Updated 27 March 2019
The Inspection:
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The Inspection team consisted of one inspector who visited the site and an expert by experience who made calls to people using the service. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of service.
Service and service type:
Millennium Forge is a Domiciliary Care Service and Extra Care Housing Services providing personal care to older people, people with learning disabilities or autistic spectrum disorder, people with mental health concerns, physical disability, sensory impairment or younger adults at the time of the inspection. 76 People were using the service at the time of the inspection.
The service did not have a manager registered with the Care Quality Commission, but an acting manager had been in place for four weeks and was in the process of registering. Once registered, this means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.’
Notice of inspection:
We gave the service 48 hours’ notice because we wanted the acting manager and a selection of staff to be available for the inspection.
What we did:
The inspection activity started on 05 February 2019 when we visited the location and a second day of inspection was carried out on 06 February 2019. Calls to people using the service and their relatives were made on 06 and 07 February. We visited the location to see the acting manager and staff; and to review care records and policies and procedures. We made phone calls to people who used the service and relatives.
We reviewed information we had received about the service since they were registered with us. This included details about incidents the provider must notify us about, such as allegations of abuse and we sought feedback from the local authority and other professionals who work with the service. We assessed the information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
We contacted people and/or their relatives by telephone and spoke with two people that used the service and seven relatives to gather their views on the service being delivered. We also spoke with the provider, the registered manager and seven staff members which included care and senior staff. We used this information to form part of our judgement.
We looked at three people’s care records to see how their care and treatment was planned and delivered. Other records looked at included two recruitment files to check suitable staff members were recruited and received appropriate training. We also looked at records relating to the management of the service along with a selection of the provider’s policies and procedures, to ensure people received a good quality service. Details are in the ‘Key Questions’ below.