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Inspection Summary

Overall summary & rating


Updated 18 July 2019

About the service

Mill Green provides accommodation and support for younger adults living with a learning disability and/or autism. Some people also were living with a physical disability.

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 care home was registered to provide support for a maximum of six people, which is in line with best practice guidance. The service was an adapted two storey house in a residential street where people had easy access to local amenities. At the time of this inspection there were five people living at the home.

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

The service was led by an outstanding registered manager who was dedicated to the health and wellbeing of people living at Mill Green. She had worked tirelessly to identify each person’s risks, needs and preferences including investigation into the impact of health issues on people’s physical and mental wellbeing. She, and staff, had ensured they collected data to help provide information to health professionals which had led to diagnoses and health interventions. This enabled each person to have a hugely improved quality of life, where their independence was promoted, and they were free from pain. Best practice standards and professional research was used to implement high quality, effective care. Medicines were received, administered and recorded in line with best practice. Feedback from health professionals was extremely positive and described the registered manager and staff in glowing terms. For example, one professional commented “…staff are always striving to improve the quality of care being provided.”

The registered manager and senior managers fostered a culture of openness and professional challenge. This ensured all staff understood and were motivated to meet the high standards of quality expected of them. Staff and the registered manager had been recognised both within the provider organisation and the county council as providing exceptional care. They had been nominated for and been successful in achieving awards as the best performing team and as a finalist for the best registered manager in the county.

There was a consistent staff team, many of whom were very long-serving and knew people very well. Staff showed exceptionally caring, thoughtful and compassionate care to each person. Staff used different communication methods with each person and were able to interpret fluently what people wanted. This meant that the people living at Mill Green, some of who had little or no verbal communication, were very well understood and supported. Each person had a highly individualised communication and support plan taking into consideration all their communication methods. Support plans described the risks, needs and preferences and how staff should work with each person to ensure the person was able to lead as fulfilled and independent life as possible. New ideas for activities were explored and trialled to keep people occupied in a meaningful and enjoyable way. A professional commented that the care “…provided at Mill Green is personalised to meet physical, mental, emotional and social needs. They promote independence and autonomy.”

There were sufficient staff, who knew people very well, to support people safely both in the home and in the local community. Staff supported people to get involved in their preferred activities, individually and as a group. Staff knew how to keep people sa

Inspection areas



Updated 18 July 2019

The service was safe

Details are in our Safe findings below.



Updated 18 July 2019

The service was exceptionally effective

Details are in our Effective findings below.



Updated 18 July 2019

The service was exceptionally caring

Details are in our Caring findings below.



Updated 18 July 2019

The service was exceptionally responsive

Details are in our Responsive findings below.



Updated 18 July 2019

The service was exceptionally well-led

Details are in our Well-Led findings below.