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Archived: Milton House

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Inspection report

Date of Inspection: 20 August 2012
Date of Publication: 12 September 2012
Inspection Report published 12 September 2012 PDF | 48.85 KB

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Meeting this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

How this check was done

We reviewed all the information we hold about this provider, carried out a visit on 20/08/2012, looked at records of people who use services, talked to staff and talked to people who use services.

Our judgement

The provider was meeting this standard.

People experienced care, treatment and support that met their needs and protected their rights.

User experience

All of the people that we spoke with were fully aware of the care and support they needed. They told us they had been involved in their care planning through one to one discussions with the manager or deputy manager. One person said, “the staff try to encourage a healthy lifestyle but in the end it is up to me and I don’t always do what they would like me to”. This showed that staff ensured that people’s care and treatment reflected relevant research and guidance and people were given sufficient information to make an informed decision.

During our visit we observed that people were given support at a level which encouraged independence and assured that their individual needs were met. For example one person who had a complex medical history told us that the staff supported them to attend medical appointments. They also told us that they were “confident that they (the staff) knew how to deal with medical emergencies”.

Other evidence

Each person who used the service had a care record which gave staff information about the way in which that individual preferred and/or requested to be supported. We saw that prior to a person moving into the home an assessment had been undertaken that showed that peoples’ needs were assessed and care and treatment was planned and delivered in line with their individual needs. In addition risk assessments had been carried out to support people to live as independently as possible within the home and in the community. This ensured that any potential risks were minimised for each individual.

Since our last visit on 05 January 2012 staff had ensured that the information within the Health Action Plan (HAP), the 'All about me' folder and the care plan was consistent and each record was kept up-to-date following a medical appointment. We were told by staff that following any medical appointments as soon as they returned to the home all the documentation was updated to ensure that the correct current treatment was provided by all the staff involved with the individual. HAP's confirmed that appointments with other health professionals such as opticians, dentists and chiropodists were made for people at regular intervals or when required.

The deputy manager reported that the service worked well with a range of other health professionals, including the local GP and community staff such as a stoma nurse and a diabetic nurse. We were told that a member of the staff team would always accompany a person to hospital and provide the necessary support during a hospital admission