Millbrow Care Home

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 71 (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 made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. For example, care plans had been recently reviewed with the person, their relative and professionals involved in their care and support.

The provider did plan, record and deliver people’s care and treatment with them, including what was important and mattered to them, however some areas of recording required improvement. For example, we checked repositioning charts and mattress settings and found that staff were not always recording the correct information, such as the position they had supported a person to change to. Mattress records were unclear and did not record the actual settings used. Therefore we were unsure whether this information was being documented accurately. This could potentially put people at risk of developing pressure wounds. We raised this with the registered manager, who had recently identified the issue as part of their governance review. They had further plans in place to ensure staff adhered to correct recording practices.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services. Each person had detailed information which accompanied them if they were to stay in hospital. This included personal information regarding risks, diet and medication. When professionals visited the home, they kept a detailed log of their visits and any action taken.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support. For example, one healthcare professional told us, “I have no concerns. People get good care and staff follow any advice well.” Records of visits made by the GP or any other involved professionals were used to update information in care plans and risk assessments where needed.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. People were consulted with around daily activities which people chose to partake in. We saw photos of people clearly enjoying themselves, and feedback gathered by the provider from people around their daily activities and support was positive. There was a weekly Multi-Disciplinary Team (MDT) meetings with the GP and Advanced Nurse Practitioner and other professionals to ensure people’s care and treatment was reviewed and still met their needs.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. There was information regarding DoLs stored securely, including when they were due to expire, and any conditions stipulated. Capacity was reassessed during people’s reviews or when needed. Where people could make decisions, this was clearly recorded in their care plans.