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Middleton Hall Retirement Village Requires improvement

We are carrying out a review of quality at Middleton Hall Retirement Village. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 13 November 2019

About the service

Middleton Hall Retirement Village is a residential care home providing personal and nursing care to 73 older people and people living with dementia at the time of the inspection. The service can support up to 90 people.

Middleton Hall Retirement Village accommodates people across numerous areas within substantial grounds. Not all of the people who live within the wider retirement village are in receipt of support with their personal care. CQC only inspects those areas in which people are in receipt of personal care. The people who require this level of support live across four areas, each of which has separate adapted facilities. Middleton Court provides nursing care and Middleton Gardens provides residential support. Middleton Grove is home to a mixture of people who do not require any assistance with personal care and a small number of people who are receiving this additional support. Middleton Oaks provides care for up to 16 people living with a dementia. This is a separate building consisting of two linked bungalows designed to provide support in a family style setting where meals are prepared in a domestic kitchen.

People’s experience of using this service and what we found

Medicines were not always managed safely at the home. Risk assessments were not always in place and therefore staff did not have all the information necessary to minimise risk.

People and relatives felt there were not always sufficient staff on duty and sometimes people had to wait for assistance. We have made a recommendation about this.

People were not always supported to have maximum choice and control of their lives. Mental capacity assessments were not always correctly completed and records of best interest decisions were not always in place.

People were supported with eating and drinking but the choice and quality of food in Middleton Oaks was sometimes not of the same standard as other areas. Records were not always kept to ensure people were drinking enough to stay healthy.

Care records needed to be reviewed to ensure they were accurate and up to date. Whilst some care plans were very detailed others contained limited information about a person’s likes and dislikes.

Quality checks were in place but had not identified the issues we found. The registered manager and the wider management team were very quick to respond to our feedback and took steps to make improvements straight away.

People continued to receive care from kind and compassionate staff. Staff knew people well and provided support which met people’s needs. Family members were welcomed at the service at all times.

People had opportunity to take part in an incredibly varied programme of activities within the home in line with their personal preferences and there were good links with the local community. People were encouraged to be as independent as possible and were all able to enjoy the extensive grounds thanks to individual GPS tracking devices.

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 rating for this service was outstanding (published 28 February 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified breaches in relation to safe care and treatment, consent and good governance at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 13 November 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 13 November 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 13 November 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 13 November 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 13 November 2019

The service was not always well-led.

Details are in our well-led findings below.