Archived: Milverton Road Care Home

Updated 10 June 2015

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

We inspected the service on 17 and 18 February 2015. This was an unannounced inspection. The inspection team consisted of two inspectors and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Prior to our inspection we reviewed information we held about the service. This included previous inspection reports, information received from the Clinical Commissioning Group which is a Health organisation, Nottingham City Council and statutory notifications sent to the Care Quality Commission (CQC). A notification is information about important events which the provider is required to send us by law.

During the visit we used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not communicate their views verbally. We spoke with three relatives, three members of care staff, and the registered manager. We looked at the care records of three people who used the service, the medicine records for five people, staff training records, as well as a range of records relating to the running of the service including audits carried out by the manager and provider, team meeting minutes and arrangements for managing complaints.

Updated 10 June 2015

We inspected the service on 17 and 18 of February 2015. This was an unannounced inspection. Milverton Road Care Home is a detached property providing accommodation for up to six younger adults. When we visited there were six people living in the house. There are three steps leading down to the front door of the home, and all bedrooms are upstairs on the first floor. The home is not accessible to wheelchair users as there is no lift and there are no plans to adapt the premises. The home is sited within a residential community with access to a variety of local facilities. On the day of our inspection five people were using the service.

The service had a registered manager in place at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons.’ Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People were looked after by staff who were caring but supported people’s independence as much as possible. There was a consistent staff group who enjoyed their role and worked well together to provide a good quality of care.

The development of the service was important to staff, the manager and the provider. They were involving people and their families by strengthening these relationships. There were no restrictions on when families could visit and people were supported to go out when they chose.

There was an open culture in the home so that people were encouraged to express their views and needs. Staff were also supported and felt able to share their ideas with the manager to improve the service.

People’s health needs were assessed and reviewed regularly and there was good partnership working with health and social care colleagues.

The registered manager made sure that medicines were given safely, ordered on time and stored properly.

People had choices about what to eat and were involved in shopping and food preparation.

People’s rights were protected by staff and the manager as they understood the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). Applications were being made to protect people who needed to be assessed and protected using this legislation.