Millpool

Harleston is a residential care home providing personal care and support and is registered to support up to 1 person. The service provides support to people with a learning disability, and or autistic people. At the time of our inspection there was 1 person living at the service.

People's experience of using this service and what we found: 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. We were confident people had received a well-planned, safe service over the last twelve months.

Right Care

The person being supported lived in a comfortable, clean environment which was safe. They were supported by the registered provider daily for both their care needs and social support. They regularly accessed social activities and were involved in their local community. The registered provider supported the person to maintain contact with their family and friends who they had previously known from a local day centre.

Right Culture

The provider had the knowledge and skills to carry out their roles and responsibilities. We found them very responsive to our feedback and immediately addressed any issues raised. The culture within the home was positive and we were confident that the persons dignity, privacy and independence were fully promoted.

Right Support

The person was supported to access health care appointments to ensure they remained in good health. Their health and medicines were monitored and regularly reviewed, and they received a healthy well-balanced diet.

The person received personalised care, and this was clearly documented. Risks associated with their care were clearly established and mitigated as far as reasonably possible.

The person was able to communicate in a limited way and was able to make their day to day care needs known. However, for bigger decisions they would need considerable support. Decisions taken in their best interest had been discussed with relevant professionals but not recorded to show what decision had been reached and how this was in the persons best interest.

Written consent for the persons care and support was not on file. We asked the provider to address this.

As an outcome of our inspection findings, we have made a number of recommendations in our report around mental capacity decisions and training.

Rating at last inspection

The last rating for the service was good (published 30 September 2017).

Why we inspected

This inspection was prompted by a review of the information we held about this service. The service has been registered for over 20 years but there has been a recent change in registration, change of location name and address on 08 April 2022 so this was the first inspection of a newly registered location.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively. As this is a domestic property with only one person being supported we did not ask to see audits or any other paper work in regards to the premises as we were able to see very high standards of cleanliness were maintained throughout and furniture was in a good state of repair.

The overall rating for this inspection was good. For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection good.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.