Archived: Millbank

Updated 8 January 2021

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.

As part of CQC's response to care homes with outbreaks of coronavirus, we are conducting reviews to ensure that the Infection Prevention and Control (IPC) 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.

This inspection took place on 11 December 2020 and was announced.

Updated 8 January 2021

At our last inspection in September 2016, we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

People felt safe living at the service. Staff knew how to recognise abuse and how to report it. Risks were assessed so that staff knew what action to take to keep people safe. Incidents and accidents were reported and actions were taken to reduce the risk of them happening again. Planned staffing levels were achieved, however, we asked the deputy manager to review the deployment of staff to ensure it was responsive to people’s needs. Safe recruitment processes were in place to ensure the suitability of staff for their roles. People’s medicines were managed safely and people told us they received their medicines regularly.

People continued to receive an effective service. Care and support was delivered in line with good practice guidance. Staff were provided with training and development opportunities to ensure they were able to provide care that was effective and met people’s needs. People were provided with a healthy and nutritious diet and were provided with the support they needed to eat and drink sufficiently. People were supported to access health services when required and staff worked well with other professionals to provide coordinated care. 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 place supported this practice.

Staff were kind, caring and respectful. They knew people well and provided reassurance and support to people when they were anxious. Staff protected people’s privacy and dignity. People were offered choices in their daily lives and staff respected their wishes. People were supported to maintain relationships with friends and families.

People continued to receive personalised care that was responsive to their needs. Care plans were reflective of people’s needs and were reviewed and updated regularly. A wide range of activities and entertainment were offered and people were encouraged to participate in activities to maintain their mobility and independence. People were able to choose whether they wanted to participate and how they spent their time.

Systems were in place to monitor the quality of the service and the care provided. A range of quality audits were completed by the registered manager and areas for improvement were identified. Views of people using the service and their relatives were sought and staff felt engaged and involved. An overall action plan was in place and updated regularly to ensure improvements to the service were taken forward.

Further information is in the detailed findings below.