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Little Millfields Requires improvement

Inspection Summary

Overall summary & rating

Requires improvement

Updated 14 May 2019

About the service: Little Millfield’s is a care home. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Little Millfield's can accommodate up to five people who may have a learning disability, in one adapted building. At the time of the inspection, there were four people using the service.

People’s experience of using this service:

¿ People’s relatives were happy with the service their family member received. Comments made were, “The staff are very good at supporting [Name]. They are very safe.” Another said, “The staff are welcoming. They do interact with [Name] and know them well.”

¿ The service would benefit from improvements to the environment. The environment was run down and needed to be modernised and redecorated. The registered provider had plans in place to undertake this work and told us this should commence within the next six months.

¿ We found the bathrooms, and some people's bedrooms needed to have a deep clean.

¿ The service had systems in place to keep people safe and staff followed these guidelines when they supported people.

¿ Enough staff were available to meet people’s care needs. People received their medication as prescribed and on time.

¿ Staff had been recruited safely with the skills and knowledge to give care and support to people.

¿ People’s health and emotional needs were assessed and monitored.

¿ The service worked with relevant health care professionals and people received the support they needed to have a nutritional diet that met their individual choices.

¿ There were systems in place to drive improvement and audits were carried out on a regular basis, which looked at the quality of the service people received.

¿ People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. Policies and systems in the service supported this practice.

¿ Staff treated people with dignity and respect and were sensitive to their needs. Staff were able to anticipate people’s needs in an individualised way.

¿ A range of activities was provided, which included accessing the local community.

¿ The registered manager was aware of 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.

Rating at last inspection: This service was last rated Good. (4 October 2016)

Why we inspected: This was a planned inspection based on the previous rating.

Follow up: We will continue to monitor the service through the information we receive. Please see the action we have told the provider to take section towards the end of the report.

For more details, please see the full report which is on the CQC website at

Inspection areas


Requires improvement

Updated 14 May 2019

The service was not always safe.

Details are in our Safe findings below.


Requires improvement

Updated 14 May 2019

The service was not always effective.

Details are in our Effective findings below.



Updated 14 May 2019

The service was caring.

Details are in our Caring findings below.



Updated 14 May 2019

The service was responsive

Details are in our Responsive findings below.


Requires improvement

Updated 14 May 2019

The service was not always well-led

Details are in our Well-Led findings below.