Millenium Care Limited - 89 Fox Lane

The home provides care and support for up to seven people with learning disabilities. At the time of this inspection there were seven people living in the home.

The home is a semi-detached house in Palmers Green, North London. There was a stairlift available but at the time of the inspection everybody was able to use stairs.

The care home was registered more than twenty years ago so before the development of "Registering the Right Support " and other best practice guidance. There was evidence that the service did support some of the values of Registering the Right Support. They supported the values of choice and inclusion which are two of the values underpinning Registering the Right Support so that people with learning disabilities and autism using the service can live as ordinary a life as any citizen.

At our last inspection on 8 and 20 March 2018 we rated the service good. At this inspection, on 14 and 21 November 2018, we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

Staff understood what safeguarding was and how to report any concerns about abuse.

We found some safety concerns in the home as there were no window restrictors to prevent falls from windows or covers on radiators to protect people from risk of burns. The provider reacted immediately to address these issues as soon as we raised them to ensure people were safe from harm.

People's personal risks were managed well though some risk assessments, personal emergency evacuation plans and care plans did not contain all the important information about the person.

Medicines were managed safely by trained staff who followed good practice.

Staff received regular supervision and training and an annual appraisal. Staff said they worked well as a team and were supported by the registered manager.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People had support to eat a healthy balanced diet. Those with swallowing difficulties received the right support from staff with eating.

Staff knew people well and were able to understand their needs and wishes. People were able to follow their interests and took part in activities outside the home that they enjoyed.

Complaints were managed well. The homes had effective quality assurance systems in place including audits of medicines management and annual quality audits. There was evidence of continuous learning and improvement.

We have made three recommendations regarding risk assessments, evacuation plans and care plans containing sufficient information about the person; medicines and ensuring people's communication needs are more detailed in care plans.

The five questions we ask about services and what we found