CQC report explained · a residential care home
What the CQC found at Miramar
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People felt safe, risks were assessed and there were enough suitably trained staff. Medicines, recruitment and infection control were found to be managed safely.
- Effective?
- Good
- People had detailed assessments and care plans, with involvement from relatives and health professionals where appropriate. Staff had regular training and people were supported with food, healthcare and informed choices.
- Caring?
- Good
- Staff were kind, respectful and knowledgeable about people's needs, goals and backgrounds. People were supported to express their views and maintain their privacy, dignity and independence.
- Responsive?
- Good
- Care was personalised and regularly reviewed. People could follow their own routines, take part in meaningful activities, keep in touch with important people and raise concerns.
- Well-led?
- Good
- The home had an open staff culture and systems to monitor quality and safety. Feedback and lessons from incidents were used to improve care, and the home worked with health professionals and community services.
What inspectors found, October 2022
Rated Good; inspectors found safe, kind and personalised care, with no breaches reported.
This was an unannounced inspection on 8 September 2022. One inspector spoke with six people and three staff, reviewed care and medicine records, checked the building and looked at staffing, training and management records. Feedback was also received from 10 staff and a health professional.
The home supports up to 14 people with mental health issues. There were 13 people living there. Inspectors found that people felt safe and were positive about the support. Care plans reflected people's needs, choices and goals, and people were involved in planning and reviewing their care.
Medicines were managed safely, staffing levels were suitable and risks were assessed. The home was clean, PPE was used appropriately and infection control arrangements were suitable. Staff supported people to be independent, make choices, maintain relationships and use health services.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This means inspectors found people were protected from avoidable harm, received good outcomes, were treated with dignity and had their needs met through good organisation.
Personalised care
Care plans were detailed and based on people's needs, choices and goals. People and relevant relatives and professionals were involved in planning and reviews.
“People had person-centred care plans which reflected their needs and choices.” from the report
Safe medicines
Staff were trained and regularly checked for competence. Records were accurate and people received medicines as prescribed, while being supported to become more independent where possible.
“Medicine administration records were accurate and there were regular checks of these by the management team.” from the report
Respect and independence
People were treated as individuals and encouraged to do things for themselves. The home supported people to use the community safely and work towards future independence.
“People's independence was promoted, and their privacy and dignity respected.” from the report
Strong management
The manager had systems for checking quality, responding to incidents and gathering feedback. Staff, people and outside professionals were involved in improving the service.
“The quality and assurance systems in place had been reviewed and embedded throughout the service and were used to continuously improve the service and quality of care provided to people.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you support my relative's particular mental health needs and recognise when they are having a difficult day?
- 02How would you help my relative manage their medicines safely and work towards greater independence?
- 03How are care plans and personal goals reviewed, and how would my relative and family be involved?
- 04What activities, trips and community links would be available for my relative?
- 05How would you respond if my relative or family raised a complaint or concern?
This was an unannounced first inspection that assessed all five key questions, with infection prevention and control also specifically checked because the inspection followed a change of provider name. This explanation was written from the published report of 7 October 2022 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 Miramar
4 rated inspections over 6 years: the service has improved, from Requires improvement to Good.
- October 2022Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2016Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- December 2020
Registered with the Care Quality Commission on 17 December 2020.
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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
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.”
“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.”
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.