Middleton Fells

On this page

• Overview
• Kindness, compassion and dignity
• Treating people as individuals
• Independence, choice and control
• Responding to people’s immediate needs
• Workforce wellbeing and enablement

Caring – this means we looked for evidence that the provider involved people and treated them with compassion, kindness, dignity and respect.

This is the first assessment for this newly registered service. This key question has been rated as good. This meant people were involved as partners in their care.

This service scored 70 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider did not always ensure people’s privacy and dignity were respected. Staff treated people with kindness and compassion.

Staff knew people well had a caring attitude and appeared to have very positive relationships. However, where some peoples’ behaviours resulted in situations where dignity was compromised, we did not see strategies recorded or considered that could minimise the impact. For one person the use of CCTV in their personal space could be seen in an area used communally by all staff.

The use of CCTV meant any private time was compromised in ensuring dignity was being always upheld. The use of seclusion and areas where dignity could be better promoted was not in line with the current best practices of the model of care in our Right Support, Right Care, Right Culture guidance. The provider was in the process of reviewing this practise.

We observed warm, friendly interactions between staff and people who used the service and it was evident staff knew people well. People appeared to be comfortable and were responsive to staff in their presence. Relatives told us they felt staff were caring and respectful. People were supported to maintain contact with those people who were important to them.

The provider treated people as individuals and made sure people’s care, support and treatment met people’s needs and preferences. They took account of people’s culture and unique backgrounds and protected characteristics.

Staff treated people as individuals and were considerate of people’s characteristics. People’s different communication methods were recognised and known by staff. Relatives told us staff knew people well and treated them as individuals. Individual choices and preferences were seen in the care plans.

The provider promoted people’s independence, so people were actively supported to choose the amount of routine and independence they needed to live a fulfilled life.

People were supported to maintain relationships important to them. Families visited the home and where appropriate some people went home for visits. People’s interests and preferred activities were recognised and when appropriate staff supported in them in doing them. Activities were also regularly being used as tools to manage behaviours and risk.

The provider listened to and understood people’s needs, views and wishes. Staff responded to people’s needs in the moment and acted to minimise any discomfort, concern or distress.

People’s urgent needs were dealt with. Where people could not communicate well staff demonstrated they understood their needs. Staff responded quicky to signs and triggers to prevent avoidable distress.

The provider cared about and promoted the wellbeing of their staff and supported and enabled staff to always deliver person-centred care.

Feedback from staff was positive and they told us they enjoyed working with people and making a difference for them. One staff member said, “It’s great when we make small changes in people’s lives and they can do more for themselves.” We were also told, “I love working there it’s like a little family, great team working.” Staff told us they felt very supported by the registered manager. Processes were in place for staff to raise any concerns.