Background to this inspection
Updated
12 February 2020
The inspection
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. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
One inspector carried out this inspection.
Service and service type
Miltoun House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work within the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
During the inspection we spoke with eight people who used the service. We spoke with four members of staff, which included care staff and the registered manager.
We viewed a range of documents and records. This included two people's care records and four medication records. We looked at two staff recruitment and induction files, two staff training, and supervision files and a selection of records used to monitor the quality and safety of the service.
After the inspection
We continued to seek clarification from the provider to validate evidence found.
Updated
12 February 2020
About the service
Miltoun House is a residential care home providing personal care to people with mental health conditions, learning disabilities and/or autism. The service can support up to 18 people in one adapted building. At the time of this inspection 16 people lived at the service.
The service applied the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
People were happy at the service and felt safe. Staff had a good understanding of people’s care and support needs. Support was provided by a consistent team of staff who were visible around the service. Staff offered guidance and support to allow people to make their own decisions. Positive, caring relationships had been developed.
People were looked after by staff who had the required knowledge and skills to provide effective support. Staff communicated well with relevant professionals to ensure people received healthcare support they required.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Choices people made were respected.
People and staff spoke positively of the management team. The service was well-run by an experienced registered manager. The registered manager attended regular forums and events to build relationships and share best practice. They were passionate about providing a high quality, effective service. The service had good links with the local community and other professionals to promote and improve people’s health.
Systems were in place to continuously monitor the service. People felt they were listened to and their views respected. The service was responsive to people’s needs and the support provided had improved their well-being and independence. Important information had been submitted to CQC as required.
For more details, please see the full report which is on the Care Quality Commission website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (last report published 18 November 2017).
Why we inspected
This was a planned inspection based on the previous rating.
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.