Latest Inspection
This is the latest available inspection report for this service, carried out on 5th June 2010. CQC found this care home to be providing an Adequate 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.
For extracts, read the latest CQC inspection for Milestones.
What the care home does well The home provides homely and comfortable accommodation with good access to the local community. People are supported to develop and use independence skills and to follow individual weekly routines and activities. What the care home could do better: No specific areas requiring improvement were identified during this inspection. Random inspection report
Care homes for adults (18-65 years)
Name: Address: Milestones 9 Commercial Street Cinderford Glos GL14 2RP one star adequate service 11/06/2009 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: Simon Massey Date: 0 5 0 6 2 0 1 0 Information about the care home
Name of care home: Address: Milestones 9 Commercial Street Cinderford Glos GL14 2RP 01594825777 01452760786 bev@steppingstonesru.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Stepping Stones Resettlement Unit Limited Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 4 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: Date of last inspection Brief description of the care home 4 1 1 0 6 2 0 0 9 Milestones is a registered residential care home and provides care for adults with learning disabilities. The home is close to the town centre; there are local shops within walking distance of the home and all other amenities to promote integration into the surrounding community. The home is a domestic style house in a residential area of Cinderford in the Forest of Dean. The house consists of four levels, all the rooms exceed the National Minimum Standard required for living space, and the rooms are comfortably decorated and maintained. The accommodation can accommodate up to four adults who may have moderate learning disabilities and present various levels of challenging behaviour, mental disorders, communication difficulties and some
Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home emotional disturbances. Milestones is owned and operated by Stepping Stones resettlement and have a number of homes within its unit, for adults with learning difficulties and provide accommodation within the area of Gloucestershire. The weekly fees in the home are from #1075:00 to #1263:00. The reports produced by the Commission are available in the home. Care Homes for Adults (18-65 years) Page 3 of 8 What we found:
This unannounced inspection visit was undertaken on 22nd May 2010 and lasted for three hours. The Inspector met with the member of staff on duty and two of the people living in the home. The acting manager was not available at the time of this visit. Records relating to care planning, health and safety and medication administration were examined and an inspection of the environment was also carried out. The medication storage and administration was checked and found to be in order. One person is supported to administer their own medication. The home has a new acting manager in post but they were not present at the time of this inspection. It was later confirmed that they will be submitting an application to be registered. The home appeared to be well organized and there was evidence that plans were being implemented to improve the quality of care ad support being delivered. The home has had four regulation 26 visits in 2010, and these have produced detailed reports and comments for the manager to follow up. The service has reviewed its Statement of Purpose and Service User Guide. There have been no admissions since the last inspection and there is currently one vacancy. The home has a part time allocated activities coordinator and two people spoken to on the day of the inspection commented they were satisfied with their routines and vocational activities. People are supported to go out independently and one person was leaving to undertake a bus and train journey to visit their relatives on the morning of the visit. The daily recording showed that independence and choice is encouraged and supported and there are up to date risk assessments in place for traveling into the community. Two people have enjoyed a holiday abroad this year. Care plans were not looked at in detail but they were up to date with evidence of goals and objectives being reviewed. Both service users appeared relaxed and comfortable in their home and were positive about the staff. There were records of meetings for the service users to discuss issues with the acting manager and staff team. Staff have completed training in safeguarding and one person commented when asked that he felt safe in the home and was able to report or discuss any concerns that he had. The home was clean and hygienic throughout and some parts have been redecorated. There are plans to replace the bathroom. The home has a lone working policy in place and staff confirmed that the on call system in place was effective. Some new staff have commenced working in the home but they have been recruited from within the organization and were already known to the service users. It was not possible to see supervision records at this visit but a timetable was seen which had details of all the planned meetings. Action has been taken to address the requirements made at the last key inspection. What the care home does well:
Care Homes for Adults (18-65 years) Page 4 of 8 The home provides homely and comfortable accommodation with good access to the local community. People are supported to develop and use independence skills and to follow individual weekly routines and activities. 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. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
