Care Home: Millgate House

Similar services:

• Clover House
• Parkside
• Park Lodge
• Mere Hall View
• St Bonaventures
• Hudson Road
• Whitewalls
• Home Farm

What the care home does well This visit has confirmed that the manager and staff at Millgate House continue to provide excellent outcomes for the people using the service. One person commented on the survey, `Millgate are always looking at how they can improve the service.` What the care home could do better: To ensure medication is managed correctly all handwritten instructions on medication administration records should be signed and witnessed. Random inspection report Care homes for adults (18-65 years) Name: Address: Millgate House Millgate House 10 Oak Street Shawforth Rochdale OL12 8NU three star excellent service 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: Susan Hargreaves Date: 2 2 0 4 2 0 1 0 Information about the care home Name of care home: Address: Millgate House Millgate House 10 Oak Street Shawforth Rochdale OL12 8NU 01706-852356 Telephone number: Fax number: Email address: Provider web address: gateway.leisure@btconnect.com Name of registered provider(s): Name of registered manager (if applicable) Rochdale Gateway Leisure 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: 4 The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD The maximum number of service users who can be accommodated is: 4 Date of last inspection Brief description of the care home 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 Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home 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 average fee currently charged at Millgate House is £190 per night. A statement of purpose and service user guide was available to prospective residents and their relatives on request. Care Homes for Adults (18-65 years) Page 3 of 9 What we found: The quality rating for this service is 3 star. This means that the people who use this service experience excellent outcomes. The reason for this random inspection was to monitor compliance with the National Minimum Standards in order to ensure people using the service continue to experience excellent outcomes. The manager completed an Annual Quality Assurance Assessment (AQAA) several weeks before this visit. This document is a self-assessment that focuses on how well outcomes are being met for people who use the service. It also gives us some numerical information about the service. Five completed surveys were returned from people using the service and three from members of staff. At the time of this visit two people were staying at the home. We looked at care records and spoke to members of staff on duty, people using the service and a visitor. Discussions also took place with the operations manager regarding issues raised during the inspection. We looked at the care plans of two people using the service. These plans provided detailed information about their individual likes and dislikes in order to ensure that care was person centred and delivered in the way they wanted. People using the service were involved in developing their own care plan. These were clearly written and illustrated in order to promote understanding. Although care plans were only formally reviewed annually they were up dated at any time if the needs of the person using the service changed. Information about the healthcare problems of people using the service along with the care and support they needed from members of staff was included in the care plans we looked at. A hospital information pack which contained relevant information about medication and care needs was available for each person to take with them if an urgent visit to the hospital was necessary. A detailed report was completed during each shift about the health and wellbeing of each person and the activities they had chosen to take part in. Each person also had a diary which they took home so that their families could read about what they had done at Millgate House. The mother of one person said, We can discuss what she has done and this is meaningful to my daughter. Personal care was carried out in the privacy of the persons own room or the bathroom. Members of staff told us they had received training in privacy and dignity and discussed with us their awareness of promoting independence, non-verbal communication and the individual cultural needs of people using the service. One member of staff who completed the survey wrote, We make sure the clients are treated with respect and their wishes are taken into account. During this visit we observed members of staff welcoming a lady who arrived for a short stay at the home. This lady knew the staff and was obviously pleased to be staying at Care Homes for Adults (18-65 years) Page 4 of 9 Millgate House. Her mother said, They have everything in place to ensure my daughter is as safe as possible. Its just brilliant. Surveys completed by people using the service indicated they were happy with the care provided. Comments included, Staff talk to me and ask me what I would like to do. We have fun and my mum knows I am safe and happy., The home is perfect for me. and I feel comfortable and always enjoy my stay. Medication was stored correctly and administered by members of staff who had received training in the management of medication. We looked at the records for the management of medication. These included a record of medication received into the home and administered to people using the service. Daily checks were also made of the amount of medication in stock for each person in order to confirm that people were receiving their medication as prescribed by the doctor. However, hand written instructions on the medication administration record for one person did not state the amount to be taken in one dose or how often this should be taken. The operations manager was advised that in order to prevent mistakes being made all hand written instructions on the medication administration records should signed and then witnessed by another member of staff to ensure that these had been copied correctly. People using the service were given a copy of the complaints procedure in an easy to read format. The manager told us in the AQAA that people were encouraged to tell staff if they were unhappy about any aspect of their care. The AQAA also told us that no complaints had been made in the last year. No complaints have been made directly to the Commission since the last key inspection of April 2007. The relative of one person said that she would make a complaint if necessary but had never needed to do so. The members of staff who completed the survey indicated that that they knew what to do if a person using the service or their relatives expressed concerns to them. Policies and procedures for safeguarding vulnerable adults were included in the staff handbook. A copy of this had been supplied to all members of staff. The operations manager told us that all members of staff had received further training in safeguarding procedures during their annual training week in October last year. Discussion with two members of staff confirmed that they had received training and they both said they would report any concerns immediately. The staff who completed the survey stated that two written references and a Criminal Records Bureau check had been obtained before they had started working at the home. The operations manager told us that Criminal Records Bureau checks for all members of staff were also carried out every three years. These checks ensure people who use the service are protected from the employment of unsuitable staff. What the care home does well: What they could do better: Care Homes for Adults (18-65 years) Page 5 of 9 To ensure medication is managed correctly all handwritten instructions on medication administration records should be signed and witnessed. 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 6 of 9 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 7 of 9 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 1 20 Hand written instructions on the medication administration records should be signed and witnessed. This ensures that instructions have been copied correctly. Care Homes for Adults (18-65 years) Page 8 of 9 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 9 of 9 - 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!