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Inspection Summary


Overall summary & rating

Good

Updated 23 July 2019

About the service:

Old Mill House is a residential care home that was providing personal care to 5 people with learning disabilities at the time of the inspection. The service can support up to 6 people. Old Mill House accommodates people across two separate floors. The home is situated close to the centre of Chorley.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

The service was a large home, bigger than most domestic style properties. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.

People's experience of using this service and what we found:

Most people using the service could not speak to tell us they felt safe but some indicated they were safe by gestures such as putting their thumbs up. A relative said their relative was safe. We also noted that people were supported to be safe. Staff received robust safeguarding training and had a good understanding of the principals involved in taking action when abuse was suspected. There was an open and transparent culture in relation to accidents and incidents. Medicines were managed safely. The provider had a robust recruitment process.

People's needs were met through robust assessments and support planning. The service worked with healthcare and social professionals to achieve positive outcomes for people. Staff had good knowledge and skills and this ensured people's needs were well met. We saw good examples of when people had been supported to maintain a healthy and balanced diet.

People's relatives indicated that staff were compassionate and kind and during the inspection, we observed this to be the case. The manager and staff knew people well. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People received care and support that was person-centred. We saw good examples of how the care and support people received enriched their lives through meaningful activities. People were supported properly to access the community. The service had a robust complaints policy. There was an end of life policy that could be used if appropriate.

The values and culture embedded in the service ensured people were at the heart of the care and support they received. The manager and provider planned and promoted holistic, person-centred, high-quality care resulting in good outcomes for people. People knew how to feedback their experiences and this was considered and acted upon by the manager and provider. Staff told us they received good support from management.

The outcomes for people using the service also reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

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:

At the last inspection, the service was rated requires improvement (published 14 December 2016). This was because there had been a breach of the regulations around a safety issue. The provider completed an action plan after the last inspe

Inspection areas

Safe

Good

Updated 23 July 2019

The service was safe.

Details are in our Safe findings below.

Effective

Good

Updated 23 July 2019

The service was effective.

Details are in our Effective findings below.

Caring

Good

Updated 23 July 2019

The service was caring.

Details are in our Caring findings below.

Responsive

Good

Updated 23 July 2019

The service was responsive.

Details are in our Responsive findings below.

Well-led

Good

Updated 23 July 2019

The service was well-led.

Details are in our Well-led findings below.