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Inspection Summary


Overall summary & rating

Good

Updated 24 April 2021

About the service

Milton Grange is a residential care home providing short term rehabilitation, including personal care for up to 37 older people. During the pandemic the service had also provided accommodation to some people discharged from hospital who were waiting for other, longer term placements to become available or to return home with a package of care. At the time of the inspection there were 29 people using the service. The service was split into four areas covering those living with dementia, older people and those living with mental health issues. During the past 12 months, 377 people had used the service.

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

Regular auditing was carried out and overseen by the registered manager. There had been a high number (34) medicine errors and near misses that occurred in the previous 12 months. Following the inspection, we were sent documents that confirmed medicine audits took place and any learning shared with staff. We discovered one medicine error on the day of inspection which was immediately addressed.

Care was person centred and this was reflected in care plans that had recently been updated and reviewed. The registered manager promoted a positive culture at the service. The service was welcoming and friendly. Staff we spoke to spoke highly of the registered manager, their support and visible presence throughout the service. People, relatives and staff were given opportunities to feedback about the service. Positive working relationships had been established with partner agencies for example, the hospital discharge co-ordinators.

People told us they felt safe. Staff had received training in safeguarding and were confident in reporting concerns. Staff told us that appropriate action was always taken quickly to protect people. Accidents and incidents had been reported, investigated and any learning shared with all staff. Risk assessments had been completed for all aspects of people’s care and wound care management followed NICE guidelines. Medicines were stored and disposed of safely. Safety checks and reviews had been completed on fire, gas and electrical equipment.

We found the complaints policy had been fully updated and reviewed. Complaints had been recorded and investigated in a timely way with conclusion letters sent to complainants. People and relatives told us they were confident in raising complaints and issues, knowing that they would be dealt with appropriately.

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

Rating at last inspection and update

The last rating for this service was requires improvement (published 1 April 2020). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We carried out an unannounced comprehensive inspection of this service on 20th January 2020. A breach of regulation was found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met regulations. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those regulations.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has improved to Good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Milton Grange on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Good

Updated 24 April 2021

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 24 April 2021

Caring

Good

Updated 24 April 2021

Responsive

Requires improvement

Updated 24 April 2021

Details are in our responsive findings below.

Well-led

Good

Updated 24 April 2021

The service was well-led.

Details are in our well-Led findings below.