Mickley Hall

The management team conducted audits and checks to further ensure the quality and safety of services provided to people. The operation of the quality assurance processes had significantly improved and actions arising from audits were being recorded and progressed.

There had been significant improvements to ensure risks identified with people's health, medical and care needs had been assessed and documented. There was clear guidance on how to minimise the risk to keep people safe. People received their medicines safely and as prescribed. Systems and processes were in place to keep people safe.

The premises were clean and there was good infection control practice in place.

There was a friendly atmosphere at Mickley Hall, and we saw people looked well cared for.

Staff were recruited safely, and staffing levels and deployment of staff had improved to keep people safe and to meet their care needs. Staff were receiving appropriate training, which was relevant to their role and people's needs. Staff were supported by the management team and were receiving formal supervisions where they could discuss their on-going development needs.

People were supported to eat a healthy balanced diet. The dining area had been refurbished and was more 'homely' and the dining experience for people had improved. A range of meaningful activities were on offer to keep people occupied, according to their individual interests. Complaints and concerns were well managed.

People were supported and encouraged to achieve positive outcomes. The model of care helped to maximise people's choice, control and independence. People's own rooms were personalised. The care people received was more person-centred and promoted people's dignity.

Although we found significant improvements had been made since the last inspection, further time was required to ensure that new systems were fully embedded, and consistency of improved practice was evidenced.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk