CQC report explained · a residential care home
What the CQC found at Milton Residential Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People told inspectors they felt safe. Risk assessments, safeguarding arrangements, staffing checks, fire checks, infection control and medicine systems were found to be in place.
- Effective?
- Good
- People's mental health, physical and social needs were assessed. Staff were trained and worked with health and social care professionals to support people's needs.
- Caring?
- Good
- People said staff were kind, respectful and helpful. Staff supported privacy, dignity, independence and involvement in decisions.
- Responsive?
- Good
- Care plans reflected people's preferences, needs and communication requirements. People were supported with activities, work, relationships and community interests.
- Well-led?
- Good
- Inspectors found clear leadership, positive relationships and systems for checking quality. Actions from checks, accidents and incidents were used to improve care.
What inspectors found, November 2019
Milton Residential Care Home was rated Good; inspectors found safe, kind and personalised care with strong staff consistency.
This was an unannounced inspection on 18 October 2019. One inspector met five people, spoke with three staff members and reviewed care, medicine, recruitment and management records.
The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe and well supported. Staff understood their needs, routines and preferences.
Inspectors found safe medicine systems, suitable training, clear care plans and regular checks on care and safety. People were involved in their care, supported to stay independent, and encouraged to keep links with relatives, friends and the wider community.
The previous inspection was also rated Good, in a report published in March 2017. End of life care was not reviewed because nobody was receiving it at the time.
Stable staff team
The home had a consistent staff team and did not use agency staff. Inspectors said staff knew people well and understood their individual needs and routines.
“There was a very consistent staff team and no use of agency staff. There was enough staff on duty at any time and they knew people well” from the report
Personalised care
Care plans included people's needs, preferences, likes, dislikes and choices. People were involved in developing and reviewing their plans.
“Care plans were consistently completed and contained clear information about people for their individual needs to be met.” from the report
Safe medicines
Trained staff supported people with medicines. Inspectors found systems for ordering, storing, giving and disposing of medicines safely.
“There were effective systems in place which ensured medicines were ordered, stored, administered and disposed of safely.” from the report
Kind and respectful care
People described staff as friendly, caring and helpful. Inspectors observed staff speaking to people supportively and respectfully.
“The staff team are all very very good they keep the place clean and tidy, they are always keen to help, if you want to do anything.” from the report
Support for independence
People were supported to make choices, manage aspects of daily life and take part in work, volunteering, sport and trips.
“People were well supported to develop and maintain relationships and to take part in activities that were socially and culturally relevant to them.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you assess and support my relative's mental health, physical health and social needs?
- 02How do you maintain continuity of care, and what happens if a regular staff member is unavailable?
- 03How will my relative be involved in reviewing their care plan and risk assessments?
- 04What activities, work or community opportunities could be offered to my relative?
- 05How would you support someone receiving end of life care, which this inspection did not review?
This was an unannounced inspection covering all five CQC questions; end of life care was not reviewed because nobody was receiving it at the time. This explanation was written from the published report of 16 November 2019 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, March 2017
Milton Residential Care Home rated Good; inspectors found safe, caring and personalised support, with only a minor need to improve room management.
This was a comprehensive, announced inspection on 4 March 2017. One inspector spoke with four people, two staff members and the registered manager. They checked two care plans, medicine records, staff records, incident reports and quality checks.
The home supported four people, although it was registered for up to seven people with mental health support needs. Inspectors found enough staff, suitable risk plans, safe medicines practices and a clean, well-maintained environment. People said they felt safe.
Inspectors found that people were supported to make choices and become more independent. Staff understood people's needs, involved them in their care and supported activities such as work, college, family contact and hobbies.
All five areas were rated Good. The home had also been rated Good at the previous inspection, so the overall rating remained unchanged.
People felt safe
People told inspectors they felt safe. Staff understood safeguarding and knew how to report concerns.
“People told us they felt safe living at the service.” from the report
Support for independence
The home helped people make choices and manage parts of their daily lives, including shopping, cooking and activities.
“People are encouraged to be as independent as possible.” from the report
Personalised care
Care plans recorded what mattered to each person and how staff should support them. People were helped to pursue individual goals and maintain family contact.
“Each person's care plan included profiles agreed with their keyworker and included what was important to the person and how best to support them.” from the report
Kind relationships
Inspectors found a small, committed team that understood people's preferences and offered support when needed.
“Our observations showed that good relationships had been established between staff and the people they provided care for.” from the report
Room management needed improvement
minorThe manager's checks found that people's room management needed to improve. The report does not give further detail about the problem or the action taken.
“This included the need to improve people's room management.” from the report
- 01What did the home mean by improving people's room management, and what has changed since the inspection?
- 02How will you assess and update the risk plan for my relative's specific needs?
- 03How will my relative be involved in choosing activities and setting independence goals?
- 04How are medicines checked if a person is supported to self-medicate?
- 05How often will my relative's care plan be reviewed, and who will be involved?
This was a comprehensive, announced inspection covering all five areas of quality; the home was supporting four people at the time and the previous overall rating was also Good. This explanation was written from the published report of 29 March 2017 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 Milton Residential Care Home
3 rated inspections over 5 years: the service has held its Good rating throughout.
- November 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Milton Residential Care Home →
- March 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Milton Residential Care Home →
- April 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- March 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 18 January 2011.
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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40 live-in carers within about an hour of Bristol, City of
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 £1,020 to £1,300 a week. 34 can care for a couple. 11 years' experience on average.
“She became a good friend to my mother in law, chatting with her, dancing with her, knitting with her and the list goes on”
“She was very caring, kind and patient to all his needs, she built up a wondetful rapport with him, she was dedicated and was there for him through good times as well as through the tough times”
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.