Archived: Myddleton House

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.

.

The person who used this service told us they were "well looked after" and that they were treated with respect. They told us they had lived at the home for over 20 years and were "like part of the family." They said that they were included in family activities and outings as well as being able to go off and "do what I want to do." They added, "I couldn't be in a better place really. I am very happy here and Tracy (the owner) couldn't do more for me."

We found that where the service user went out independently, there were strategies in place to help ensure they were safe. In addition to these arrangements for going out of the home, we found that aids and adaptations had been provided within the home to help maintain the service user's safety and independence.

The person who used this service told us they had "no complaints" and if they had concerns, they would speak to the home owner who was said to be "happy to listen and will take action."

We found that some of the records relating to the care and support of the person that used this service needed some updating. We spoke to the home owner about this during our inspection. However, she was able to give us an accurate verbal update of the needs of the service user and the service user was also confident in expressing their needs and wishes.

The person living at the home told us they were treated with respect and dignity and encouraged and supported to make choices and decisions about their daily life. They told us that they had lived at the home for many years and were 'like part of the family'. They said the location of the home worked very well for them as it was central and within walking distance of many amenities and the city centre.

The person told us that the manager had helped them to resolve problems in the past and that they feel 'very comfortable' when speaking to her about any issues they may have. They said that they were very happy at Myddleton House and they had no complaints, and nothing that they could think of to improve it.

The person living in the home said they had been well supported with health care issues and with appointments with healthcare professionals, as and when necessary.