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Millfield Nursing and Residential Home Good

Inspection Summary

Overall summary & rating


Updated 29 April 2020

About the service

Millfield Nursing and Residential Home provides accommodation in one adapted building; nursing and personal care for up to 48 adults, including some older people living with dementia. At this inspection there were 47 people accommodated for care at the service, including 23 people receiving nursing care.

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

The provider’s staffing, risk management and medicines arrangements for people’s care, helped to ensure people’s safety at the service. People were protected from the risk of harm or abuse through effective safeguarding and emergency contingency planning measures. The provider took action when things went wrong at the service and referred to relevant authorities involved with people’s care when required to do so. People and their relatives were confident in people’s safety at the service.

People’s care needs and choices were effectively assessed and met within an environment that was suitably adapted and equipped. Staff supported people to maintain or improve their health and nutrition. This was done in accordance with guidance and the law, and through timely consultation with relevant external health professionals, when needed.

Staff were trained, supported and deployed to provide an effective skill mix for people’s care. People were supported to have maximum control of their lives and staff supported them in the least restrictive way possible. The provider’s related policies and systems supported this practice. Standardised and lawful information sharing, helped to ensure people received timely, consistent care as agreed with them, including when they needed to move between services.

People received care from kind, caring staff who ensured their dignity, equality, choice, independence and rights in their care. Staff knew people well, how to communicate with them and understood what was important to people them for their care. People were informed, involved and supported to understand, agree and make ongoing decisions about their care in accordance with their diverse needs.

People received timely, personalised care that was tailored to their individual needs, daily living and lifestyle preferences. This was provided in a way which optimised people’s independence, inclusion and engagement in home life; and also with their friends, family and local community as they chose. Related arrangements were under review against nationally emerging contagion control measures, to help protect people from the risk of Covid 19 infection.

People who were living with a life limiting illness were effectively consulted and supported, to receive care against nationally recognised standards concerned with end of life care.

People and their relatives were informed and confident to make a complaint or raise any concerns about the service, if they needed to. People’s views and feedback were regularly sought and used to help inform service planning or improvement

The service was well managed and led by the registered manager. The provider’s governance and oversight arrangements were effectively operated, to ensure the quality and safety of people’s care and timely service improvement when needed.

Management and staff understood their role and responsibilities for people’s care and any related legal requirements. There were effective arrangements for communication, record keeping, accountability and information handling at the service. The provider’s operational care policies, timely engagement and partnership working with external agencies and authorities, helped to ensure people received care that was effectively informed.

For more details, please see the full report which is on the CQC website at

Rating at last inspection

Inspection areas



Updated 29 April 2020

The service was safe.

Details are in our safe findings below.



Updated 29 April 2020

The service was effective.

Details are in our effective findings below.



Updated 29 April 2020

The service was caring.

Details are in our caring findings below.



Updated 29 April 2020

The service was responsive.

Details are in our responsive findings below.



Updated 29 April 2020

The service was well-led.

Details are in our well-Led findings below.