Latest Inspection
This is the latest available inspection report for this service, carried out on 11th June 2010. CQC found this care home to be providing an Good service.
The inspector found no outstanding requirements from the previous inspection report,
but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.
For extracts, read the latest CQC inspection for Millstream View.
What the care home does well Person centred plans had been developed for the purpose of moving onto supported living to ensure every person`s needs choices and decisions were recorded. We looked at one plan and found it was excellent, it gave very detailed information and showed the family had been involved. Service user meetings took place every six weeks to ensure people`s views were sought and these underpinned the decisions made in the home. People told us the activities are excellent, varied and appropriate to each person. The meals provided were very good they promoted people`s health and wellbeing by ensuring they were varied, balanced, appealing and nutritious. one person told us; `The meals are lovely`. What the care home could do better: The staffing needs to be addressed. As staff leave adequate staff must be available to cover shifts to ensure people are protected and their needs are met. Medication procedures could be improved to ensure all medication is given as prescribedand adequate checks are in place to protect people. Random inspection report
Care homes for adults (18-65 years)
Name: Address: Millstream View Mill Lane Adwick Le Street Doncaster South Yorkshire DN6 7AG two star good service 17/09/2008 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: Sarah Powell Date: 1 1 0 6 2 0 1 0 Information about the care home
Name of care home: Address: Millstream View Mill Lane Adwick Le Street Doncaster South Yorkshire DN6 7AG 01302721408 01302729413 Telephone number: Fax number: Email address: Provider web address: NONE Name of registered provider(s): Name of registered manager (if applicable) Mr Tommy Wright Type of registration: Number of places registered: Conditions of registration: Category(ies) : Doncaster Metropolitan Borough Council care home 13 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 13 Service users with challenging behaviour can only be accommodated in the 8 bedded unit. Date of last inspection Brief description of the care home 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
Care Homes for Adults (18-65 years) Page 2 of 10 1 7 0 9 2 0 0 8 Brief description of the care home separate access. They each have a dedicated staff group. 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. Care Homes for Adults (18-65 years) Page 3 of 10 What we found:
This random visit was carried out following completion of an Annual Service Review (ASR), which identified a number of concerns. It was therefore subject to our risk assessment process and as a result it was necessary to carry out a random visit, (Random means we will look at specific areas). This visit we looked at the areas of concern identified during the ASR, which included staffing levels, management, complaints, safeguarding, medication and meals. Recommendations from the previous inspection and other issues identified by visiting professionals were also looked at. The service is going to close and all the people living at Millstream view will move on to supported living. This will be a lengthy process to ensure the right accommodation for each individual is found. Doncaster council officials have assured us that this will not be rushed and people will not be moved until the most suitable accommodation is found, they anticipate this could take up to a year. The service had its last key inspection in June 2008 and achieved a two star good rating, which means the outcomes for people living at Millstream View were good. A quality rating will only change following a key inspection. Therefore the rating for this service will stay the same following this random inspection. This site visit was carried out on 11 June 2010. It commenced at 09:30 and finished at 14:30. During the visit we talked to seven members of staff, four people living at Millstream view, the Registered Manager and The Team Manager. We also looked at menus, staff rotas, complaints and other relevant paperwork. We spoke to the cook and looked at the meal provision. There was a four week menu, which had been compiled with input from the people living at Millstream View so it included peoples choices. There was a good variety of food and plenty of choice available each day. People told us they enjoyed the food and always had a choice. The staff told us if people did not like the food offered, there was always an alternative or something different would be prepared to order. This ensured peoples choices and needs were always met. They also told us they had access to the kitchen at all times so it was very flexible regarding the times people wanted to eat. We looked at concerns and complaints when we did the ASR , staff told us they were aware of the procedures to follow regarding concerns, but didnt feel that complaints or concerns were being dealt with by management. Therefore staff felt it was pointless raising concerns. We asked staff about safeguarding policies and procedures, staff were aware of the procedures and told us they would report an incident if one occurred. Safeguarding procedures had also been discussed at staff meeting to ensure staff report any incidents
Care Homes for Adults (18-65 years) Page 4 of 10 as this had previously not been done. There had been no safeguarding referrals since the ASR was carried out although one incident is still being investigated. Information we had received indicated between December 2009 and April 2010 that communication between staff and management was affected due to the information that the home was closing. Staff told us during this visit that communication had much improved and were working as a team to ensure people were protected. Concerns and complaints are now being effectively managed by the service. Staff surveys completed and returned to us when we completed the ASR, told us that there was poor communication between management and staff. When we spoke to staff during this visit we had varied responses, some staff felt communication had improved others thought things were still being kept from the care staff. The manager told us that there is not a lot of information to share with staff as things are moving very slowly, however what he knows is being communicated to staff in team meetings to ensure they are kept up to date. We spoke to three relatives, some told us that communication was very good and they were kept up to date with progress regarding the move to supported living. They also told us they were happy things were not going to be rushed and the right placement would be found. Other relatives told us they had not been kept informed and felt their relative were being moved further away from them. That also had concerns there had been very little consultation as to the best area to look at, which would be suitable for both the people living at Millstream view and their relatives. We looked at staffing as we had been told previously that staffing levels were very poor and the number of staff on duty did not meet peoples needs. We looked at four weeks of staff rotas that showed correct numbers of staff had been on duty and that a senior had been on duty at weekends. We spoke to staff regarding staffing numbers and all staff raised the concern that a large number of staff were leaving as the home was closing and they were finding other jobs. Staff were worried how the staffing levels would be maintained. The staffing arrangements were discussed with the manager and the Team Manager who visited the home. They assured us that measures would be put in place to ensure peoples needs were met by the number of staff on duty . It was agreed that Doncaster would sent us in writing details of the proposed contingencies that were to be put in place to ensure adequate staff were available to meet peoples needs. Staff we spoke to told us that it would be better for people to move to supported living, however it was very sad as many staff had worked together for over 20 years. The staff morale had dropped due to the service closing. Staff told us that they had come to accept the closure and knew it was a positive thing for the residents, but acknowledged it would
Care Homes for Adults (18-65 years) Page 5 of 10 be a difficult period leading up to the final resident moving out and the service finally closing. We looked at medication as a number of notifications had been received telling us about medication errors. Medication was recorded on receipt and administration and disposal. However some areas could be improved. The amount of medication carried over was not always completed therefore it was not clear how much medication was in stock. Medication that was to be given as and when required was not always recorded as such on the medication administration records (MAR). We found one instance were medication had not been given as prescribed on the MAR, the medication was prescribed to be given every day as a regular medication, yet the charts showed staff had offered on a as and when basis. Which meant the persons needs were not being met. It is good practice for the service to take a copy of prescriptions prior to sending them to the pharmacist. It is then possible to check the medication received from the pharmacist against what was prescribed. This ensures people received the medication they are prescribed. However checks during our visit showed this was not being followed by the service. What the care home does well: What they could do better:
The staffing needs to be addressed. As staff leave adequate staff must be available to cover shifts to ensure people are protected and their needs are met. Medication procedures could be improved to ensure all medication is given as prescribed
Care Homes for Adults (18-65 years) Page 6 of 10 and adequate checks are in place to protect people. 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 7 of 10 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 8 of 10 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 1 20 13 Arrangements must be in 01/07/2010 place for recording, handling, safekeeping and administration of medicines in the care home. To ensure people are given medication as prescribed. 2 33 18 Suitably qualified, competent 01/08/2010 and experienced staff must be on duty in sufficient numbers at all times until the service has closed. To ensure the health and welfare of service users is always met. 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 9 of 10 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 10 of 10 - 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!
