CQC report explained · a nursing home
What the CQC found at Millfield Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home was preventing infections, admitting people safely, using PPE correctly and managing outbreaks. They also found suitable arrangements for testing, cleaning, visiting and social distancing.
- Effective?
- Good
- Does the care work? Training, consent, food and drink, working with GPs and nurses.
- Caring?
- Good
- Are people treated with kindness and dignity?
- Responsive?
- Good
- Is care built around the person? Care plans, activities, complaints.
- Well-led?
- Good
- Is the home run well? The manager, the culture, how problems get found and fixed.
What inspectors found, October 2020
Millfield Care Home was inspected but not rated; inspectors found good infection control arrangements.
This was an announced, targeted inspection on 20 October 2020. It looked only at infection prevention and control during the coronavirus pandemic.
Inspectors found that people were admitted safely and that units were kept separate to reduce the spread of infection. People who were isolating had dedicated staff to support their care, meals and social needs.
The home was clean. Inspectors found suitable arrangements for personal protective equipment, handwashing, testing, social distancing, visiting and managing infection outbreaks.
No rating was given because this was a focused review of infection control. The service was recorded as inspected but not rated, including for safety.
Separate units
Each unit was kept separate, with no movement of staff or residents between units. This was intended to reduce cross infection.
“Each unit was separated to prevent cross infection.” from the report
Dedicated support during isolation
People isolating in the inspected unit had dedicated staff who supported their care, meals and social needs.
“People isolating in Birtle unit had their own dedicated staff who provided a support bubble to support all their needs, including their meals and social support.” from the report
PPE and handwashing
Inspectors found that national guidance was followed for PPE. Signage and staff training supported correct PPE use and handwashing.
“There was clear signage on the correct use of PPE and handwashing techniques and staff had received appropriate infection control and prevention training.” from the report
Clean environment
The environment was very clean, with extra cleaning of surfaces that people frequently touched.
“The environment was very clean. Additional cleaning was taking place including of frequently touched surfaces.” from the report
Planned visiting arrangements
The home had a detailed process for safe visits, including booking, health screening, PPE and social distancing. Video calls were being used while local visiting restrictions applied.
“A detailed risk assessment was in place for ensuring safe visits, this included a booking system, to allow for social distancing, visitor agreement form, health screening and use of PPE.” from the report
Inspectors raised no specific concerns in this report.
- 01How are units kept separate now, and are staff or residents moved between units?
- 02How do you support people who need to isolate, including with meals and social contact?
- 03How do you check that staff are using PPE and following handwashing guidance?
- 04What testing is available for residents and staff, and how are possible outbreaks managed?
- 05What are the current visiting arrangements, including screening, PPE and alternatives such as video calls?
This was a targeted inspection of infection prevention and control only; no ratings were given for the other areas of care. This explanation was written from the published report of 23 October 2020 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, April 2018
Millfield Care Home was rated Good; inspectors found safe, kind and personalised care, with staffing levels needing continued monitoring.
The inspection was unannounced and took place on 12 March 2018. Inspectors spoke with people living there, relatives, staff and managers. They looked around all units and checked care records, medicines, recruitment files, training and management records.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe and staff were kind. Inspectors found complete medicine records, detailed care plans, suitable training, regular activities and systems for handling complaints and checking quality.
The home had enough staff on the inspection day, but inspectors said staffing should be kept under review because some people had high nursing and personal care needs. The manager was also still registering with the CQC after a change of provider.
Safe medicines
Inspectors found safe medicine systems and complete, up-to-date records across the nursing units.
“Medicines systems were safe and records were complete and up to date.” from the report
Kind interactions
People and relatives spoke positively about staff, and inspectors observed friendly and relaxed care.
“We observed friendly and relaxed interactions between staff and people who used the service throughout the day.” from the report
Detailed care planning
Care plans included people's preferences, backgrounds and care needs. Inspectors found them detailed and regularly reviewed.
“Care plans we looked at were person-centred and very detailed.” from the report
Activities and choice
The home offered activities, outings and events. People could express preferences about daily routines, food and the gender of their carer.
“There was a range of activities, outings and events on offer at the home.” from the report
Quality checks
The home used audits, meetings and feedback to monitor accidents, complaints, safeguarding and other areas of care.
“There were a number of regular audits in place, including medicines audits, health and safety audits, staff competency checks and documentation reviews.” from the report
Staffing for complex needs
needs fixingStaffing was sufficient on the inspection day, but inspectors said it should be monitored continually because some people had significant nursing needs and needed two staff for personal care.
“On the day of the inspection staffing levels were sufficient to attend to these needs, but we discussed the need for staffing levels to be continually monitored due to the high level of needs.” from the report
- 01How do you monitor staffing levels when people have complex nursing needs or need two staff for personal care?
- 02How often will my relative's care plan be reviewed, and how will I be invited to take part?
- 03How do you make residents' and relatives' meetings accessible to people who have difficulty hearing or communicating?
- 04What progress has been made with the manager's CQC registration since this inspection?
- 05How do you record and act on complaints, suggestions and feedback from residents and relatives?
This was an unannounced inspection covering all five areas, with inspectors visiting all units and checking care, medicines, staffing, training and management records. This explanation was written from the published report of 11 April 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Millfield Care Home
Each visit the CQC has published, newest first, back to the day the home was registered.
- October 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- April 2018GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2017
Registered with the Care Quality Commission on 18 October 2017.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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At least 100 live-in carers within about an hour of Rochdale
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,260 a week. 92 can care for a couple. 11 years' experience on average.
“Primrose is a very kind and compassionate healthcare professional”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.