31 May 2023
During an inspection looking at part of the service
Milton Court is a care home providing personal and nursing care to up to 148 people. The service provides support to older people who are living with physical disabilities, mental health, and dementia. At the time of our inspection there were 98 people using the service.
The service comprises of 6 units, 5 units were in use at the time of the inspection, 2 of these provided nursing care. Each unit has its own communal areas which includes a lounge, dining room and kitchenette. All bedrooms have en-suite shower rooms.
People’s experience of using this service and what we found
The provider did not always support people to follow their interests or provide sufficient engagement opportunities. Records were not always person centred. At times staff were task led. People’s communication needs were not always fully met. Complaints were managed appropriately.
Systems to assess and monitor the service were not always effective. When things went wrong the provider ensured appropriate actions were taken in line with the duty of candour. There was a positive attitude to learning from mistakes.
There were enough staff to keep people safe. People were protected from the risk of harm and abuse. The provider had suitable risk assessments in place to keep people safe. Medicines were managed safely. People were protected from the risk of infection.
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.
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 requires improvement (published 08 December 2021). The service remains rated requires improvement. This service has been rated requires improvement for the last 3 consecutive inspections.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has remained requires improvement based on the findings of this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Milton Court care home on our website at www.cqc.org.uk.
Enforcement and recommendations
We have identified a breach in relation to person centred care at this inspection. We have made a recommendation in relation to the providers governance systems.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.