Millbridge Care Home

Updated 5 July 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. 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 Care Act 2014.

Inspection team

One inspector, an assistant inspector and an expert by experience carried out this 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, which for this inspection was the care of adults, some of whom were living with dementia.

Service and service type

Millbridge Care Home is a care home. People in care homes receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The service had a manager who had applied to become the registered manager. The service is required to have 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. Inspection site visit activity took place on 11 June 2019.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. This included details about incidents the provider must notify us about and we sought feedback from the local authority who pay for the care of some of the people using the service. 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 used all this information to plan our inspection.

During the inspection

We spoke with six people who used the service and three relatives. We also spoke with eight members of staff including the registered manager, deputy manager, and three carers. We looked at records in relation to people who used the service. We also looked at records relating to the management of the service, policies and systems for monitoring quality.

Updated 5 July 2019

About the service

Millbridge Care Home is a residential care home providing personal and nursing care to 27 people aged 65 and over at the time of the inspection. The service can support up to 53 people. The care home supports people in two adjoining wings, both of which have multiple floors. At the time of the inspection, one wing was closed and undergoing extensive renovation which was nearing completion.

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

There was enough staff on duty to enable people to remain safe and receive care in a timely way. The environment was safe, and people had access to appropriate equipment where needed. People were supported to take their medicines safely.

Staff had received appropriate training and support to enable them to carry out their role safely. Support was provided to people so that their health was well managed, and staff had positive links with healthcare professionals which promoted wellbeing for them. 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.

Staff sought peoples consent before providing them with care and worked within the guidelines of the Mental Capacity Act 2005.

Staff were kind and caring and promoted people’s dignity. Staff understood the importance of treating people with respect and ensured they did this.

People’s records clearly identified support needs and preferences. Staff provided effective care for people which met their needs through person-centred care planning. Records accurately reflected the care that people had received. People actively participated in a range of enrichment activities. Complaints were managed in line with the providers stated procedure. People at the end of their lives were cared for to ensure they remained comfortable and supported in line with their own planned wishes.

Information from audits, incidents and quality checks was used to drive continuous improvements to the service people received. Staff were motivated and enjoyed strong team work, they felt well supported by the manager. People and their relatives told us that the manager and provider were visible, open and approachable.

Rating at last inspection

The last rating for this service was Good (Published 23 November 2016)

Why we inspected

This was a planned inspection based on the previous rating.

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.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Millbridge Care Home on our website at www.cqc.org.uk.