Background to this inspection
Updated
4 February 2020
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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection team consisted of one inspector.
Service and service type
People in Action - Milverton Terrace is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. 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
This inspection was announced. We gave the service 24 hours’ notice of the inspection. This was because the service is small and people are often out and we wanted to be sure there would be people at home to speak with us.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority who works with the service and the local Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. This information helps support our inspections.
The provider had completed a provider information return prior to this inspection. This is information we require providers to send us 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.
During the inspection
We spoke with four people who used the service about their experience of the care provided. We spoke with the registered manager and three care staff.
We reviewed a range of records. This included three people's care records and medication records. A variety of records relating to the management of the service, including policies and procedures were also reviewed.
Updated
4 February 2020
About the service
Milverton Terrace is an assessment centre that provides short term accommodation and personal care for up to eight younger adults who may have learning disabilities or autistic spectrum disorder, a physical disability or sensory impairment. People live at the home for a short time period to develop their skills to assist them to live as independently as possible when they move to a permanent home. There were six people living at Milverton Terrace at the time of our inspection visit.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence.
People's experience of using this service
People received planned and co-ordinated person-centred support that was appropriate and inclusive for them, helped them gain new skills and become more independent.
There were enough suitably skilled and experienced staff to meet people’s needs and keep them safe. Staff had the information they needed to ensure risks to people were minimised whilst encouraging people to live their lives as they wished. Staff knew what to do if they had any concerns about people's health or wellbeing.
People were supported to access healthcare professionals and staff worked closely with other agencies to ensure people’s transition between services was as smooth as possible. People received their medicines as prescribed.
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 supported this practice. People were very positive about the caring and supportive nature of staff.
People continued to receive a service that was well-led. The monitoring of service provision was effective and there was an open, transparent and person-centred culture with good leadership.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last overall rating for this service was good (published 4 August 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.