• Care Home
  • Care home

Milverton Nursing Home

Overall: Requires improvement read more about inspection ratings

99 Ditton Road, Surbiton, Surrey, KT6 6RJ (020) 8399 4663

Provided and run by:
Surbiton Care Homes Limited

Latest inspection summary

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Background to this inspection

Updated 21 January 2023

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 Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was carried out by two inspectors.

Service and service type

Milverton Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Milverton Nursing Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was not a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used intelligence on our system to inform us of important events that had occurred at the home. We used all this information to plan our inspection.

During the inspection

We spoke to 2 people living at the home and 1 visiting relative. 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 talk with us. We spoke with 6 staff including care workers, nurses, the deputy manager and manager. We reviewed the care files of 4 people living at the home and 4 staff files. We looked at range of documents in relation to the management of the home such as audits, premises records and incidents. Following the inspection, we received feedback from 11 relatives.

Overall inspection

Requires improvement

Updated 21 January 2023

About the service

Milverton Nursing Home is a care home providing personal and nursing care to 28 people at the time of the inspection. The service can support up to 30 people.

People’s experience of using this service and what we found

The home was not as well run as it could be. A manager was in place but they were not registered with the CQC. Audit systems were not always effective in identifying areas of improvement and corrective actions taken. The provider assured us they took our feedback on board, however time was needed to ensure these processes were embedded.

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 received a safe service, with enough staff to meet their needs. Potential risks to people were assessed and people received their medicines safely. Staff had access to personal protective equipment (PPE).

People, relatives and staff were positive about the management team. The provider worked alongside other agencies to support people’s care needs.

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 14 January 2021).

Why we inspected

We undertook this inspection as part of a random selection of services rated Good and Outstanding.

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.

Recommendations

We have made recommendations in relation to recruitment processes and the duty of candour.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.