 2018, 8 years ago

Rated Outstanding: inspectors found the home performing exceptionally well.

The five questions inspectors ask
Safe?
Good
People were protected from abuse and avoidable harm. Inspectors found enough staff, suitable recruitment checks, current risk assessments and safe systems for managing medicines.
Effective?
Good
Staff had relevant induction, training and supervision. The environment supported people living with dementia, and people's nutrition, hydration and access to healthcare were monitored.
Caring?
Outstanding
Inspectors saw exceptionally caring and person-centred support. Staff promoted dignity, independence, choice and close relationships with families and other people at the home.
Responsive?
Outstanding
Care plans were personalised and regularly reviewed. People were offered meaningful activities, support to maintain community links, accessible information and a complaints process that had resolved the complaints reviewed.
Well-led?
Outstanding
Inspectors found visible and committed leadership, a positive culture and strong involvement from people, families and staff. Audits and meetings were used to monitor quality and identify improvements.
The latest report, explained

What inspectors found, May 2018

Rated Outstanding overall; inspectors found exceptionally caring, responsive and well-led support, with safe and effective care rated Good.

The inspection was unannounced and took place on 1 and 2 February 2018. Inspectors reviewed care plans, medicines records, staff files, rotas, meeting records and quality checks. They spoke with people living at the home, visitors, staff and health professionals, and observed care for people living with dementia.

The home supported older people with dementia, physical needs, respite and convalescence. Inspectors found enough trained staff, safe medicines systems, current risk information and suitable safeguarding and recruitment checks. People were supported to eat and drink well, make choices and stay as independent as possible.

Care was highly personal. Activities reflected people's histories and interests, and people were supported to maintain family and community links. Inspectors rated the home Outstanding overall, with Caring, Responsive and Well-led rated Outstanding, and Safe and Effective rated Good.

What inspectors praised
  • Person-centred care

    The home used people's histories, preferences and feelings to guide support. Staff adapted care to help people remain independent and comfortable.

    “This meant people received exceptionally effective care and support, from a staff team who were committed to promoting their independence and well-being.” from the report
  • Meaningful activities

    Activities were linked to people's interests and often had a purpose. People could join clubs, help with cooking and gardening, go on trips and take part in community life.

    “Activities were developed according to people's history and interests and often had a purpose, enabling people to contribute to the life of the home and community.” from the report
  • Strong leadership

    The providers and manager were visible and involved. People, families and staff were asked for their views, and quality checks were used to improve the service.

    “The providers and registered manager were continually striving to enhance the care and quality of the service.” from the report
What inspectors were concerned about
  • Food choices were not always clear

    minor

    People were generally positive about the food, but some could not remember being offered a choice. Ask how the home checks that each person is offered and understands their options.

    “People were largely positive about the quality of the food, although some could not remember being offered a choice.” from the report
Questions to ask them, based on this report
  1. 01How do you make sure my relative is offered and understands a choice of meals each day?
  2. 02How will you use my relative's history, interests and preferences to plan meaningful activities?
  3. 03How will you record and review my relative's communication needs, especially if they have dementia or sensory loss?
  4. 04How often will I be involved in care reviews, and can I access the care planning information with my relative's consent?
  5. 05What support would be available for our family during end of life care, including staying overnight if needed?

This was an unannounced comprehensive inspection covering all five key questions for the care home and also looking at personal care support provided to five people in the community. This explanation was written from the published report of 4 May 2018 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.

The story over the years

Every inspection of Mallands Residential Care Home

2 rated inspections over 3 years: the service has improved, from Good to Outstanding.

  1. May 2018Outstandingcurrent ratingup from Good
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Outstanding

    Read what inspectors found at Mallands Residential Care Home →

  2. May 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. August 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. August 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. June 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. October 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. February 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. December 2010

    Registered with the Care Quality Commission on 14 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.

Next steps

Weigh the report against the rest

Care at home

17 live-in carers within about an hour of Devon

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 £1,020 to £1,270 a week. 15 can care for a couple. 13 years' experience on average.

“She is such a warm and gentle person while being professional and competent at the same time.”
Martin B., about Love B.
“She looked after my mum, who can be incredibly challenging, so well and so gently, and we always felt confident that my mum was getting the best care available.”
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See live-in carers near DevonProfiles, rates and reviews are free to look at.

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.