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Inspection Summary


Overall summary & rating

Good

Updated 13 December 2019

About the service

Milton Lodge is a domiciliary care agency providing care and support to people living in their own homes who have a range of needs, including people with a learning disability and autism. Some people lived in homes at the same place the office was located, whilst others lived off site. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. At the time of the inspection nine people were receiving personal care.

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.

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

Some people being supported by Milford lodge were not able to have fully verbal conversations with us. However, when asked if they felt the staff treated them kindly, people responded with smiles. Comments included, “Yes”, “Yes, I like it here” and “Staff help me.”

People were supported to be safe. There were systems and processes in place to ensure people were protected from the risks of avoidable harm. The provider had a policy and procedure for safeguarding adults and the registered manager and staff understood the potential signs of abuse to look for.

People were supported to manage their medicines safely by staff who were appropriately trained.

Risk assessments were completed for people and they were supported to manage risks in their home environment, to ensure safety. There was a system to manage accidents and incidents to reduce them happening again.

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.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include 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 support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

Staff completed regular training and understood their responsibilities. The staff demonstrated that they knew people well and told us they were proud to work for the service. Staff were motivated, and continuous learning was embedded in the service’s culture.

People's needs were assessed to ensure these could be met by the service. The registered manager and staff worked with other external professionals to ensure people received effective care.

People were supported to engage in meaningful activities and the provider actively looked to develop new opportunities that enhanced people’s wellbeing. Staff supported people and showed an understanding of equality and diversity and people were treated with dignity, and their privacy was respected. People and their relatives were involved in the planning and review of their care and people were supported to be involved in making decisions about their own lives.

There was a clearly defined management structure and regular oversight and input from the provider. The registered manager and provider carried

Inspection areas

Safe

Good

Updated 13 December 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 13 December 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 13 December 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 13 December 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 13 December 2019

The service was well-led.

Details are in our well-Led findings below.