Care Home: Millfield House

Annual service review Name of Service: Millfield House The quality rating for this care home is: The rating was made on: two star good service 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: Kim Rogers Date of this annual service review: 0 2 1 1 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 16 Millfield Folkestone Kent CT20 1EU 01303226446 Telephone number: Fax number: Email address: Provider web address:   deb_beer@yahoo.co.uk Name of registered provider(s): Name of registered manager (if applicable) Miss Debbie Beer Conditions of registration: Category(ies) : physical disability Conditions of registration: MNP Complete Care Group Number of places (if applicable): Under 65 Over 65 8 0 The maximum number of service users to be accommodated is 8 The registered person may provide the following category of service only: (PC) to service users of the following gender: Either whose primary care needs on admisSion to the service are within the folowing category Physical disability (PD) 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 Millfield House is registered to provide accommodation and personal care for up to eight adults who have a physical disability. The premises are a large detached house that is located in a quiet residential street. There is step-free access around all parts of the accommodation used by the people in residence. All of the people have their own bedroom each of which has a private wash hand basin. There is a shared use lounge/dining room and various other rooms that you would expect to find in anyones Annual Service Review Page 2 of 7 home. The Registered Provider gives useful information to prospective people who might want to live in the home. The current weekly fee for residence in Millfield House runs from about £749.20 to £1200.97. For more inormation about the fees and services please contact the Provider. 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: 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. Information we have about how the service has 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 inspection 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, we sent surveys out to staff, service users and other stakeholders to get their views. What has this told us about the service? The last key inspection of this home was 19.11.07. We found that the people who use the service experience good outcomes. We made no requirements at this inspection. We carried out an Annual Service Review of the home in 2008. The manager completed the AQAA, Annual Quality Assurance Assessment and returned it when we asked for it. This gives detailed information about how the home has improved and how they intend to improve further. The AQAA was well completed and gives evidence of what they do well, what could be improved and how they intend to improve outcomes for people who use the service. The AQAA shows that they continue to seek and listen to the views of the people who use the service. Service users meet together regularly and have the opportunity to meet with their key workers on a one to one basis. Surveys and questionnaires are used on a more formal basis and sent out to people every six months. As a result of listening to people the menus have been improved, there has been some redecoration of the home, more in house activities and the key worker system has been reviewed. The AQAA shows that issues relating to equality and diversity are understood and supported. The AQAA gives evidence of why and how the home is value for money. The manager has identified barriers to improvement and has ideas about how to overcome these barriers so the home continues to improve. They continue to systems in place to support a move into the home although no one Annual Service Review Page 4 of 7 has moved in since the last inspection. Everyone has been involved in developing an individual care plan. This means that what people want out of life is recorded and a plan in place for staff to follow to support this. Everyone is involved in reviewing their plans so staff know they are still providing the right support to enable people to achieve. Everyone has a key worker and has the opportunity for one to one support. The AQAA says they assess and support risk taking to ensure that people are supported and enabled and not restricted. People have opportunities to take part in a range of activities including community based activities and in house activities. The AQAA says they plan to offer a wider range of activities. They have employed more drivers so people can make better use of the mini bus. Every one is supported to be involved in the day to day running of the home. This has lead to people increasing their skills and confidence. People have the support they need to keep in touch with family and friends. They continue to work with health care professionals to ensure that everyone has the support they need to remain well and healthy. They have systems in place to ensure peoples personal care needs are met and that medication practice is safe. They have a complaints procedure. The AQAA shows that the home has received 0 complaints in the last year. The AQAA does not tell us much about how they safeguard people from harm and abuse. There have been some improvements to the home including the redecoration of some communal areas and all bedrooms. They plan to have some new carpets. The AQAA shows that they continue to carry out checks on staff before they start working at the home. The induction for new staff is in line with the Minimum Standard. The AQAA says that staff sickness levels and staff turnover has improved. This gives service users more continuity of care. More than half of the staff have a National Vocational Qualification in care at level 2 or above. The manager has several years experience and has the required qualification to manage the home. There is a new deputy manager who is experienced in supporting people with physical disabilities. The AQAA shows that the required health and safety checks are carried out of the premises and equipment. We received 2 surveys back from staff. Both were positive. Staff said they have the training, support and information they need to enable them to meet peoples needs. Staff said the home is run very well, the management is supportive, we enjoy working here, all the staff get on well. We received 3 surveys back from professionals including doctors and a care manager. All 3 are positive and have comments including I would not hesitate to recommend Millfield house, they provide an excellent service to my client. Annual Service Review Page 5 of 7 What are we going to do as a result of this annual service review? From the information we have our judgement is that the home continues to provide a good service to the people who live there. We can inspect the home at any time if our judgement changes. We will carry out a key inspection by 19.11.10 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. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. 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