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Inspection Summary


Overall summary & rating

Good

Updated 28 August 2019

About the service:

Mill Green 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. Mill Green accommodates up to 15 people across one ground floor level.

What life is like for people using this service:

Staff were safely recruited. Where this was a part of their care plan, people's medicines were administered safely and in accordance with the prescribing instructions. However, risk management plans and the response to epileptic seizure required improvement to ensure people were always cared for in an effective and safe way.

The management team and staff placed people at the heart of their home. The provider and registered manager ensured their service was delivered according to their values. The home had a strong person centred and local community-based ethos. The staff team worked hard to promote people’s dignity and prevent people from becoming socially isolated within their home.

Respect and dignity were cornerstones of the values upheld by the staff and role modelled by the management team. Innovative approaches such as assisted access to electronic records and feedback tools, provided people and their relatives options in shaping a personalised service and making decisions.

People and their relatives were involved in choosing their care and support, from pre-admission to living in the home. 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.

Staff were aware of how to report any concerns about neglect or abuse and were confident they would be addressed. They felt they were listened to and were part of an organisation that cared for them and their wellbeing, as well as the people they were supporting.

Regular audits were carried out; people were asked their views in person and via questionnaires. Changes were quickly made if issues were identified. The service learned from recorded incidents, concerns or accidents to help prevent a reoccurrence.

Rating at last inspection:

The last comprehensive inspection report for Mill Green was published in August 2016 and we gave an overall rating of Outstanding. At this inspection we found the service was Good. Safe has been rated as Requires Improvement and all other areas have been rated Good.

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

Follow up:

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

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 28 August 2019

The service was not always Safe.

Details are in our Safe findings below.

Effective

Good

Updated 28 August 2019

The service was Effective.

Details are in our Effective findings below.

Caring

Good

Updated 28 August 2019

The service was Caring.

Details are in our Caring findings below.

Responsive

Good

Updated 28 August 2019

The service was Responsive.

Details are in our Responsive findings below.

Well-led

Good

Updated 28 August 2019

The service was Well Led.

Details are in our Well Led findings below.