Background to this inspection
Updated
4 February 2021
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act.
As part of CQC’s response to care homes with outbreaks of COVID-19, we are conducting reviews to ensure that the Infection Prevention and Control practice was safe and the service was compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place, along with staffing.
This inspection took place on 13 January 2021 and was announced.
Updated
4 February 2021
About the service
Milldene Nursing home is a purpose built home providing personal and nursing care, over two floors, for up to 13 people living with enduring mental health issues. At the time of the inspection 12 people were using the service.
People’s experience of using this service and what we found
The provider had appropriate procedures in place to safeguard people from abuse. Risks related to people’s care and the environment they lived in were monitored and managed. There were sufficient appropriately qualified staff who had been recruited using a safe and effective process. Medicines were managed safely. There were some areas of the home that required additional cleaning, but these did not pose an overall risk.
People’s needs had been assessed and care was delivered in a manner that met and supported these needs. Staff had access to a range of training and development opportunities. People were supported to access adequate diet and drinks. Specialist advice regarding diets was followed by staff. People were supported to access a range of health services in order to maintain their wellbeing. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People appeared happy and relaxed in staff company and staff had a good knowledge of individual’s likes and personalities. People were supported to express their views about their care, as far as possible. Staff understood about respecting people’s privacy and dignity and encouraged people to be as independent as possible.
Care plans reflected people’s needs, were detailed and reviewed and updated, as necessary. Staff had a good understanding of people’s individual communication method and needs. People were supported to access a range of activities important to them and were assisted to maintain important relationships. Complaints about the service were handled appropriately. People’s end of life wishes had been incorporated into care records.
Staff were positive about the registered manager’s approach and told us they were well supported. The registered manager had a clear view of trying to maintain the home as a small and personal environment for people to live in and feel settled. Systems were in place to involve people in the service, although we discussed alternative methods of involvement with the registered manager to further strengthen this participation. Staff told us they were supported to continuously learn and improve. There was evidence the home worked in partnership with other professionals.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 5 May 2017).
Why we inspected
This was a planned inspection based on the previous rating.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Milldene Nursing Home on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.