Mosaic 1898 LTD

Not everyone who use this type of service receive personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

The provider did not maintain records of their assessments of people's needs before the joined the service. People's records did not show the provider had considered the Mental Capacity Act as part of care planning.

The provider had not acted to address the issues identified at our previous inspection. The registered manager did not always demonstrate a good understanding of their regulatory responsibilities such as maintaining robust records of the care people received.

Records of people's risks assessment were not comprehensive. They did not always include information of known risks to people and guidance on how staff would minimise the occurrence of risks.

We made recommendations about risks assessments and end of life care planning.

People felt safe when they received care from staff. The service had protocols in place to protect people from the risk of contamination and infections.

Staff supported people to meet their nutritional needs and stay well. They supported people to access health care services.

Staff were kind and compassionate. They had developed positive relationships with people who used the service and treated them like they mattered. People were treated with great dignity and respect.

The support people received was tailored to their individual needs. Support was holistic and supported their general wellbeing.

The registered manager promoted an enabling culture which supported people to live a full life as possible and achieve their desired outcomes. Staff felt supported in their role.

The registered manager and staff team worked collaboratively with other professionals involved in people's care to ensure that any transitions were well managed, and the care people received was consistent.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service did not always support staff practice.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

The outcomes for people using the service promoted choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to become more independent where possible.