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Mill Hayes Residential Home Requires improvement

We are carrying out a review of quality at Mill Hayes Residential Home. 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 20 June 2019

About the service: Mill Hayes Residential Home is registered to accommodate up to seven people. At the time of this inspection the service was providing personal care to five people who have a learning disability.

People’s experience of using this service:

At our previous inspection in July 2017, the provider was in breach of the of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

The operations manager told us that since our last inspection visit the home had been redecorated and repairs had been carried out. However, the home required further repairs due to damage caused by people who used the service.

During this inspection we found that the provider was in breach of regulation 12, Safe care and treatment and regulation 17, Good governance. The provider's governance was ineffective in assessing and monitoring the safety of the environment which placed people at risk of harm.

The provider had recently appointed a manager who told us they had applied to be registered with us. People were aware of who was running the home and there was a clear management structure in place. People were supported to maintain links with their local community.

The operations manager told us there were plans in place to improve the service delivery through further staff training and staff support.

People told us they felt safe living in the home. Risk assessments were in place to promote people’s independence and to reduce the risk of harm whilst doing so. People were supported by sufficient numbers of staff who had been recruited safely. People told us they received their medicines when needed. We observed that medicines were stored and recorded appropriately.

The hygiene standards within the home were good and we observed staff had access to personal protective equipment to reduce the risk of cross infection. Systems were in place to learn and make improvements when things went wrong.

People’s care and support needs were assessed before they moved into the home and people told us they were treated fairly by staff. The manager and operations manager told us that staff were provided with relevant training to ensure they had the appropriate skills to care for people. People had a choice of meals and had access to drinks at all times.

The provider worked in conjunction with other agencies to ensure people’s care and support needs were met. Staff supported people to access relevant healthcare services to ensure their physical and mental health.

Adaptations were in place to assist people with a reduced mobility. At the time of our inspection the provider was not offering a service to anyone with reduced mobility.

People told us that staff always asked for their consent before they assisted them. Various methods were used to support people to make decisions.

We observed that staff were attentive to people’s needs.

People were encouraged to be involved in decisions about their care and treatment. People told us that staff respected their right to privacy and dignity. Weekly discussions with people gave them the opportunity to be involved in planning their care.

People were supported by staff to access services within their community and to pursue their social interests. The provider had systems in place to receive and respond to complaints. At the time of our inspection the provider was not offering end of life care.

Rating at last inspection: The service was rated Requires Improvement at the last inspection in July 2017.

Why we inspected:

This was a routine inspection planned on when the service was last inspected in July 2017.

Enforcement:

Action we told the provider to take can be seen at the end of the full version of the report.

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.

Inspection areas

Safe

Requires improvement

Updated 20 June 2019

The service was not always safe

Details are in our Safe findings below.

Effective

Requires improvement

Updated 20 June 2019

The service was not always effective

Details are in our Effective findings below.

Caring

Requires improvement

Updated 20 June 2019

The service was not always caring

Details are in our Caring findings below.

Responsive

Good

Updated 20 June 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 20 June 2019

The service was not always well-led

Details are in our Well-Led findings below.