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Care Home: New Mill House

  • Mill Street Honiton Devon EX14 1AQ
  • Tel: 0140447556
  • Fax: 0140447556

New Mill House is an end of terrace building in the town of Honiton, East Devon. Western Challenge Housing Association owns the property and the service is managed by The Parkview Society. The home provides respite and short term residency and care for up to 6 younger adults (male and female) who have mental health problems. The aim of the service is to support service users to move on to independent living. The house is laid out over 2 floors. There are 5 bedrooms with washbasin facilities on the upper floor and one bedroom on the ground floor. At the back of the property is a conservatory and small courtyard garden. There is easy access to the town of Honiton and local amenities including bus and rail services. Parking is available for the house vehicle and there is on street parking near by. The six places at this home are currently `block purchased` by Devon Social Services, who agree and pay the fees. Further information about the service is available direct from the service.

  • Latitude: 50.79700088501
    Longitude: -3.1949999332428
  • Manager: Ms Sarah Emilia Carcillo
  • Price p/w: -
  • UK
  • Total Capacity: 6
  • Type: Care home only
  • Provider: The Parkview Society
  • Ownership: Voluntary
  • Care Home ID: 11160
Residents Needs:
mental health, excluding learning disability or dementia

Previous Inspections

This may not be the latest inspection for this service as we are having techinical problems updating from CQC - please check directly on the regulators website for the most recent report; bestcarehome hopes to be back to regular updates shortly.

For extracts, read the latest CQC inspection for New Mill House.

CARE HOME ADULTS 18-65 New Mill House Mill Street Honiton Devon EX14 1AQ Lead Inspector Teresa Anderson Unannounced Inspection 7th August 2008 10:00 New Mill House DS0000021988.V370821.R01.S.doc Version 5.2 Page 1 New Mill House DS0000021988.V370821.R01.S.doc Version 5.2 Page 2 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address New Mill House DS0000021988.V370821.R01.S.doc Version 5.2 Page 3 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. New Mill House DS0000021988.V370821.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Name of service New Mill House Address Mill Street Honiton Devon EX14 1AQ 01404 47556 01404 47556 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) The Parkview Society Ms Sarah Emilia Carcillo Care Home 6 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (6) of places New Mill House DS0000021988.V370821.R01.S.doc Version 5.2 Page 5 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th August 2006 Brief Description of the Service: New Mill House is an end of terrace building in the town of Honiton, East Devon. Western Challenge Housing Association owns the property and the service is managed by The Parkview Society. The home provides respite and short term residency and care for up to 6 younger adults (male and female) who have mental health problems. The aim of the service is to support service users to move on to independent living. The house is laid out over 2 floors. There are 5 bedrooms with washbasin facilities on the upper floor and one bedroom on the ground floor. At the back of the property is a conservatory and small courtyard garden. There is easy access to the town of Honiton and local amenities including bus and rail services. Parking is available for the house vehicle and there is on street parking near by. The six places at this home are currently block purchased by Devon Social Services, who agree and pay the fees. Further information about the service is available direct from the service. New Mill House DS0000021988.V370821.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. This inspection took place as part of the normal programme of inspection. We (the commission) visited the home and met with those people who use the service who were there and who wished to talk with us. We spoke with staff and with the manager. We also looked at records relating to safety, care planning, assessment and medicines, and we looked around the house. Prior to the visit to the service the manager completed an Annual Quality Assurance Assessment for us, which gave us information about this service; and we sent surveys to health and social care staff asking for their feedback about this service. What the service does well: This is a well established service which has been consistently well managed and improved by the manager. Good systems are in place to ensure that people who come to stay here will benefit from the support being offered. This includes ensuring that comprehensive assessments are undertaken. This forms the basis of a support (or care) plan that is agreed with each person and amended as people’s needs change. Plans are goal orientated meaning that (in this setting) people are supported to move towards living independently. People are also supported to live a healthy and fulfilling life. However, people are encouraged to largely take responsibility for this themselves. People living here help with the shopping, menu planning and with cooking. They are responsible for keeping their own bedrooms tidy and for contributing to household tasks. They go out and about as they please, seeing friends and relatives as they choose. Staff support them to take part in activities of their liking. Staff are described as ‘really helpful’ and ‘good’. They receive appropriate support and training to enable them to support the people living here. They demonstrate a good understanding of issues relating to abuse and what to do if they suspected this. People say that staff listen to them and help them to work things out. They say they have not had cause to make a complaint but would do so if needed. They say they feel safe here. The house is comfortable, safe and clean. New Mill House DS0000021988.V370821.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. New Mill House DS0000021988.V370821.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection New Mill House DS0000021988.V370821.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. People who consider coming to live here can be confident that the service will assess their needs to help ensure this is the right service for them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager told us that each person who is referred to come and live here undergoes an assessment of need and a detailed risk assessment. We looked at some of these assessments and found them to be comprehensive, detailed and relevant to the type of service offered. Each assessment includes information from health and social care professionals and from the individual themselves. One person told us they could remember meeting with the manager. They also told us they came to visit the home and to meet with the staff and other people who live here to make sure it was right and that they ‘fitted in’. New Mill House DS0000021988.V370821.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is good. People who live here undergo frequent reassessments. Their goals and aspirations are changed accordingly and recorded and agreed in a plan of care. People take risks and make decisions about their lives within a risk assessment and therapeutic framework. This judgement has been made using available evidence including a visit to this service. EVIDENCE: We looked at two care plans and found that they are comprehensive and detailed. We found records that show that each person has agreed goals with the support staff and have worked out a way of achieving these goals. One person we spoke with told us about their care plan. This matches what had been agreed with staff and with their consultant. Things that this person identified as not being able to do were clearly in line with treatment plans. New Mill House DS0000021988.V370821.R01.S.doc Version 5.2 Page 11 Care plans show that progress is monitored and that changes are made accordingly. We spoke to staff about care plans and they show a good understanding of them. They also show a good understanding of the importance of ensuring the person the plan relates to is central to the plan itself. We did note that some of the language in some of the care plans was not as person centred as it might be. The manager explained this had already been identified as a learning need for some staff and that this was being dealt with in supervision and training sessions. Records confirm this to be the case. New Mill House DS0000021988.V370821.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15 , 16 and 17. Quality in this outcome area is excellent. People are supported to have an active social life and to participate in relationships in a way that suits each individual and takes account of their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager and staff told us that people living here are encouraged and supported to access local community amenities and services. When we arrived one person had already gone out for the day and another was on their way out with a member of their family. We spoke with one person who told us that they come and go as they please. They say they go to the shops and to the local pubs if they like. They were disappointed that there are not arranged activities arranged by staff but understand that this is not provided by this service, as each person is New Mill House DS0000021988.V370821.R01.S.doc Version 5.2 Page 13 supported to make their own arrangements and contacts. They told us that visitors are welcome and that they can see visitors in private. There are churches nearby and staff say they would help people to access other religious establishments if this were needed. We looked at care plans and saw that these are geared towards supporting people to be more independent and be responsible in their daily lives. We spoke to staff about this and they told us that people living here have equal rights to them and also how they have responsibilities within the house. Staff support people to take responsibility by for example sharing the cooking and cleaning. One person we spoke with confirmed this and showed us the cooking rota in the kitchen. People living here choose what to eat and what to cook. These decisions are usually made on a daily basis by the people who will eat in the house on that day. Fresh fruit was seen in the lounge and one person told us this is always available and that they are encouraged to eat it. This person also told us they can go in and out of the kitchen as they like to make food or drinks. They were observed doing this throughout the day of the inspection. Feedback from one healthcare professional indicated that one person living here is making improvement in and getting closer to living independently with the support of staff. New Mill House DS0000021988.V370821.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. People are supported to have their physical, emotional and medication needs met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All the people living here are male. Both male and female support is available. All are young and all are physically healthy. Each is registered with a doctor whom they see if needed. We looked at care plans and saw that medical advice is incorporated into care plans. One person has identified a goal as being healthier in one specific area. Staff are currently reviewing this to ensure that they fully support this person in this area. We looked at how medicines are managed in the home. None of the people living here manage their own medicines for clear therapeutic reasons. The system currently in use to order, receive, check and store medicines is auditable. We (one member of staff and the inspector) carried out an audit of one persons tablets. We found this to be generally in order. However, a stock New Mill House DS0000021988.V370821.R01.S.doc Version 5.2 Page 15 count is not made of the total amount of medicines kept in the home. The manager and staff started work on producing this during the inspection. Records relating to medicines are otherwise up to date. No homely medicines are kept in the house. New Mill House DS0000021988.V370821.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. People living here are listened to and are safe. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The commission has received no complaints about this service. The service reports they have received two in the last two years. These have dealt with appropriately. The procedure for making a complaint is posted on the notice board for all to see. When we spoke with people about making a complaint, they said they had no complaints and had never made one. They said that they did not feel that they would ever have to make a ‘formal’ complaint because staff listened to them and were so supportive. Staff told us that they have received updated training in safeguarding people from abuse. One member of staff described what they would do if they suspected abuse or if were alleged and were very familiar with the procedures to be followed. Records show that all staff have received training in this, or are due to receive training in the near future. New Mill House DS0000021988.V370821.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is good. People live in a comfortable and safe house. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the last inspection the kitchen has been refitted and one of the ovens is to be replaced. We asked people what they thought of the kitchen and they say they like it and that it is easy to work in. We looked around the home and found that some redecoration has taken place and that it was clean and generally tidy. One person said it can get untidy but that this is the fault of the people who live here, not any one else’s. No-one living here has a physical disability and the home is unlikely to be able to accommodate anyone who did because of it’s physical lay out. New Mill House DS0000021988.V370821.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. Quality in this outcome area is excellent. Staff are well supported and trained to meet the needs of the people living here. They are recruited using robust methods to help ensure only suitable staff work here. This judgement has been made using available evidence including a visit to this service. EVIDENCE: We looked at the recruitment records of three members of staff. We found that all the checks recommended to ensure peoples safety are carried out. This includes checking gaps in employment, proof of identity, getting two written references and carrying out enhanced police checks. People we spoke say the staff are really good, that they treat them with respect and understand their needs. They say that staff are always available when needed and listen to them. Staff say they are well supported by the management structure and by the training and supervision they receive. Although this home does not provide staff with an on call manager (this is based on risk assessment), staff say that New Mill House DS0000021988.V370821.R01.S.doc Version 5.2 Page 19 they can usually contact the registered manager whatever the time of day. However, they also say that because good systems are in place, they rarely have to do this. This home employs 6 staff, only one of whom does not have a National Vocational Qualification in care (NVQ). This is above the 50 target that has been set nationally. Staff also receive other training relevant to their role and to caring for people with mental health issues. New Mill House DS0000021988.V370821.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is excellent. People living here benefit from a service which is well managed and which has peoples needs and interests at its core. This judgement has been made using available evidence including a visit to this service. EVIDENCE: This service has been successfully managed by Sarah Carcillo for a number of years. Sarah is experienced in the field of mental health, residential care, therapeutic interventions and in management. She holds relevant qualifications. People and staff say that the service ‘is as good as it is because she is great’. New Mill House DS0000021988.V370821.R01.S.doc Version 5.2 Page 21 Staff say that they feel well supported to meet peoples needs, to carry out their role on a day to day basis and to continually keep up to date and improve. Staff confirm they receive regular one to one supervision with the manager as well as meeting with her as a team. This service seeks the views of the people who use it to ensure that the service is run in their best interests. This includes gaining their views for example when the care planning format is being changed; putting up a suggestion box for people to comment anonymously; carrying out exit interviews for staff and clients; holding ‘residents meetings’ and having a generally open and inclusive ethos. Good systems are in place for ensuring the home is safe. This includes regular fire drills, alarm testing, gas and electrical tests and the monitoring of any maintenance issues that occur. Each month the home is visited unannounced by a member of Parkview committee who carry out their own inspection to ensure all is as it should be. In addition to this the Chairman of the committee also visits the home on a more informal basis to speak with people living here and with staff. The information we asked for in the annual assessment (AQAA) was comprehensively completed and gave us all the information we needed. In addition, during the site visit all documents and records needed were efficiently made available and were up to date. New Mill House DS0000021988.V370821.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 4 33 x 34 3 35 4 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 x x 3 LIFESTYLES Standard No Score 11 x 12 3 13 4 14 x 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 4 x 4 x x 3 x New Mill House DS0000021988.V370821.R01.S.doc Version 5.2 Page 23 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA6 YA20 Good Practice Recommendations Support and training for staff should continue to ensure that all support plans are person centred, and that people living here benefit from this approach. The total number of each medicine kept in the home should be recorded to ensure that a good audit trail is in place. This will ensure that if any medicines go missing, that it is clear when this happened. New Mill House DS0000021988.V370821.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI New Mill House DS0000021988.V370821.R01.S.doc Version 5.2 Page 25 - 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. 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