Middleton Hall Retirement Village

Middleton Hall Retirement Village is set in substantial grounds and provides a range of accommodation and care packages. Not everyone who lives in Middleton Hall Retirement Village requires personal or nursing care. Within the grounds are bungalows and apartments for fully independent people, who have access to the on-site facilities. CQC only inspects where people receive personal care. Support is provided across four distinct areas, with each area having its own facilities. Middleton Court provides nursing care. Middleton Oaks provides care and support for people living with a dementia related condition and is divided into two inter-linked bungalows. Middleton Gardens provides residential care with a choice of care packages to meet people's needs and preferences. Middleton Grove provides apartments for people who are largely independent but who may require some personal care support. At the time of our inspection, 14 people were living in Middleton Grove, 3 of whom required personal care.

Improvements had been made to people's care plans and risk assessments. The provider had implemented a new electronic care plan system. The care plans and risk assessments were up to date, comprehensive and personalised.

People said they felt safe and well cared for. There were enough staff on duty to meet people's needs and keep people safe. Staff were recruited safely. The home had robust safeguarding policies in place and staff understood their safeguarding responsibilities.

Since the last inspection improvements had been made with regard to assessments under the Mental Capacity Act. Some carers did not fully understand best interests decisions and we have made a recommendation about additional training in this area.

People were supported to eat and drink enough to maintain a balanced diet. Since the previous inspection, people had more choice about their food and drink and people had opportunities to give feedback. Staff were aware of individual residents' nutritional needs.

People's individual choices and preferences were recorded in their care plans. Staff had completed training in all core areas identified as mandatory by the provider and additional training was available on their

online training system.

Since the last inspection, the provider had made improvements and had implemented and maintained effective procedures to review the quality of the service. The provider had a regular system of supervision, spot checks, and appraisals.

The provider encouraged and welcomed feedback from people and staff. Staff felt well supported by the management team and spoke positively about their roles. The provider's visions and values were person- centred and focused on continuous improvement and providing good quality care.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.