Millgate House received a Good rating across all five key questions at its May 2016 inspection, with no regulatory breaches identified. The service demonstrated strong person-centred care, safe medicines management, effective staff training and supervision, and robust quality assurance systems.
Strengths
· Robust recruitment procedures including DBS checks, references and employment history verification
· Medicines managed safely with trained staff, MAR sheets, locked storage and temperature monitoring
· Detailed, person-centred care and support plans reflecting individual needs, preferences, likes and dislikes
· Staff knowledgeable about individuals' needs, trained in safeguarding, MCA/DoLS, and specialist areas such as epilepsy and PEG feeding
· Regular supervision, appraisal and competency checks with structured induction for new staff
Millgate House, a short-term care home for up to eight young adults with learning and physical disabilities, was rated Good across all five key questions at its January 2019 inspection. Recommendations were made regarding documentation of mental capacity and consent assessments and the revision of quality assurance systems to ensure all essential areas of service delivery are covered.
Concerns (5)
moderateConsent / capacity: “capacity assessments were limited and when formal assessments were unavailable from healthcare professionals, there were insufficient guides to staff”
moderateConsent / capacity: “The service was also not documenting how consent was being provided for the purposes of the service it was providing.”
moderateGovernance: “checks were not effective in identifying issues we found during this inspection. For example, the recruitment and mental capacity issues seen earlier in this report.”
minorRecord keeping: “Accidents and incidents were being recorded but there were no formal records of any review of these or discussion with staff about any lessons learned.”
minorIncident learning: “there were no formal records of any review of these or discussion with staff about any lessons learned.”
Strengths
· Medicines were managed safely with accurate MAR records and all staff trained in medicines management
· Risks to people's health and well-being were identified and managed safely, including choking and fire safety
· Staff were competent, knowledgeable and skilled, receiving comprehensive induction, supervision, appraisal and training
· People were treated with kindness, dignity and respect; relatives and healthcare professionals were highly positive about staff caring attitudes
· Care plans were up to date, personalised and reflected people's current needs including accessible information formats
Quality-Statement breakdown (24)
safe: Systems and processes for safeguarding and recruitmentGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing levelsGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff skills, knowledge and experienceGood
effective: Supporting people to eat and drink enoughGood
effective: Staff providing consistent, effective, timely care within and across organisationsGood
effective: Adapting service, design, decoration to meet people's needsGood
effective: Supporting people to live healthier lives, access healthcare services and supportGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supportedGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Personalised careGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Provider plans and promotes person-centred, high-quality care and understands duty of candourGood
well-led: Managers and staff are clear about their roles, and understand quality performance, risks and regulatory requirementsGood
well-led: Engaging and involving people using the service, the public and staffGood
well-led: Continuous learning and improving careGood