This inspection was carried out on 14th November 2008.
CSCI found this care home to be providing an Good service.
The inspector found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.
Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Millfield Care Centre Bury New Road Heywood Rochdale Lancashire OL10 4RF two star good 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. 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: Michelle Haller Date: 1 4 1 1 2 0 0 8 Information about the care home
Name of care home: Address: Millfield Care Centre Bury New Road Heywood Rochdale Lancashire OL10 4RF 01706621222 01706627688 mcnallyh@bupa.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : BUPA Care Homes (AKW) Ltd care home 92 Number of places (if applicable): Under 65 Over 65 0 52 0 dementia old age, not falling within any other category physical disability Conditions of registration: 24 0 15 The registered person may provide the following category/ies of service only: Care home with nursing - Code N to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP (maximum number of places: 52) Dementia - Code DE (maximum number of places: 24) Physical disability - Code PD (maximum number of places: 15) The maximum number of service users who can be accommodated is: 92 Date of last inspection Brief description of the care home Milfield Care Centre is a two- storey purpose built home situated close to the town centre of Heywood. Access to public transport and the motorway network is good and Care Homes for Older People
Page 2 of 8 Brief description of the care home there is ample parking to the front and rear of the home. The home is registered to provide nursing and personal care in four distinct units up to a total of 92 residents. On the ground floor one unit provides nursing care for residents in the dementia category, and in separate accommodation nursing care is provided for up to 15 Physically Disabled residents (18 - 65 years). The upstairs unit provides nursing and personal care for 52 Older People. The home is suitably adapted for disabled access and the majority of rooms have en suite facilities. The previous Commission for Social Care Inspection report is available on request. The home weekly charges range from #339.90p to an upper limit that is dependant on the individuals assessed needs. Care Homes for Older People Page 3 of 8 What we found:
We conducted this Random Inspection as a result of completing an Annual Service Review. The information we received at that time indicated that, the outcomes for people at Millfield had changed. This information included: An anonymous complaint stating that, at night, people were not provided with sufficient continence aids and that there were no snacks or drinks available for residents if they were hungry. A number of notifications saying that the home had been short of staff at night because people had not turned up for work. And information we received from a resident and a member of the public about the attitude of some staff working at the home. To complete the inspection we: conducted the site visit at a time when the night staff would be still on duty so that they could be spoken to about the issues raised in the complaint. We spoke to residents about the attitude and availability of staff. we looked in the food store of each unit to see if there was food and drinks available for snacks. we checked the store of continence pads and looked discussed hoe peoples continence needs were assessed. We checked the accident and incident records kept by the home. We observed the interaction between staff and residents. We listened to the way staff shared information about residents in the home. We found that people living at Millfiield Nursing and Residential Home were provided with a variety of snacks and meals throughout the day and night, if this is what they wanted. We found that some people were very satisfied with the service all of the time, while others felt that, at times, some aspects of the care needed to be improved. For example, being able to have a shower when wanted. It was noted that staff who were observed treated people with dignity and respect. We found that the management team keeps us informed about events in the home, particularly in relation staff not turning up for work at night. This means that occasionally staff on a unit is below the expected number. We could not evidence that this had a negative effect on peoples care during the night. Residents said that staff were always available and that they answered the call bell quickly. Care Homes for Older People Page 4 of 8 We found that people had their own night continence aids, and that BUPA provided additional pads. The operations manager, however, agreed to audit whether people had been referred to the continence service as needed. Staff who were spoken to said that there were usually sufficient continence aids available to meet peoples needs at night. We found that people felt that staff did not always work in a flexible way during the daytime, because they were not always able to deal with personal care needs, such as showers, at a time the resident wanted. We discussed this with the manager and the operations manager who agreed to investigate the issue further. We found that the attitude toward the choices and opinion of the residents was not consistent on each unit at Millfield. The management team needs to ensure that there is the same high level of cooperation and understanding from staff on all the units in the home. We found that one unit manager, who was spoken to, did not fully understand and comply with the BUPA safeguarding adults policy, and could not show that they had treated a persons concerns seriously. What the care home does well: 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 Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action 1 9 16 The registered manager must ensure that when controlled medication is administered it signed as witnessed by two people. This will reduce the risk of accidental or deliberate omission. 01/02/2008 Care Homes for Older People 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, Care Homes 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 1 18 13 The registered person must 30/01/2009 ensure, by training staff or by other measures that service users are protected from harm or suffering abuse or being placed at risk of harm This so that people can feel safe while they are at Millfield Care Home. And so staff understand fully the effects of abuse and the actions they must take to protect people. 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 1 7 The registered manager should ensure that people who may benefit from a referral to the continence service are identified and a referral made. The registered person must ensure that the staffing compliment on each unit is maintained so that people can have a bath or shower when they would like. 2 27 Care Homes for Older People Page 7 of 8 Reader Information
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