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Inspection Summary


Overall summary & rating

Good

Updated 19 March 2020

Mill View Care Home is a residential care home providing personal and nursing care. The home accommodates up to 70 people in one purpose built two storey building. On the day of this inspection there were 62 people living at the home. People living at the home had a range of needs including nursing needs, mental health needs and some people were living with dementia.

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

There had been improvements in the service since the last inspection. People were being effectively supported to have enough to eat and drink. Systems to manage risks associated with choking had been reviewed and these positive changes had been sustained and were embedded within staff practice.

There had been improvements in the deployment of suitable staff. One person told us, “I think above all it’s the carers that make this a good home. They put the people they are looking after first. The management are good, but the carers are excellent.”

Management systems were used effectively to identify shortfalls in quality and to drive improvements. There were robust governance systems in place and the registered manager had oversight of the quality of the service. People, relatives and staff spoke highly of the registered manager and described them as being approachable and accessible. People, relatives and staff, were included in developments at the home and their views and suggestions were welcomed. One person said, “I can’t think of anything they need to improve on.”

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Staff received the training and support they needed to provide effective care. People’s needs were assessed regularly, and care plans were comprehensive. Staff considered people’s diverse needs, their preferences and choices. People were treated with dignity and respect and they were supported to be as independent as possible. Staff were kind and caring in their approach and knew people well. One person told us, “The staff are always kind. They never appear stressed and they really put themselves out to make things nice.”

Staff understood their responsibilities for safeguarding people. Risks were assessed and managed effectively and there enough staff to keep people safe. People were receiving their medicines safely and there were effective infection control systems in place. When things went wrong, lessons were learned. Analysis of incidents identified patterns and trends and informed the development plan for the service.

People were receiving a personalised service and staff knew people well. Activities were relevant to people’s needs and interests. People were supported to plan for end of life care. Staff were responsive when people’s needs changed.

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

The last rating for this service was requires improvement (published 6 February 2019) and there was a breach of regulation. The provider completed an action plan after the last inspection to show what they would do, and by when, to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Good

Updated 19 March 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 19 March 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 19 March 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 19 March 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 19 March 2020

The service was well-led.

Details are in our well-led findings below.