Latest Inspection
This is the latest available inspection report for this service, carried out on 4th February 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.
For extracts, read the latest CQC inspection for Mill House.
Annual service review
Name of Service: Mill House The quality rating for this care home is: The rating was made on: two star good service 1 4 0 1 2 0 0 9 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?
No 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: Sharon Lacey Date of this annual service review: 3 1 1 2 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: 102 Mill Road Mile End Colchester, Essex CO4 5LJ 01206845378 01206843367 broadhorizons@aol.com Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Broad Horizons Limited Number of places (if applicable): Under 65 Over 65 4 0 The maximum number of service users who can be accommodated is 4 The registered person may provide the following categories of service: Care Home - PC to service users of the following gender: Both whose primary needs on admission to the home are within the following categories: Learning Disability - Code LD Have there been any changes in the ownership, management or the Yes 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 Mill House is a small care home for four younger adults with learning disabilities. The registered provider is Broad Horizons Ltd. The responsible person is Mrs Jean Revelle and Miss Sarah Walsh-McKechnie is the registered manager. Mill House is one of a group of three small care homes owned by Broad Horizons, located in Mill Road, Colchester. The three homes work in close co-operation with each other. The home is in a residential area, located close to Colchester General Hospital. There are local shops and facilities nearby, with the main town centre offering shopping and
Annual Service Review Page 2 of 7 None 1 4 0 1 2 0 0 9 leisure facilities, a short bus ride away. Mill House provides accomodation for four people. Rooms are located on the ground, first and second floor; each having a single room with a hand wash basin. There is also a bathroom with bathing and shower facilities, and a toilet. An office and staff bedroom is also found on the first floor. On the ground floor there is a lounge/dining room and kitchen. The property is semidetached and has gardens to the front and rear. There is some off road parking. The rear garden is enclosed with a decking patio area, flowerbeds and lawns. 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 have received, or asked for, since the last key inspection or annual service review. This included: An Annual Quality Assurance Assessment form (AQAA). This is a self-assessment form completed by the Provider by law, which focuses on how well the provider considers they are meeting the outcomes of the people using the service. It also provides information about the service and how they may intend to improve over the next 12 months. Information from this document has been used in this report were appropriate. We also look at information received by the CQC since the last inspection in the form of notifications. These forms are required to be submitted to the CQC to advise of any issues/incidents that may have happened in the home that may affect the residents welfare. Questionnaires were sent to the Manager to distribute between residents (4), staff (8) and other health care professionals who may visit the Home (3). At the time of writing the report two residents and two staff had returned questionnaires. Where possible information and comments from these questionnaires have been included in this report. We also looked at the previous Key inspection report and any complaints, concerns or safeguarding referrals that the CQC may have received since the last inspection. Finally, any other relevant information that may have been received from other organisations has been viewed. What has this told us about the service? The Manager submitted the Annual Quality Assurance Assessment (AQAA) form when requested. This contained information about the service, but provided limited information on what had improved at the home in the last 12 months or what plans they may have for the next 12 months. On looking at the AQAA, our judgement is that the home is still providing a good service, but this document needs to be developed further to incorporate more information on future plans for the service and any improvements they intend to make. On viewing the last Key Inspection report, which took place on the 14th January 2009, it reported that staff provided support to the people living at Mill House in a person centred way. Questionnaires recently received back from service users were positive about the service and comments included I like living here and they look after me. Both service users also stated that carers listened to them and always treated them well. At the last inspection it was found that Broad Horizons had detailed information and admission policies and procedures in place, to support people to ensure they were able to meet the individuals needs. Both questionnaires confirmed they had been asked Annual Service Review Page 4 of 7 whether they wanted to move into Mill House and felt they had been provided with enough information before moving in. The AQAA reported that a care plan would be drawn up with the service user and any other interested parties; these would then be regularly reviewed and updated as needed. The last inspection found that people using the service had their needs and personal goals reflected in their individual care plans and were supported in achieving these. The AQAA stated that the staff team at Mill House have been employed there for a long period of time, which helped to enhance continuity of care for the service users. The AQAA reported that service users at Mill House chose their menus and activities on a daily basis. It continued that service users are encouraged and helped to make their own lifestyle choices and supported to integrate into the community by accessing amenities. They also assist service users to maintain contact with their family and friends. The AQAA reported that Mill House is a small care home, which has the advantage of being a homely environment for service users. It continued by saying that the service users are involved in choosing the colours for re-decoration within the home. At the last inspection it was found that the physical layout and design of Mill House provided people who live there with a safe and comfortable home. The last inspection reported that the homes recruitment procedure protected the service users and that the staff team were well trained, skilled and sufficient in numbers to meet the service users assessed needs. Over 50 of the staff had completed NVQ level 2 or above, and staff who recently returned questionnaires confirmed that they had been offered training relevant to their role. They also confirmed that they had been thoroughly recruited and their induction provided all the information they needed to enable them to complete their role as a carer. It was found that the management and administration of the home was based on openness and respect, and the home was run in the best interests of the people living there. The Manager has over 8 years experience of working with people who have a learning disability and had completed her NVQ level 4 in management. During the period since the last Key inspection the CQC have not been made aware of any complaints about the service or of any circumstances that place people at risk of harm or their welfare. The AQAA reported that the home has not received any complaints over the last 12 months. The last report found that people who used the service had access to a complaints procedure, which was in a format the residents understood. Both service users who returned questionnaires knew how to make a complaint and who to speak to if they were unhappy. The AQAA provided limited information on any improvements that may have occurred since the last Key inspection or what action had been taken to meet the requirements or recommendation that were made, so this has not been able to be added to this report. What are we going to do as a result of this annual service review? Annual Service Review Page 5 of 7 Based on the information available to us we are not going to change our inspection plan, and will do a Key Inspection by 14th January 2011. However 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:
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