Inspection on 06/02/06 for Mill House

This inspection was carried out on 6th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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.

Other inspections for this house

Mill House 15/05/07

Mill House 30/08/05

Mill House 17/12/04

Mill House 22/07/04

Mill House 22/03/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Mill House 3 Millpond Street Ross-on-Wye Herefordshire HR9 7AP Lead Inspector Martha Nethaway Unannounced Inspection 6 February 2006 10:00 th Mill House DS0000024725.V278970.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Mill House DS0000024725.V278970.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Mill House DS0000024725.V278970.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Mill House Address 3 Millpond Street Ross-on-Wye Herefordshire HR9 7AP 01989 765548 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Anne Elizabeth Gray Mrs Anne Elizabeth Gray Care Home 5 Category(ies) of Learning disability (5), Learning disability over registration, with number 65 years of age (5) of places Mill House DS0000024725.V278970.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Residents with a physical disability in addition to their learning disability can be accommodated. 30th August 2005 Date of last inspection Brief Description of the Service: The Home is managed as a sole concern by Mrs Anne Gray. The Home is registered to provide accommodation and personal care for five 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 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. Mill House DS0000024725.V278970.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over two and half hours. One inspector visited the home and discussions were held with the service users. One service user provided a guided tour of the home and showed their case records to the inspector. One support worker was on duty and the registered manager was interviewed. A random selection of records was examined. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Mill House DS0000024725.V278970.R01.S.doc Version 5.1 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Mill House DS0000024725.V278970.R01.S.doc Version 5.1 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: None of these standards were assessed on this occasion. Mill House DS0000024725.V278970.R01.S.doc Version 5.1 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: None of these standards were assessed on this occasion. Mill House DS0000024725.V278970.R01.S.doc Version 5.1 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13 & 17 Service users are regularly accessing local events and clubs in their local community. Good attention is given to healthy eating. Service users are actively involved with domestic cooking. EVIDENCE: The home location is centrally located in the town and provides excellent links with local amenities. Records examined showed that service users were regularly accessing local facilities, including shops, restaurants and pubs. Trips to the cinema and leisure facilities were a regular feature of an individual’s day to-day experiences. The service users were also members of the local ‘Ross Leisure Link Group’. Twice a week planned evening trips are arranged and events like line dancing and Ross ramblers had been arranged. One of the service users spoke positively about these planned events. Regular shopping trips to the local supermarket ensure opportunities to develop independent, social skills and money management skills. Access to public transport and dial a ride is good and the home has a vehicle available. All of the service users are registered to vote. Mill House DS0000024725.V278970.R01.S.doc Version 5.1 Page 10 Staff rotas were examined and were consistent with the home’s Statement of Purpose. There is an overlap of one hour between changes of shift. Extra staff are allocated to cater for the evenings that are arranged for the Ross Leisure Link Group. Breakfast and lunchtime meals are staggered according to plans for the day. During the visit one service user had prepared the vegetables with staff support for the evening meal. The main evening meals are home cooked and service users have opportunities to participate. Staff described meal times as sociable occasions and menus were planned to promote healthy eating. Service users are actively engaged with clearing and washing-up after mealtimes. One service user’s diet needs continual monitoring and a nutritional assessment for healthy eating has been carried out. Another service user requires his food to be chopped into bite sizes and this is consistent with the risk assessment available. Mill House DS0000024725.V278970.R01.S.doc Version 5.1 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 Suitable arrangements and systems exist for the safe handling and storage of medication. Staff receive appropriate medication training. EVIDENCE: The home had available a policy and procedure for the administration of medicines. All staff had completed a 12-week accredited medication correspondence training course. The home now uses Lloyd Pharmacy medication system. MAR sheets are completed for all dispensing of medication. There were no gaps found in the medication records examined. A visiting representative from Lloyds conducts monthly audit visits. The registered manager had implemented all advisory actions. All medications are securely stored in a metal cabinet in line with the expectation of the standards. Care plans provided a complete medication list related to each resident. Mill House DS0000024725.V278970.R01.S.doc Version 5.1 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: None of these standards were assessed on this occasion. Mill House DS0000024725.V278970.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: None of these standards were assessed on this occasion. Mill House DS0000024725.V278970.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: None of these standards on this occasion. Mill House DS0000024725.V278970.R01.S.doc Version 5.1 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 42 The arrangements for health and safety monitoring and review were satisfactory. Safe-working practices were promoted at the home. Domestic installations are being checked and serviced. EVIDENCE: The manager had organised that all staff received training to include fire safety, food hygiene and health and safety training. The manager ensured that cleaning products complied with Control of Substance Hazardous to Health (COSHH) and corresponding data control sheets were available. The home had available good guidance and procedures in relation to health and safety matters. The home completes a health and safety checklist and findings were recorded and remedial action was followed up. The home had systems in place to ensure domestic installations and equipment are checked and serviced. Records were examined for electrics, gas and fire checks. All were found to be up to date. Mill House DS0000024725.V278970.R01.S.doc Version 5.1 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 x 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 x 25 x 26 x 27 x 28 x 29 x 30 x STAFFING Standard No Score 31 x 32 x 33 x 34 x 35 x 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score x x x x x LIFESTYLES Standard No Score 11 x 12 x 13 3 14 x 15 x 16 x 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x x 3 x x x x x x 3 x Mill House DS0000024725.V278970.R01.S.doc Version 5.1 Page 17 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA39 YA6 Good Practice Recommendations Further develop the quality assurance system in line with regulation 24 and standard 39. (Brought forward, not assessed). Continue developing Person Centred Care Planning methods. Liaise with Carolyn Green the PCP Co-ordinator for the CTLD on 01432-268-258. Mill House DS0000024725.V278970.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Hereford Office 178 Widemarsh St Hereford Herefordshire HR4 9HN National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Mill House DS0000024725.V278970.R01.S.doc Version 5.1 Page 19 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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