# Mickle Hill

*Operated by Rangeford Care Limited.*

Mickle Hill is a CQC-regulated home-care agency in Pickering.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Requires improvement |
| Safe | Requires improvement |
| Effective | Good |
| Caring | Good |
| Responsive | Requires improvement |
| Well-led | Requires improvement |

Rating published: 13/05/2023

## Practical info

- Postcode: YO18 7EX
- Registered manager: Green, Gillian
- Local authority: North Yorkshire
- Region: Yorkshire & Humberside
- City: Pickering
- Last CQC check: 13/May/2023 - 00:00

## Inspection findings

### caring

- Finding
  - Supporting people to express their views and be involved in making decisions; Respecting privacy, dignity, and independence
  - Published: 2023-06-10
- Finding
  - Ensuring people are well treated and supported, respecting equality and diversity
  - Published: 2023-06-10

### effective

- Finding
  - Staff working with other agencies; Supporting people to live healthier lives
  - Published: 2023-06-10
- Finding
  - Supporting people to eat and drink enough to maintain a balanced diet
  - Published: 2023-06-10
- Finding
  - Staff support: induction, training, skills, and experience
  - Published: 2023-06-10
- Finding
  - Assessing people's needs and choices; Delivering care in line with standards, guidance and the law
  - Published: 2023-06-10
- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2023-06-10

### Other

- Finding
  - Evidence: Complaints processes were accessible in multiple formats and people felt confident raising concerns.
  - Published: 2023-06-10
- Finding
  - Evidence: Infection prevention and control measures were effective with good PPE access.
  - Published: 2023-06-10
- Finding
  - Evidence: People were treated with dignity and respect and were involved in planning their care.
  - Published: 2023-06-10
- Finding
  - Evidence: People had good access to healthcare professionals and staff worked effectively with other agencies.
  - Published: 2023-06-10
- Finding
  - Evidence: Staff received relevant training, regular supervisions, and competency spot checks including medicines observations.
  - Published: 2023-06-10
- Finding
  - Evidence: Safe recruitment practices were followed including DBS checks.
  - Published: 2023-06-10
- Finding
  - Evidence: Medicines were administered safely with electronic MAR records checked for accuracy and PRN protocols in place.
  - Published: 2023-06-10
- Finding
  - Evidence: People felt safe and staff were proactive in identifying ways to keep them safer; safeguarding training was in place and incidents were routinely investigated with lessons learnt.
  - Published: 2023-06-10
- **person_centred_care** _(minor)_
  - Evidence: most people felt they did not have a say in who their carer's were and were not aware they could have a choice.
  - Published: 2023-06-10
- **communication_with_families** _(moderate)_
  - Evidence: the information was not always up to date and failed to record changes and deterioration in people's ability to communicate.
  - Published: 2023-06-10
- **care_planning** _(moderate)_
  - Evidence: Care records were not well organised and included important omissions and outdated information. There was no meaningful process to ensure support was responsive to meet people's needs.
  - Published: 2023-06-10

### responsive

- Finding
  - Improving care quality in response to complaints or concerns
  - Published: 2023-06-10
- Finding
  - Supporting people to avoid social isolation; support to follow interests and activities
  - Published: 2023-06-10
- Finding
  - Meeting people's communication needs
  - Published: 2023-06-10
- Finding
  - Planning personalised care to ensure people have choice and control
  - Published: 2023-06-10

### safe

- Finding
  - Preventing and controlling infection
  - Published: 2023-06-10
- Finding
  - Using medicines safely
  - Published: 2023-06-10
- Finding
  - Systems and processes to safeguard people from the risk of abuse; Learning lessons when things go wrong
  - Published: 2023-06-10
- Finding
  - Staffing and recruitment
  - Published: 2023-06-10
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2023-06-10

### well_led

- Finding
  - Continuous learning and improving care; working in partnership with others
  - Published: 2023-06-10
- Finding
  - Duty of candour; openness and honesty when things go wrong
  - Published: 2023-06-10
- Finding
  - Managers and staff clear about roles; quality performance, risks, and regulatory requirements; promoting positive culture
  - Published: 2023-06-10

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-11910148161

HomeCare Compass is an independent guide and is not affiliated with the CQC.