Archived: Myddleton House

Updated 3 November 2016

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.’

This announced inspection took place on the 20 & 21 September 2016 and was carried out by one adult social care inspector.

We reviewed the information we held about the service, such as notifications we had received from the registered provider. A notification is information about important events which the service is required to send us by law. We also spoke to commissioners of care for the local authority and health during our regular meetings held with commissioners of services. We planned the inspection using this information.

We spent time observing how the registered manager supported people in the home and how they interacted with each other.

We read all of the care and support plans for those living in the home.

We spoke to the one person that was living in the home on the day of our inspection.

We walked around the building and we also looked at records relating to maintenance and risk in the environment. We inspected medicines kept on behalf of people in the home.

We returned on the second day to give written feedback to the registered provider.

Updated 3 November 2016

This unannounced inspection took place on 20 & 21 September 2016. We last inspected this service on 10 January 2014 under the regulations that were in force at that time. We found that the provider met all the regulations during that inspection.

The provider is also the registered manager. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.

Myddleton House is a residential care home registered to provide care and accommodation to one person. Myddleton House is owned by Mrs Tracy Higgins who is also the main carer.

The home is in a residential area close to the centre of Carlisle and is within walking distance of the city centre shops, facilities and close to local transport routes. The property is a large, well maintained older terraced house with a small front garden and a rear enclosed yard.

There was a registered manager in post at the time of our inspection visit. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

At the time of our inspection there was one person living in Myddleton House and we were able to spend time with them during our visit. They told us they felt safe living in the home and had lived there for many years.

The registered manager was aware of their role and responsibility to keep vulnerable people free from harm and the threat of abuse. We observed warm and friendly interactions between the registered manager and people who lived in Myddleton House.

We found that medicines were managed well and in line with peoples’ prescriptions. People were encouraged to eat a healthy diet but could also choose their favourite food. Healthcare needs were met through peoples’ doctors and consultants were necessary. Dental, optical and chiropody services were accessed when required.

We looked at the assessed needs as recorded in the care plans and also the dependency levels of the people who lived in the home and saw these were well managed by the registered manager. People had been assessed prior to their admittance to the home. There was an up to date care and support plan that contained sufficient information to provide an appropriate level of care.

People knew how to make their concerns known and were confident that any concerns or complaints raised would be listened to and dealt with in a timely manner. There was an open culture in the home with the registered manager supporting people who lived in Myddleton House to live as fulfilling a life as possible.

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