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Millenium Care Limited - 1 Old Park Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 20 June 2019

About the service: Millenium Care – 1 Old Park is a residential care home providing accommodation and personal care to ten people who have a learning disability and/or autistic spectrum condition.

People’s experience of using this service:

People living in this home were settled and happy. They had mostly lived in the home for a long time and knew each other and staff very well. They had good support with their health needs.

The provider had made significant improvements in all areas since the last inspection. However, medicines were still not always being managed safely and infection control practices were not sufficient to protect people from the risk of infection in the home.

Staff knew people’s needs and preferences and behaved in a caring way towards them. Most relatives were happy with the support that people had in the home. The service provided people with support for their leisure and religious needs. People told us they enjoyed going out and got on well with each other and with staff.

Staff said they felt supported and enjoyed their work. They had regular supervision and training.

The provider had improved the management of the home since our last inspection. There were more effective audits taking place and the management team had worked hard to implement improvements.

The service worked well with other professionals since the last inspection and were following guidance from occupational and speech and language therapists which had improved the safety of the service for people with physical disability and those with eating and drinking difficulties. These people were now receiving a better standard of care.

Rating at last inspection: Inadequate. The last inspection report was published on 5 February 2019.

Why we inspected: This was a planned inspection based on the rating at the last inspection.

Enforcement: At the last inspection we found eight breaches of legal requirements. We served three warning notices on the provider for breaches of fundamental standards. We also issued five requirement notices. At this inspection we found one continued breach of legal requirements as infection control in the home was not satisfactory. The other legal requirements were now being met. This was evidence of significant improvements.

We have made one requirement notice about infection control and two recommendation about keeping records of food eaten by each person so the provider can be assured that people's varying medical and religious dietary needs were being fully met and about following best practice with medicines given covertly.

The service is no longer inadequate. It now meets most of the characteristics for a service which requires improvement.

Follow up: Going forward we will continue to monitor this service and plan to inspect in line with our re-inspection schedule for those services rated Requires Improvement.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk.

Inspection areas

Safe

Requires improvement

Updated 20 June 2019

The service was not always safe.

Details are in our Safe findings below.

Effective

Requires improvement

Updated 20 June 2019

The service was not always effective.

Details are in our Effective findings below.

Caring

Good

Updated 20 June 2019

The service was caring.

Details are in our Caring findings below.

Responsive

Requires improvement

Updated 20 June 2019

The service was not always responsive.

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 20 June 2019

The service was not always well led.

Details are in our Well led findings below.