We carried out a review of the data available to us about Millenium Care Limited - 89 Fox Lane on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Millenium Care Limited - 89 Fox Lane, you can give feedback on this service.
Millenium Care Limited- 89 Fox Lane is a care home. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The home provides care and support for up to seven people with learning disabilities. At the time of this inspection there were seven people living in the home.
The home is a semi-detached house in Palmers Green, North London. There was a stairlift available but at the time of the inspection everybody was able to use stairs.
The care home was registered more than twenty years ago so before the development of "Registering the Right Support " and other best practice guidance. There was evidence that the service did support some of the values of Registering the Right Support. They supported the values of choice and inclusion which are two of the values underpinning Registering the Right Support so that people with learning disabilities and autism using the service can live as ordinary a life as any citizen.
At our last inspection on 8 and 20 March 2018 we rated the service good. At this inspection, on 14 and 21 November 2018, we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
Staff understood what safeguarding was and how to report any concerns about abuse.
We found some safety concerns in the home as there were no window restrictors to prevent falls from windows or covers on radiators to protect people from risk of burns. The provider reacted immediately to address these issues as soon as we raised them to ensure people were safe from harm.
People's personal risks were managed well though some risk assessments, personal emergency evacuation plans and care plans did not contain all the important information about the person.
Medicines were managed safely by trained staff who followed good practice.
Staff received regular supervision and training and an annual appraisal. Staff said they worked well as a team and were supported by the registered manager.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People had support to eat a healthy balanced diet. Those with swallowing difficulties received the right support from staff with eating.
Staff knew people well and were able to understand their needs and wishes. People were able to follow their interests and took part in activities outside the home that they enjoyed.
Complaints were managed well. The homes had effective quality assurance systems in place including audits of medicines management and annual quality audits. There was evidence of continuous learning and improvement.
We have made three recommendations regarding risk assessments, evacuation plans and care plans containing sufficient information about the person; medicines and ensuring people’s communication needs are more detailed in care plans.
Millennium Care – 89 Fox Lane is a care home which provides care and support for up to seven people with significant learning disabilities and complex needs. At the time of this inspection there were seven people using the service.
The home is a semi-detached house in Palmers Green, North London. People lived over two floors, there was a lounge and dining room on the ground floor and people had access to a secure, well kept, back garden.
People were kept safe from harm and staff understood what safeguarding was and how to report any concerns.
People’s personal risks were well documented and information provided for staff on how to minimise any known risks.
Medicines were managed safely and people received their prescribed medicines when they were supposed to. Staff had received training medicines training.
Staff received regular supervision and an annual appraisal that helped them identify areas for learning and development. Supervisions and appraisals were used as an opportunity for staff to improve care practices.
People are supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
People were encouraged to have a healthy diet. People were given choice around what food they wanted to eat and staff knew what each person enjoyed. Snacks and drinks were readily available.
We observed warm and caring interactions between people and staff throughout the inspection. Staff knew people well.
Care plans were person centred and reviewed regularly. People were encouraged to have a full life and took part in activities that they enjoyed.
The homes had detailed quality assurance systems in place. Regular audits around medicines, care plans and risk assessments and the environment were completed with action plans to ensure and issues found were addressed.
There were systems in place to identify maintenance issues. Staff were aware of how to report and follow up maintenance.
There was an open and transparent management culture within the home. Staff were positive about working at the home and the support that they received. Relatives felt that there was good communication between the home and themselves.
This inspection took place on 27 February 2015 and was unannounced. When we last visited the home on 31 January 2014 we found the service met all the regulations we looked at.
Millenium Care Ltd 89 Fox Lanes provides accommodation, care and support for up to seven people with a learning disability or people on the autistic spectrum. There were seven people using the service on the day of our inspection.
The home had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People received individualised support that met their needs. The service had systems in place to ensure that people were protected from risks associated with their support, and care was planned and delivered in ways that enhanced people’s safety and welfare according to their needs and preferences.
People were involved in decisions about their care and how their needs would be met. Risks to people and how these could be minimised were identified. Medicines were managed safely.
Safeguarding adults from abuse procedures were robust and staff understood how to safeguard the people they supported. Staff knew what to do if people could not make decisions about their care needs. They had received training on safeguarding adults, the Deprivation of Liberty Safeguards and the Mental Capacity Act 2005. These safeguards are there to make sure that people in care homes, hospitals and supported living are looked after in a way that does not inappropriately restrict their freedom. Services should only deprive someone of their liberty when it is in the best interests of the person and there is no other way to look after them, and it should be done in a safe and correct way.
People were supported to eat and drink according to their individual preferences. Staff supported people to attend healthcare appointments and liaised with their GP and other healthcare professionals as required to meet people’s needs.
People told us they were happy with the care provided. Staff were appropriately trained and skilled to care for people. They understood their roles and responsibilities as well as the values and philosophy of the home. Staff received supervision and an annual performance review. They confirmed they were supported by the manager and received advice where required.
The registered manager was accessible and approachable. People and staff felt able to speak with the registered manager and provided feedback on the service. Monthly audits were carried out across various aspects of the service, these included the administration of medicines, care planning and training and development. Where these audits identified that improvements were needed action had been taken to improve the service for people.
We observed that staff spoke with people in an appropriate manner which showed respect. People were calm and relaxed in their interactions with staff. This meant that people were able to share their concerns with staff. Staff were able to explain how they met people's needs. They told us they had been on relevant training so that they had sufficient skills to meet people's needs.
There were safeguarding procedures in place and staff were aware of the reporting and escalation of any concerns. The service had quality assurance and monitoring arrangements in place and the service had implemented changes where appropriate.
There were enough staff at the time of inspection to ensure that people's needs were met and that if an emergency arose the staffing levels were sufficient to enable staff to take timely action.
We saw that staff knew how to support people. Staff had the skills and the support they needed to give people the care they needed. People's suggestions were used as the basis to improve the care provided by the home. The quality of service provision was assessed and monitored. Where issues were identified improvements were made.