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Archived: HF Trust - Milton Heights Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 16 November 2019

About the service

HF Trust Milton Heights is a residential care home providing accommodation and personal care to 24 people with learning disabilities/ or autism at the time of the inspection. The care home can accommodate up to 25 people across six homes on one site.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

The service was on a campus type setting (meaning people’s homes were on one site). This setting does not meet current best practice guidance. However, this issue was mitigated as the provider was in the process of identifying alternative accommodation for people to address this. In the interim, the provider was aware of the need to ensure people could access their local facilities with staff support.

The service applied the principles and values of Registering the Right Support and other best practice guidance. This ensured that people using the service could live as full a life as possible and achieve the best possible outcomes that included control, choice and independence.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion.

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

At the last two inspections we found that people’s accommodation needed improvements. At this inspection, the required improvements had been made and the provider was no longer in breach of regulation 15 (Premises and equipment) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. However, the provider’s systems and processes to monitor the safety of the environment had not been used consistently. This included weekly and monthly checks to ensure the safety of each of the premises such as fire and water safety. This meant the provider continued to be in breach of regulation 17 (Good governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

People’s up to date records were not always available in a format for non-permanent staff to refer to. Medicine records and checks were not always managed safely. However, people received their medicines as prescribed and the service had safe medicine storage systems in place. People and their relatives expressed no concerns about their safety.

The service had not improved the rating of Well Led from Requires Improvement to Good. This was because quality assurance systems had not been used effectively to ensure the health and safety of the environment was safe. Therefore, the provider had not ensured that continuous learning and improving care had taken place to rectify all previous breaches of the regulations.

People and relatives told us they felt the service had a positive culture with good outcomes and staff said they felt supported. People and their relatives had opportunities to provide feedback through surveys. The information gathered was used to improve the service. The service worked in close partnership with the relevant external services to support safe care provision.

Staff were respectful and caring with the people they supported. A person told us, “I love it here, everything about it, the staff are nice”. Staff ensured people received flexible care to support them in areas such as hospital visits. People’s equality, diversity and human rights were respected, and they were treated with dignity.

People received care and support specific to their needs, preferences and routines. People

Inspection areas

Safe

Requires improvement

Updated 16 November 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 16 November 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 16 November 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 16 November 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 16 November 2019

The service was not always well-led.

Details are in our well-led findings below.