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Inspection on 05/05/10 for Mill House

Also see our care home review for Mill House for more information

This is the latest available inspection report for this service, carried out on 5th May 2010.

CQC found this care home to be providing an Excellent service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Mill House is a caring place where people are treated with respect.People who live at Mill House have a lot of say in what they do each day and in their plans for the future. People are supported to stay healthy and have a say about their medical care. There are enough staff to help people get out and about to take part in things they like doing. People choose the things they want to do. People are helped to take part in the world around them, for example by voting in the election. People are given help to stay in touch with their families and friends. The house is homely, comfortable and safe. People all have their own bedroom and choose how it is decorated and furnished. The home is well run and the people who live there are listened to. The staff team is small so staff know the people who live there very well. The staff are trained and supported to do a good job.

What the care home could do better:

The files with records about people`s care are very full. It would be easier to find things if older information that is not needed now was put away separately.

Random inspection report Care homes for adults (18-65 years) Name: Address: Mill House 3 Millpond Street Ross-on-Wye Herefordshire HR9 7AP three star excellent service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Denise Reynolds Date: 0 5 0 5 2 0 1 0 Information about the care home Name of care home: Address: Mill House 3 Millpond Street Ross-on-Wye Herefordshire HR9 7AP 01989765548 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Anne Elizabeth Gray Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Anne Elizabeth Gray care home 4 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 4 The maximum number of service users who can be accommodated is: 4 The registered person may provide the following category of service only: Care Home Only (Code PC) To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD) 4 Date of last inspection Brief description of the care home The Home is managed as a sole concern by Mrs Anne Gray. The Home is registered to provide accommodation and personal care for four people with needs arising primarily from learning disabilities. Some of those accommodated also have physical care needs. The Home is a two storey terraced house in Ross-on-Wye, it consists of two single Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home bedrooms and one double upstairs and one single bedroom on the ground floor that has a disabled access en-suite facility. There is a lounge, dining room, laundry and kitchen, and there is a good sized garden. The Home is located close to the town centre and has good access to local amenities. Information about the service and the fees are available from the home. The residents pay a contribution towards the fees from benefits they receive. In addition to the basic fees the residents pay for their personal items such as toiletries and clothes, personal services such as chiropody and hairdressing and contributions towards holidays and transport costs. Care Homes for Adults (18-65 years) Page 3 of 8 What we found: We (the Commission) went to Mill House to see if people who live there are being given all the help and care that they need. We wanted to check that the outcomes for people who live at the home are still excellent. We did not tell the staff we were going. All four people had been out during the day to their day centre. One person was intending to go out to play bingo during the evening but the others had decided they wanted to stay at home. People have opportunities to do lots of things; for example one person goes out with her keyworker to play bowls or go shopping. Everyone has a key worker who has time to spend with them. People have chances to learn new skills and are given help with things like reading. The manager and staff had worked hard to tell people what an election is. They had got booklets saying what the big parties say they will do. These were in large print and easy read so people at the home could understand what they said. Three people had decided to go to vote. This is a good example of people being helped to take part in society. People have their money in accounts in their own name. This means that when they go out or want to buy something they can decide this for themselves. We saw good information that people have their health needs attended to so that they can stay healthy and active. The owner and the staff member we met know a lot about each person and know this is a very important part of looking after people well. We were given an example of how a persons health has got better since they moved to Mill House. Three people showed us their rooms. We saw that people have all their own things and are able to choose furniture and decoration they like. When the home needed two new chairs for the sitting room, the owner took people out to choose what they wanted. The two people the chairs were for decided they wanted a two seater sofa and the owner bought this for them. The three people we spoke to told us they like living at Mill House - two of them agreed with each other that It is as good as it could be. We spoke to one of the staff. She told us she and other staff get lots of training to help them do their jobs well. All of the staff now have a qualification called NVQ 3 or are on the way to finishing it. All the staff are trained to know about abuse and neglect so they would be able to act quickly if they felt someone was at risk. What the care home does well: Mill House is a caring place where people are treated with respect. Care Homes for Adults (18-65 years) Page 4 of 8 People who live at Mill House have a lot of say in what they do each day and in their plans for the future. People are supported to stay healthy and have a say about their medical care. There are enough staff to help people get out and about to take part in things they like doing. People choose the things they want to do. People are helped to take part in the world around them, for example by voting in the election. People are given help to stay in touch with their families and friends. The house is homely, comfortable and safe. People all have their own bedroom and choose how it is decorated and furnished. The home is well run and the people who live there are listened to. The staff team is small so staff know the people who live there very well. The staff are trained and supported to do a good job. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 6 of 8 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 8 of 8 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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