CQC report explained · a residential care home
What the CQC found at The Millings
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- Inspectors were assured that infection risks were being managed, including PPE, testing, safe admissions, cleaning, social distancing and outbreak planning.
- Effective?
- Outstanding
- This area was not assessed in this targeted inspection.
- Caring?
- Outstanding
- This area was not assessed in this targeted inspection.
- Responsive?
- Outstanding
- This area was not assessed in this targeted inspection.
- Well-led?
- Outstanding
- This area was not assessed in this targeted inspection.
What inspectors found, March 2021
The Millings: Inspected but not rated; inspectors were assured that infection risks were being managed during the pandemic.
This was an announced, targeted inspection on 25 February 2021. It looked only at infection prevention and control measures during the coronavirus pandemic.
Inspectors were assured that the home was using PPE safely, arranging testing, supporting safe admissions and managing visiting arrangements. They also found social distancing, extra cleaning and infection control training for staff.
The home was inspected but not rated. This means the report does not give an overall quality rating or a rating for the other four areas inspectors normally consider.
PPE and testing
The home had supplies of PPE, safe areas for using it and arrangements for testing people and staff.
“We were assured that the provider was using PPE effectively and safely.” from the report
Safe visiting
Visits took place in a designated indoor visiting pod, with cleaning arrangements in place.
“People were supported to receive organised visits from relatives in a designated safe indoor 'visiting pod' area with robust cleaning procedures in place.” from the report
Activities and contact
Staff adapted activities for smaller groups, one-to-one support and people who were isolating. Technology was also used to help people keep in touch.
“Staff supported people's social and emotional wellbeing. Meaningful activities were adapted and taking place in smaller groups” from the report
Cleaning and training
Extra cleaning was recorded, and staff completed infection control training and checks on using PPE.
“Additional cleaning of all areas and frequent touch surfaces was in place and being carried out and recorded regularly” from the report
Inspectors raised no specific concerns in this report.
- 01What arrangements are now in place for visitors, and is the indoor visiting pod still being used?
- 02How do you currently test people living here and staff for infections?
- 03How do you check that staff are still using PPE and following infection control procedures correctly?
- 04What activities and support are available for people who need to isolate or cannot join group activities?
- 05How often are communal areas and frequently touched surfaces cleaned and checked?
This was a targeted inspection of infection prevention and control only; the service was inspected but not rated and the other areas were not assessed. This explanation was written from the published report of 20 March 2021 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, May 2019
Rated Outstanding; inspectors found exceptional, personalised care, with safety rated Good.
This was an unannounced inspection on 15 April 2019. One inspector reviewed care records, medicines records, staff recruitment and training, complaints, incidents and quality checks. They spoke with people living in the home, family members, staff, managers and healthcare professionals.
The home was rated Outstanding overall. Effective care, kindness, responsiveness and leadership were all rated Outstanding. Safety was rated Good. Inspectors found people were safe, treated with dignity, involved in decisions and supported to maintain their interests, independence and community links.
The report describes strong partnership working and new ideas. A falls huddle was linked to a 45% reduction in falls over 12 months. An online healthcare consultation system also reduced some GP and ambulance calls. The previous overall rating was Outstanding, and the report says the home improved its rating in two key questions and achieved Outstanding in four key questions.
Personalised relationships
People were treated as individuals and were matched with two care partners based on shared interests and hobbies.
“Each person was allocated two 'care partners,' one for during the day and one for overnight based on shared interests and hobbies.” from the report
Falls prevention
A falls huddle was introduced with a university partner. Inspectors reported that falls reduced significantly over 12 months.
“This initiative had a significant and positive impact on people and reduced the number of falls by 45% over a twelve-month period.” from the report
Community involvement
People were supported to continue hobbies, attend local events, work with community groups and keep relationships through technology.
“Arrangements for social activities, and voluntary work, were innovative, met people's needs, and enabled people to live meaningful lives whilst contributing to their community.” from the report
Open leadership
Inspectors found strong leadership, regular quality checks and a culture where feedback was welcomed and acted on.
“The registered manager had established a culture where constructive feedback and challenge was welcomed, listened to and responded to.” from the report
Inspectors raised no specific concerns in this report.
- 01Would my relative have two named care partners, and how would you match them to their interests and personality?
- 02How do you monitor falls now, and have the improvements from the falls huddle continued?
- 03How does the online healthcare consultation system work, and how would my relative and family be involved in decisions?
- 04How would you record and review my relative's wishes about end-of-life care?
- 05How will you make sure my relative and our family know how to complain and what to do in an emergency?
This was an unannounced scheduled inspection that looked at the premises and care across all five CQC questions. This explanation was written from the published report of 23 May 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.
Every inspection of The Millings
2 rated inspections over 3 years: the service has held its Outstanding rating throughout.
- March 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- May 2019Outstandingstayed OutstandingSafe: GoodEffective: OutstandingCaring: OutstandingResponsive: OutstandingWell-led: Outstanding
- October 2016OutstandingSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Outstanding
- November 2014
Report published without a new overall rating.
- March 2014
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- December 2011
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 23 November 2010.
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.
Weigh the report against the rest
Fees, photos and reviews from families
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28 live-in carers within about an hour of North Yorkshire
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 £1,010 to £1,290 a week. 27 can care for a couple. 12 years' experience on average.
“Carla has been a god send with the implementation of bringing mum back home from respite care.”
“She was always 'just present enough': attentive, available, kind and engaging, but without ever over-stepping any boundary”
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.