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Inspection on 29/04/10 for Millstream View

Also see our care home review for Millstream View for more information

This inspection was carried out on 29th April 2010.

It is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.

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.

Annual service review Name of Service: Millstream View The quality rating for this care home is: The rating was made on: two star good service 1 7 0 9 2 0 0 8 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 We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   Yes You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Sarah Powell Date of this annual service review: 2 4 0 3 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: Mill Lane Adwick Le Street Doncaster South Yorkshire DN6 7AG 01302721408 01302729413 Telephone number: Fax number: Email address: Provider web address:   NONE Doncaster Metropolitan Borough Council Name of registered provider(s): Name of registered manager (if applicable) Mr Tommy Wright Conditions of registration: Category(ies) : learning disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 13 0 Service users with challenging behaviour can only be accommodated in the 8 bedded unit. Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Millstream View is a Care Home registered to provide accommodation, care and support to up to 13 young adults with a learning disability (18-65 years of age). The accommodation is offered within two separate units. One unit, which is located on the ground floor, provides care for up to 8 young adults with learning disabilities and challenging needs. The second unit is located in a part of the building where the accommodation has been arranged into 5 individual and separate flats. Both units have separate access. They each have a dedicated staff group. Annual Service Review Page 2 of 7 1 7 0 9 2 0 0 8 The Home is situated on Mill Lane, in Adwick-Le-Street village, Doncaster. It is close to local amenities, including shops, a post office, and a church. The Adwick Social Education Centre is situated next to the Home, and is attended by the majority of the service users of Millstream View. Millstream View is owned and managed by the Social Services Department of the Doncaster Council. The home has produced a statement of purpose, which gives more information about the service it provides. Further information can be obtained from the home. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review: What did we do for this annual service review? We looked at all the information that we received, or asked for, since the last key inspection. This included; The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. The supporting information sent to us by the manager with the AQAA. What people told us who live in the care home. Information we have about how the service managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspections and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? We received the AQAA from the manager, it was received on the agreed date. It was clear and gave us all the information we asked for. We looked at the information in the AQAA and other information we received, our judgement is that Millstream View is not providing a good service in all the outcome areas. The AQAA told us where the agency had improved over the last twelve months. The Manager wrote, We are moving away from the traditional model of residential care, toward a person centred model. Focusing on personal outcomes for each person in the home. Millstream View has actively listened to people and followed the recommendations from the previous inspection to improve the quality of service we offer. Person centred reviews and person centred plans, direct the way we provide individual care and support. Other significant changes has been the improvements to the building with the new decking area. Annual Service Review Page 4 of 7 We continue to revise the staff rotas to meet the homes needs. Managers are available on each shift through the day offering management support 7 days a week. However, a visiting professional told us that no management cover was available in the home over the weekends. The AQAA told us people knew who to contact if they had a complaint and the manager and provider dealt with problems. The AQAA confirmed that two complaints had been received in the last 12 months, these had been upheld. The manager told us that any complaint would be investigated within the agreed timescales; to ensure people were listened to and their views acted upon to ensure their needs were met. Staff told us they were aware of the procedures to follow regarding concerns, but didnt feel that complaints or concerns were dealt with. Therefore staff felt it was pointless raising concerns. The AQAA also told us that communication between staff was good, regular meetings were held and peoples needs were met . Staff received regular training and supervision to ensure they could meet peoples needs. However staff surveys completed and returned to us, told us that there is poor communication between management and staff. Some comments received were; Communication fails in the home, staff are not informed regarding clients behaviour. Poor communication, misleading information and poor working practices. Communication could be better. One person also told us, staffing levels were very poor and the number of staff on duty did not meet peoples needs. The AQAA confirmed that they continue to have robust recruitment and selection procedures, which ensures the right staff were employed and trained. Staff received a good induction and training programme. This ensured they had the skills and appropriate knowledge to meet peoples needs. The staff surveys told us people had received all the necessary checks prior to commencing employment. Staff also told us they had received an induction. Five safeguarding referrals had been made in the last twelve months. Three of these were currently being investigated. We attended a strategy meeting and found out the whistle blowing procedure had not been followed and two of the allegations had been disclosed weeks after the incident. This did not safeguard people. The AQAA told us staff had received training in protection of vulnerable adults to ensure people were safeguarded, yet procedures had not been followed. We sent surveys to people who used the service, we had 3 that were completed and returned. These had been completed with he help of, Doncaster Advocacy Annual Service Review Page 5 of 7 Development Worker. All three people told us they liked living at Millstream View and staff were kind to them. Two told us they did not like the food and one told us they did not like the outings. The surveys used by Doncaster Advocacy were brief and only asked six questions, which were yes or no answers. However due to peoples limited capacity it was not possible for the people using the service to complete the CQC surveys sent out. We also spoke to visiting professionals they told us, I have concerns how the home is managed and run. I have concerns regarding some of the staff working in the home. I do not see management cover at weekends, yet there is enough management and senior support officers to cover weekends. I have concerns regarding the apathy of the work culture. The AQAA told us that 17 care staff had completed NVQ level 2 or above to ensure staff were appropriately trained to meet peoples needs. Notifications received told us that the home provides information to us about incidents that occur in the home. Four notifications received in the last year, were to notify us of medication that had been missed and not given to people. These were 16/5/09, 16/6/09, 22/8/09 and 27/10/09. This does not meet peoples needs. The Inspection Record confirms that they contact us if any incidents happen at the home. The manager has responded to the draft report and submitted a detailed action plan to ensure peoples needs are met. What are we going to do as a result of this annual service review? It is our statutory responsibility to inspect all services at least once every three years. The completion of this Annual Service Review has changed our view of the quality rating. Future visits will be determined through our Registration process and the new Compliance Standards. However we will continue to monitor closely to ensure outcomes for people are good. We can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service Annual Service Review Page 6 of 7 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. 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 copy of the findings 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 non-commercial 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. Annual Service Review Page 7 of 7 - 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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