Inspection on 24/04/07 for Millgate House

This inspection was carried out on 24th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Millgate House 24/01/06

Millgate House 17/06/05

Millgate House 15/12/04

Millgate House 30/09/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Millgate House Millgate House 10 Oak Street Shawforth Rochdale OL12 8NU Lead Inspector Mrs Susan Hargreaves Unannounced Inspection 24th April 2007 10:00 Millgate House DS0000047219.V331404.R02.S.doc Version 5.2 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 Millgate House DS0000047219.V331404.R02.S.doc Version 5.2 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. Millgate House DS0000047219.V331404.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Millgate House Address Millgate House 10 Oak Street Shawforth Rochdale OL12 8NU 01706-852356 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) gateway.leisure@btconnect.com Rochdale Gateway Leisure Limited Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Millgate House DS0000047219.V331404.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. That Millgate House shall employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection The home is registered to accommodate 4 adults with a learning disability. 24th January 2006 Date of last inspection Brief Description of the Service: Millgate House offers 24-hour personal care for up to 4 adults between the ages of 18 and 65 years. The service aims to provide planned respite care that responds to the needs of service users and their carers. Millgate House is situated in a quiet residential area of Shawforth on the outskirts of Rochdale. The residential service is located on the first floor of the building. The ground floor is used as a day centre for people with learning and physical disabilities. Access to the residential facilities is via a passenger lift or staircase. Accommodation is provided in single rooms. Communal rooms include a spacious lounge, activities room, and kitchen and dining area. The current fees charged at Millgate House are from £134.91 to £392 per day. A statement of purpose and service user guide was available to prospective residents and their relatives on request. Millgate House DS0000047219.V331404.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. • • • • • • • The inspector came to Millgate House on 24 April 2007 to do a key inspection. The inspector spoke to the people staying at the home. The inspector also spoke to the manager and another member of staff. The care records of 2 people staying at the home were inspected Records about how the home is run were also looked at. The inspector looked round the home. 5 residents filled in questionnaires. These stated Millgate House was a nice place to stay. 4 relatives of residents filled in questionnaires. These stated Millgate House was a good place. • What the service does well: • • • • Members of staff were friendly. One resident said, “The staff are nice and helpful.” One member of staff said she liked looking after the people who came to stay at Millgate House. There were lots of things for residents to do. One resident said, “They take me shopping.” The meals were good. Two residents told the inspector they could choose what they had for their meals. One resident said she went shopping for food. One resident wrote on their questionnaire ‘I really like staying at Millgate. I like the bedroom I stay in as its got TV. I like the food it’s tasty & home made.’ Resident’s relatives wrote on their questionnaires, ‘Provides excellent service’, ‘The level of care and activity is first class’, and ‘Respects the individual and supports them in all aspects of care.’ DS0000047219.V331404.R02.S.doc Version 5.2 Page 6 • • Millgate House 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. The summary of this inspection report can be made available in other formats on request. Millgate House DS0000047219.V331404.R02.S.doc Version 5.2 Page 7 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 Millgate House DS0000047219.V331404.R02.S.doc Version 5.2 Page 8 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A thorough admissions procedure ensured the needs of people using the service were identified and met. EVIDENCE: All the people who use the service are supplied with a copy of service user guide. The service user guide is illustrated and easy to read and includes information about cost and religious and cultural needs. The care records of one resident admitted to the home within the last few weeks were inspected. Although the admission had been arranged in an emergency a detailed assessment had been carried out by the resident’s social worker. A copy of this assessment was included in the care records and provided useful information for the care plan. The manager explained the procedure for planned admissions to the home. This involved a project worker visiting the prospective resident in their own home and providing information about Millgate House. At this visit the project worker obtained information about the persons likes and dislikes, allergies and other relaevant infromation. The prospective resident was invited to Millgate House for tea with their family if appropaite. The prospective resident was Millgate House DS0000047219.V331404.R02.S.doc Version 5.2 Page 9 invited for tea as often as necessary until they felt comfortable to stay over night. Millgate House DS0000047219.V331404.R02.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Resident’s involvement in care planning makes sure their care and cultural needs are addressed. EVIDENCE: The individual care plans of two residents were inspected. These plans identified the needs of each resident and explained how these needs were to be met. Residents were involved with developing their own care plan, which included individual likes and dislikes relating to diet and activities. The care plans were illustrated and clearly written to promote understanding. Care plans were up dated when the needs of the resident changed. A detailed report was completed during each shift about the health and wellbeing of the resident and the activities they had chosen. Each resident also had a diary which they were encouraged to take home. The diary provided information for their families about their stay at Millgate House. Millgate House DS0000047219.V331404.R02.S.doc Version 5.2 Page 11 Cultural needs of residents were recorded and addressed. A member of staff able to communicate with residents whose first language was Urdu was always on duty. Residents were encouraged to make decisions and choices about their lifestyle including daily routine and activities. Information about advocacy services was available. The manager explained that residents would be given support, if necessary, to access these services. Appropriate risk assessments had been completed for each resident. These included information about how the risks were managed. Millgate House DS0000047219.V331404.R02.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents were supported to have an active and fulfilling lifestyle. Residents planned all meals to their own tastes and cultural needs. EVIDENCE: Service users were supported to continue with any educational activities undertaken prior to admission. One resident attended a day service for vocational training. This resident is looking for a job and is receiving support from the job centre connections scheme. A member of staff accompanies this resident to the job centre. Another is currently having work experience in a bookshop for half a day each week and in an office for one day each week. This resident has also enrolled on a basic skills training course with learn local a community based training organisation. Residents are supported to choose daytime, evening and weekend activities. These include, visits to the cinema, bowling, train rides on the steam train Millgate House DS0000047219.V331404.R02.S.doc Version 5.2 Page 13 from Rawtenstall, local restaurants, shops and the leisure centre. A development worker encourages physical and outdoor activities these include, climbing wall, water sports at Hollingworth lake and trampolining. Activities available at the home include, aromatherapy, beauty treatments and Indian head massage, board games, DVDs, computer games, music and watching television. Visitors are welcome at any reasonable time. Since the home accommodates only female residents male visitors are received downstairs in the day centre. Residents are encouraged to help with household tasks e.g. meal preparation, cleaning and their own laundry. Meals were prepared and cooked to meet the cultural needs and preferences of all service users. One resident said, “I like the meals, sometimes I have something different from everybody else.” A record of the meals taken by individual residents was seen. Millgate House DS0000047219.V331404.R02.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The personal and healthcare needs of each resident were identified and met. Medication was managed safely. EVIDENCE: Personal care was carried out in the privacy of the resident’s own room or bathroom. The two care plans inspected included detailed information about the healthcare needs of each resident. Appropriate healthcare professionals were contacted if any problems arose during a resident’s stay at the home. Medication was stored in cupboards inside a locked utility room. The temperature of this room was checked and recorded daily. Members of staff responsible for the administration of medication had received appropriate training. Records relating to the administration of medication were up to date and included details of medication received into the home. However, hand written instructions on one medication administration record were not signed or witnessed. Millgate House DS0000047219.V331404.R02.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents felt able to express their concerns. Staff had a good understanding of protection issues. EVIDENCE: All residents are given a copy of the complaints procedure. These have been no complaints since the last inspection. One resident said would tell a memebr of staff if had any complaints. All members of staff were supplied policies and procedures about safeguarding vulnerable adults. A copy of the Rochdale abuse procedures and practice guidelines, Better Safe than Sorry was also available. This had an easy read summary for residents. Training on safeguarding was included in the induction programme for all new employees. Members of staff also attended a one day training course on safeguarding. A training manual supported this training. This issue was discussed with one member of staff. She said she would report any concerns and explained the procedure to be followed. Millgate House DS0000047219.V331404.R02.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The house was well maintained and provided a comfortable and ‘homely’ environment for the residents. EVIDENCE: The home was clean, tidy and well maintained. Communal rooms were suitable for a variety of social and cultural activities. Since the last inspection new carpets have been fitted, new beds obtained and bedrooms redecorated. A new Oxford hoist has also been purchased. All laundry was washed in a domestic style washing machine in the kitchen. An infedction control policy was available and seven members of staff had completed training in infection control. Millgate House DS0000047219.V331404.R02.S.doc Version 5.2 Page 17 Millgate House DS0000047219.V331404.R02.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Members of staff had the skills and knowledge necessary in order to meet the needs of the residents. Recruitment procedures were thorough. EVIDENCE: Examination of the duty rota confirmed that a sufficient number of staff were on duty for all shifts in order to meet the assessed needs of the residents. Additional staff were on duty when residents with complex care needs were accommodated in the home. A senior member of staff was on call during the night in case of emergency. Training for all members of staff was actively encouraged. Induction training was in place for all new employes. Learning disabilities Award Framework LDAF) training was included in the induction programme. The LDAF training has been translated into urdu to enable members of staff whose first language is Urdu to complete this training. Millgate House DS0000047219.V331404.R02.S.doc Version 5.2 Page 19 Training records for each member of staff were available. Training includes, first aid, basic food hygiene, moving and handling, fire awareness, medication, dental hygiene and challenging behaviour. Two senior members of staff have completed management of medication for senior care staff. Two members of staff have done the key trainers course for moving and handling. A training week is held annually when all members of staff receive up dates in mandatory training. The file of one member of staff appointed since the last inspection was examined. This file indicated that all the required pre-employment checks to ensure protection of the residents had been completed prior to appointment. Millgate House DS0000047219.V331404.R02.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home was effectively managed and provided person centred all residents. EVIDENCE: The manager is a qualified nurse and has experience of caring for people with learning difficulties. She maintains an up to date knowledge of surrent practice by reading appropriate care journals and using the internet. The home has achieved the nationally accredited Investors in People award. This award was successfully reassessed in summer 2006. A questionnaire entitled How are we doing is sent to the families of residents annually. Families are encouraged to contact the home at anytime to discuss any aspect of the care and service provided. Millgate House DS0000047219.V331404.R02.S.doc Version 5.2 Page 21 An annual report to help monitor the quality of the service and further improve outcomes for residents was in place. This report was available in an illustrated easy read format for the residents. Residents were encouraged to give feedback about the home at anytime and via service user questionnaires and at their six monthly reviews. Residents were also encouraged to develop a PATH, Planning Alternative Tomorrows with Hope. Members of staff have received training in using this tool in order to facilitate residents to develop their own PATH. This enables residents to set goals and plan for the future within realistic timescales. Members of staff are encouraged to deveolop PATHs for the organisation. Policies and procedures for safe working practices were in place. Fire alarms, emergency lighting were tested weekly. A detailed fire risk assessment and risk management strategies was in place. This had been reviewed on 15/12/06. Fire drills took place regularly and records were kept. Health and safety hazards were reported by staff to the organisations health and safety officer for action. Records of the routine servicing of equipment were seen. Records maintained in the kitchen included fridge, freezer and food temperatures. Millgate House DS0000047219.V331404.R02.S.doc Version 5.2 Page 22 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 3 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 3 23 4 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 X 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 4 X X 3 X Millgate House DS0000047219.V331404.R02.S.doc Version 5.2 Page 23 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. Refer to Standard YA20 Good Practice Recommendations Hand written instructions on the medicines administration records should be signed and witnessed. Millgate House DS0000047219.V331404.R02.S.doc Version 5.2 Page 24 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Millgate House DS0000047219.V331404.R02.S.doc Version 5.2 Page 25 - 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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