CQC report explained · a nursing home, run by Advinia Healthcare
Mill View Care Home
Bridgeman Street, Bolton, BL3 6SA
Rated Requires improvement: inspectors found the service was not performing as well as it should and told it what to change.
What inspectors found, September 2023
Requires Improvement; inspectors found positive care but unsafe medicines management and weaknesses in staffing and oversight.
This was an unannounced focused inspection on 16 and 17 August 2023. Inspectors spoke with 24 people, 8 relatives and 20 staff. They reviewed care records, risk assessments, medicines records and the home's monitoring systems.
People generally said they felt safe and spoke positively about the care and staff. The home was clean, infection control was effective, safeguarding processes were followed, and accidents and falls were recorded and reviewed.
Inspectors found medicines were not always given as prescribed. Some medicines were unavailable, stock records did not always match the electronic records, and thickened fluids were not recorded accurately. Staff were also very busy, with limited time for activities.
The overall rating changed from Good at the previous inspection to Requires Improvement. Safe and Well-led were both rated Requires Improvement. The other three question ratings were not inspected and carried over from the previous comprehensive inspection.
Kind and caring staff
People and relatives generally spoke positively about the care and staff. They said staff were approachable and caring.
“I couldn't be happier. The staff are kind and caring.” from the report
Clean environment
Inspectors found the home clean and found effective cleaning and infection control arrangements.
“The home was clean with effective cleaning and infection control processes in place.” from the report
Safeguarding and risk management
Safeguarding concerns were reported correctly. Risk assessments, safety checks, and reviews of accidents and falls were in place.
“Accidents, incidents and falls had been documented on the providers electronic monitoring system, which included actions taken and outcomes.” from the report
Positive communication
Relatives said they were listened to and kept informed about accidents and changes to care. Meetings had become more consistent.
“If anything goes wrong, such as [relative] has an accident, they ring me up and keep me informed.” from the report
Medicines were not always safe
seriousSome medicines were not given at the prescribed time, some were unavailable, and stock records did not always match the electronic records. Thickened fluids were also not recorded accurately, so inspectors could not be sure they were given or consumed safely.
“Medicines were not always managed safely. We found some medicines had not been administered as prescribed.” from the report
Staff time and activities
needs fixingThe staffing system did not include all the tasks staff were expected to do. Inspectors saw limited activities and heard that staff often did not have enough time to provide them.
“Activities are minimal, they are left for us, but not enough time to do them as there's always another care task to do” from the report
Quality checks missed problems
needs fixingThe home's audits had not identified the medicines and activity shortfalls. Inspectors also found gaps in some monitoring charts.
“Although the majority of issues we identified on inspection were already included on the SIP, the issues with medicines management and the lack of activities had not been identified.” from the report
Feedback was not followed up clearly
minorThe home collected people's views but did not have a system to tell people and relatives what action had been taken in response.
“There was currently no system in place for providing feedback to people and relatives on what actions had been taken to address any issues or act on suggestions.” from the report
- 01What changes have been made to ensure time-specific medicines are given at the correct times?
- 02How do you check that medicines are available and that stock matches the electronic medicines records?
- 03How are thickened fluids now recorded, and how do you check they are given safely?
- 04How many staff and activity staff are available on each unit, and how will residents receive regular activities?
- 05How will you identify problems through internal audits and report back to residents and relatives about their feedback?
This was a focused inspection of Safe and Well-led only; the other ratings carried over from the previous comprehensive inspection. This explanation was written from the published report of 20 September 2023 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Mill View Care Home
4 rated inspections over 5 years: the service has held its Requires improvement rating throughout.
- September 2023Requires improvementcurrent ratingdown from GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- January 2022GoodSafe: GoodWell-led: Good
- July 2021Inspected but not ratedSafe: Inspected but not rated
- December 2019Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2019Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- November 2017
Registered with the Care Quality Commission on 30 November 2017.
Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.
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Other services run by Advinia Care Homes Limited
9 other services on the CQC register. A pattern across a group tells you more than one report.