Background to this inspection
Updated
30 July 2022
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.
Inspection team
Two inspectors and an Expert by Experience carried out the inspection. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
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
We gave a short period notice of the inspection. This was because the service is small and people are often out and we wanted to be sure there would be people at home to speak with us
Inspection activity started on 14 June 2022 and ended on 04 July 2022. We visited the office location on 14 June and visited people’s homes on 14 and 16 June 2022.
What we did before inspection
We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
We reviewed information we held about the service including information about important events which the service is required to tell us about by law. We requested feedback from other stakeholders. These included the local authority safeguarding team, commissioning team, and Healthwatch Wakefield. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with three people who used the service and two relatives about their experience of the care provided. People who used the service used different ways of communication such as verbal communication, pictures, symbols and their body language.
We spoke with thirteen members of staff including the registered manager and the nominated individuals. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
We reviewed a range of records. This included four people’s care records and three people’s medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We continued to gather feedback from relatives.
Updated
30 July 2022
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
About the service
Millennium care provides care and support to people living in their own flats and homes within a supported living setting so they can live as independently as possible. The service provides support to people with a learning disability and autistic people who may have mental health needs. At the time of our inspection, there were thirty-eight people using the service.
Not everyone who uses this type of service would receive personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.
People’s experience of using this service and what we found
Right Support
¿ People were respected and valued as individuals.
¿ Care was planned and delivered following an equality, diversity and human rights approach which encouraged people to achieve their desired outcome.
¿ People were directly involved in planning and reviewing their care.
¿ People were supported to engage in activities and to socialise.
¿ Staff understood equality and diversity and promoted these.
¿ 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.
Right Care
¿ People were positive about the care and support received.
¿ People’s communication needs were assessed and met. Staff knew people well and how to communicate with them.
¿ Risks to people's care were assessed and actions put in place to manage them.
¿ The management team were aware of their safeguarding responsibilities; appropriate referrals had been made when required.
¿Medicines were administered safely. Staff understood the organisation's medicines policy and followed it to ensure people received their medicines safely. Incidents and accidents were managed in a way that ensured lessons were learnt to prevent reoccurrence.
Right culture
¿ People were treated with dignity and respect.
¿ People were given choice about their care and support.
¿ People were confident to raise any concerns with staff.
¿ The staff were kind and caring to people and relatives.
¿ Staff were offered relevant training and ongoing support that was flexible and tailored to staff’s needs and people’s changing circumstances and interests.
¿ The management team were knowledgeable and passionate about delivering quality care centred around people's needs and preferences.
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 on 4 July 2019).
Why we inspected
We undertook this inspection to assess that the service is applying the principles of Right support right care right culture.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.