Mill Street

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

This is the first inspection for this service. At this inspection the rating is good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. People’s needs were assessed before they moved in and reviewed regularly. Care plans contained detailed information about health conditions, medication, and personal preferences. For example, 1 person’s care plan included seizure management and emotional support strategies. Assessments considered physical, mental, and social needs, and involved professionals such as social workers and psychologists.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards. Care was based on best practice and guidance. Staff followed protocols for medication administration and safeguarding. People were supported with meal planning and preparation. Some people chose to do this independently.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services. Staff worked collaboratively with health and social care professionals. Records showed regular contact with GPs, district nurses, and housing providers. For example, 1 person had been supported to deliver a presentation to a multidisciplinary team regarding their condition and how it affected them.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support. Staff supported attendance at medical appointments and promoted independence in daily routines. For example, 1 person was supported to keep their flat clean and participate in community activities, improving their wellbeing. Staff gave advice on diet and monitored risks such as diabetes and substance misuse.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. Outcomes were monitored through regular reviews and audits. Incident analysis identified themes such as falls and medication errors, leading to updates in care plans and staff training. People told us they felt improvements were made when issues were raised. A person said, “Staff listen and things get sorted.”

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Staff understood the principles of consent and the Mental Capacity Act. People were involved in decisions about their care wherever possible. For those lacking capacity, decisions were made in their best interests and supported by Court of Protection orders. Staff explained care before providing it, and people confirmed they were asked for consent.