Millfield House

This CQC inspection report for Millfield House provides an overview of the care provided by the home on October 27, 2022. The inspection assessed how well the service meets essential standards of quality and safety, focusing on five key questions: Safe, Effective, Caring, Responsive, and Well-led. The report details the inspectors' findings, highlighting areas of strength and areas requiring further development to ensure the best possible care for residents.

Regarding safety, inspectors noted that while medication management has improved, there are still gaps in detailed guidance for staff to manage various risks, such as choking or epilepsy, and during transfers. This lack of comprehensive information means that while staff generally know how to support residents, this knowledge might not be consistently available to new or agency staff, posing a potential risk.

In terms of effectiveness, the service is recognised for its good organisation and delivery of care. Residents and their families expressed satisfaction with the support received, with staff demonstrating a good understanding of individual needs and preferences. Care plans are personalised and regularly reviewed, focusing on residents' quality of life and aspirations, and staff effectively support communication needs.

The report indicates that the care provided is generally kind and compassionate. Staff are described as knowing residents very well, leading to consistent and personalised support. There is a low staff turnover, which contributes positively to the continuity of care and residents' well-being.

On responsiveness, the service has made significant improvements, now meeting residents' needs effectively through good organisation. Residents feel their preferences are understood and acted upon, and they are supported to achieve personal goals and develop new skills. There is also a clear process for raising concerns, and residents feel confident that their feedback will be addressed.

Finally, concerning leadership, the report highlights that while the registered manager possesses the necessary skills, there are ongoing issues with ensuring consistently high-quality, person-centred care. The lack of detailed guidance in care plans and risk assessments, identified in previous inspections, continues to be a concern, indicating that lessons from past findings have not been fully integrated into proactive improvements.