Mickle Hill

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

At the time of inspection over 160 people were living at Mickle Hill and 3 people were receiving the regulated activity of personal care.

People received initial assessments of their needs and information was used to formulate care plans for staff to use as a point of reference when supporting people. However, information was not always completed consistently putting people at risk of harm. People's views and preferences were recorded but people were not always aware of all their choices and some preferences were not met due to staffing restrictions.

Staff did not always have access to clear information to communicate with people. Information to ensure people received effective communication was not robustly completed or updated following guidance under the Accessible Information Standard.

The provider was actively recruiting staff with interim contingency plans in place to ensure people's needs were met.

People told us they felt safe with the staff who supported them. Staff were clear on types of abuse to look out for and how to raise their concerns when required. Processes ensured any incidents were routinely investigated with outcomes and actions implemented.

Where people required support to take their medicines this was completed safely as prescribed. The provider worked closely with other health professionals and supported people with any required referrals to maintain their health and wellbeing.

Staff were safely recruited into their roles and were supported with a range of training and support to carry out their duties. This included observations of their practice and regular supervisions.

Staff had good access to personal protective equipment to manage the risks associated with the spread of

infection including COVID-19 and adhered to government guidance to protect people.

People told us they were happy with the service they received. They told us they were confident in approaching staff and the registered manager with any concerns and that any feedback or suggestions would be responded to.

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. People told us they felt a part of the community where they lived and enjoyed good access to a range of relevant activities.