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Milford Manor Care Home Good

Inspection Summary


Overall summary & rating

Good

Updated 10 April 2021

About the service

Milford Manor Care Home provides accommodation and personal care for up to 30 people who have mental health conditions and/or dementia. At the time of the inspection there were 20 people living at the home. Accommodation is provided over two floors accessed by stairs and a lift. There are communal areas such as lounges, dining areas and a conservatory. The building has enclosed gardens with a large decking area for people to access from the ground floor.

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

Visitors to the home were screened prior to being able to go inside the building, this included a lateral flow device test (LFD). Only those with a negative result for COVID-19 were permitted to visit. Personal protective equipment (PPE) was provided for all visitors. The home had a ‘visiting pod’ in the garden which had been used for visiting in addition to garden visits. Indoor visiting was being planned during the inspection but had been paused due to an outbreak of COVID-19.

The provider had invested in specialist equipment for use during the pandemic. This included an ‘Ultra-V’ machine which was used to decontaminate areas of the home and an air purifier which helped to filter the air. Following the recent outbreak, the provider had arranged for the whole home to be professionally cleaned and had replaced all pillows and linen. A visit from the local authority environmental health officer had taken place and resulted in a '5' rating for the kitchen. This meant there was 'very good' hygiene standards.

Staff had engaged with weekly testing as per the government guidance and been provided with PPE throughout the pandemic. Staff had collectively decided to wear scrubs which were laundered on site. Staff had been given training on safe use of PPE and infection prevention and control procedures. Staff we spoke with felt well supported generally but also felt safe working during the pandemic.

Staff had been trained to administer medicines and had checks on their competence. People had an electronic medicines administration record which demonstrated people had their medicines as prescribed. During a recent COVID-19 outbreak staff had used un-prescribed oxygen for people to help them breathe more easily. Whilst this action had not caused people harm, the provider investigated this concern in full and worked with the local authority and other agencies to review this action.

Staff were aware of the different types of abuse and how to report any concerns. They were confident the provider would take appropriate action in response to any concerns raised. There were sufficient numbers of staff deployed which the provider kept under review.

Risks had been identified and recorded and there were management plans in place. Staff reviewed them regularly and made referrals to healthcare professionals if needed in a timely way. Regular servicing and maintenance checks ensured equipment and the premises was in good repair. Accidents and incidents were recorded and reviewed to identify any action to take to prevent reoccurrences.

Relatives and staff told us the home was well managed. Staff enjoyed their jobs and told us there was opportunity for them to share their ideas which helped staff feel valued. We were told by relatives and staff that the home had a “family” atmosphere which was important to them. Staff knew people l well and the care provided was personalised.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 27 November 2017).

Why we inspected

We received concerns in relation to the use of un-prescribed oxygen for people during a COVID-19 outbreak and concerns about a visiting ‘pod’ at the home. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

We looked at infection prevention and control measures under the Safe key

Inspection areas

Safe

Good

Updated 10 April 2021

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 10 April 2021

Caring

Good

Updated 10 April 2021

Responsive

Good

Updated 10 April 2021

Well-led

Good

Updated 10 April 2021

The service was well-led.

Details are in our well-led findings below.