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CQC report explained · a residential care home, run by Anchor

Millfield

Huddersfield Road, Waterhead, Oldham, OL4 3NN

Goodpublished 26 September 2023, 2 years ago

Rated Good: inspectors found the service performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Safeguarding, recruitment, risk management and infection control were found to be effective. Medicines were generally well managed, but inspectors found minor documentation problems that were corrected straightaway.
Effective?
Good
Staff had suitable training and supervision, and people received support with food, drink and healthcare. The home was well maintained and worked within the principles of the Mental Capacity Act.
Caring?
Good
Staff were kind, patient and respectful. People were supported to make everyday choices and remain as independent as possible.
Responsive?
Good
Care records were generally personalised and people had access to varied activities and support with communication. One person did not have a required catheter care plan, but the manager corrected this immediately.
Well-led?
Good
Inspectors found positive leadership, regular audits and a good team culture. The management team responded promptly to the improvements identified during the inspection.
The latest report, explained

What inspectors found, September 2023

Rated Good; inspectors found kind, effective care, with minor medicine-record and care-planning issues fixed promptly.

This was an unannounced inspection. Inspectors visited on 5 and 13 September 2023. They spoke with people living in the home, relatives and staff, observed care and a lunchtime meal, looked around the building, and checked care, medicine, recruitment and management records.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found safeguarding systems worked, staff were safely recruited, the home was clean, and infection-control practices were good.

People were supported by kind staff who respected privacy, dignity and independence. Inspectors also found good healthcare support, a choice of food, activities and a pleasant, well-maintained environment.

There were some minor problems with medicine records and one missing catheter care plan. These were corrected during the inspection. The home had also been rated Good at the previous inspection, published on 6 August 2018.

What inspectors praised
  • Kind and respectful care

    People were supported patiently and respectfully. Staff promoted privacy, dignity, choice and independence.

    Staff supported people carefully and patiently. Staff had chatty, positive interactions with people.from the report
  • Good safeguarding

    The home had systems for recognising, reporting and reviewing safeguarding concerns. Staff understood how to raise concerns.

    There was a system to document and report safeguarding incidents.from the report
  • Good food and choice

    People were offered home-cooked food, fresh fruit, baking and a wide choice of meals and desserts.

    Good quality 'home cooked' meals were provided, with home baking and fresh fruit available between meals.from the report
  • Activities and social life

    The home offered varied activities, trips, entertainment and opportunities for community involvement.

    There was a varied and interesting activities programme which included community involvement, intergenerational opportunities, visiting artists and entertainers and trips out.from the report
  • Good management

    The manager and senior staff carried out regular checks and acted promptly when inspectors identified issues.

    The management team responded promptly to the areas we found needed improvement on this inspection.from the report
What inspectors were concerned about
  • Medicine records

    needs fixing

    Inspectors found minor problems in medicine administration records and in recording the use of fluid thickener. These issues were corrected straightaway and steps were taken to prevent them happening again.

    We found some minor issues with the way staff documented information on the medicine administration records (MAR), and fluid thickener was not correctly documented when it was used.from the report
  • Missing catheter care plan

    needs fixing

    One person with a catheter did not have the required care plan in place. The manager corrected this during the inspection.

    However, one person who had a catheter did not have the required care plan in place.from the report
  • Mixed views about staffing

    minor

    Some people and relatives felt staffing was tighter at certain times, particularly in the mornings. Inspectors found no evidence of staffing problems during the inspection.

    There seem to be fewer staff in the mornings, and they seem more stretched than they used to be.from the report
Questions to ask them, based on this report
  1. 01How do you now check that medicine administration records and fluid-thickener records are complete?
  2. 02How do you make sure every person with a catheter has a current care plan?
  3. 03How many staff are usually on duty in the mornings, and how do you cover gaps?
  4. 04How are people and relatives involved in reviewing personalised care plans?
  5. 05Which activities would be suitable for my relative's interests, communication needs and abilities?

This was an unannounced inspection covering all five CQC key questions, including infection prevention and control; all five ratings remained Good. This explanation was written from the published report of 26 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.

The story over the years

Every inspection of Millfield

3 rated inspections over 9 years: the service has held its Good rating throughout.

  1. September 2023Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Millfield

  2. February 2021Inspected but not rated
    Safe: Inspected but not rated

    We are reading this report · the original is on cqc.org.uk

  3. August 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. January 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. November 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. September 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. November 2010

    Registered with the Care Quality Commission on 25 November 2010.

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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