Background to this inspection
Updated
13 April 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
This inspection was completed by three adult social care 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. An inspection manager also attended the inspection as part of CQC staff observation process.
Service and service type:
Mickley Hall 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 this inspection we reviewed information, we held about the service. The registered manager had completed a Provider Information Return (PIR). The PIR is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.
We contacted social care commissioners who help arrange and monitor the care of people living at Mickley Hall. We also contacted Healthwatch Sheffield. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used the feedback we received from these organisations to plan our inspection.
During this inspection we spoke with 11 people living at Mickley Hall and five of their relatives and friends. We spoke with nine members of staff which included, the registered manager, the deputy manager, two nurses, a team leader, two care workers the cook and the administrator.
We looked at three people's care records and selected documents from one other care record. We checked medication administration records and two staff files, which included recruitment checks, supervisions and appraisals. We also looked at other records relating to the management of the service, such as quality assurance audits.
We spent time observing the daily life in the service and we looked around the building to check the home was safe and clean.
Updated
13 April 2019
About the service:
Mickley Hall is a care home for people who require personal or nursing care. The service can provide accommodation for up to 40 people. At the time of the inspection 37 people were using the service.
People’s experience of using this service:
The provider had made good improvements to the service since our last inspection on 11 January 2018.
Staff received better training, induction, supervision and support so they could effectively perform their roles.
The registered manager had resolved issues surrounding the recording, investigation and analysis of incidents and accidents.
Risk management at the service had improved.
The deployment of staff had improved at the service.
We found systems to make sure people received their medicines safely had improved.
The registered manager had submitted appropriate notifications to the Care Quality Commission and/or the local safeguarding authority.
We observed that many areas of the home required refurbishment, however the provider had a maintenance and refurbishment programme in place which showed clear timescales of how and when the works were to be completed.
People were supported to have maximum choice and control of their lives and staff did support them in the least restrictive way possible; the policies and systems in the service support this practice.
People had access to a range of health care professionals to help maintain their health.
People were treated with dignity and respect and their privacy was protected; a range of activities were available to provide people with leisure opportunities.
People were confident in reporting concerns to the registered manager or staff and felt they would be listened to and their concerns would be addressed.
There were effective systems in place to monitor and improve the quality of the service provided. Regular checks and audits were undertaken to make sure full and safe procedures were adhered to.
Staff told us they felt they had a very good team. Staff and people said the registered manager was approachable and communication had improved within the service.
Rating at last inspection:
At the last inspection the service was rated requires improvement (report published 11 April 2018) This service has been rated requires improvement in the last two inspections.
Why we inspected:
All services rated "requires improvement" are re-inspected within one year of our prior inspection. We carried out this inspection to check whether the necessary improvements had been made to the service.
Follow up:
We will continue to monitor this service. We plan to complete a further inspection in line with our re-inspection schedule for those services rated good.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk