Miramar Care Home

The key question of Safe was rated Good at our last inspection and continues to be rated Good following this assessment. Staff knew people well and supported them to stay safe and independent. Staff knew how to recognise abuse and how to raise concerns. Staff told us they were supported by the management team and had received the training they needed to support people safely. However, during the assessment of this key question, we found concerns around the management of risk which resulted in a breach of regulation. We found there was no detailed guidance for staff to mitigate risk and processes were not always followed to learn lessons when things went wrong.

The key question of Caring was rated Good at our last inspection and continues to be rated Good following this assessment. People were supported to be as independent as possible. Staff understood how to give people choice and control over how they spent their time. People’s choices and preferences were respected by staff.

The key question or Responsive was rated Good at our last inspection and continues to be rated Good following this assessment. People were supported to access healthcare and the community when they wanted.

The key question of Well Led was rated Good at our last inspection and continues to be rated Good following this assessment. However, the management team had not always followed the provider’s processes to make sure potential risks to people were managed. The provider had recently identified these shortfalls including not incorporating learning from incidents into people’s care plans. The provider had put action plans in place and they were completing regular checks and audits on the service.