CQC report explained · a nursing home
What the CQC found at Meadow House Nursing Home
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Risks were assessed and reviewed, there were enough staff, medicines were managed safely, and lessons were learned from incidents.
- Effective?
- Good
- Staff had the knowledge and training to provide effective care. People received suitable support with food, health needs and communication, although some corridor areas had worn paintwork.
- Caring?
- Outstanding
- Staff were exceptionally kind, respectful and compassionate. People were involved in decisions, treated as individuals and supported to develop their independence.
- Responsive?
- Outstanding
- Care was highly personalised and adapted to people's needs, interests and communication methods. The home provided varied activities, supported contact with relatives and planned end-of-life care.
- Well-led?
- Good
- The home had open and inclusive leadership, strong teamwork and robust quality checks. People influenced how the home was run, and managers acted on feedback.
What inspectors found, April 2019
Meadow House Nursing Home was rated Outstanding; inspectors found exceptionally caring and responsive support, with some worn areas needing refurbishment.
This was an unannounced, planned inspection on 28 February 2019. Inspectors reviewed records, spoke with people, relatives, staff and healthcare professionals, observed care, and checked the building and medicines.
The home was rated Outstanding overall. Caring and Responsive were Outstanding. Safe, Effective and Well-led were Good. Inspectors found kind and individualised care, good staffing and medicines arrangements, and strong support for people's independence.
People were involved in decisions about their care and in running the home. Inspectors also found that the home learned from incidents and had systems to monitor quality. Some corridor paintwork was worn, and healthcare professionals mentioned occasional communication issues in the past.
Kind and respectful care
Inspectors found that staff knew people extremely well and built trusting relationships. Staff regularly went beyond what was expected to comfort and support people.
“Staff continued to be extremely kind, caring and compassionate. They knew people extraordinarily well and frequently spoke of them as being an 'extended family'.” from the report
Independence
People were supported to do more for themselves and take part in useful roles and activities. Some people were preparing to move back into the community.
“Some people had gained sufficient independence that they were now planning to go and live within the community.” from the report
Personalised activities
Activities were adapted to people's interests and abilities. The home used events, trips and technology to support social inclusion and contact with loved ones.
“Staff used innovative ways to enrich people's lives through social events and activities.” from the report
People's involvement
People had a real say in their care and in how the home was run. Their suggestions were recorded, acted on and reported back to them.
“People had a strong influence on the way the home was run.” from the report
Safety and medicines
Inspectors found suitable systems for safeguarding, risk management, staffing and medicines. Records showed people received their medicines correctly.
“The medicine records we looked at confirmed people received their medicines correctly.” from the report
Worn corridor areas
minorSome corridors had scuffed and chipped paintwork. Managers were aware of this and said an ongoing refurbishment programme was in place.
“Some areas of the corridors looked worn with scuffed and chipped paintwork.” from the report
Past communication issues
minorSome healthcare professionals reported occasional communication problems with staff in the past. They said this had not harmed people and that managers had worked to improve communication.
“some told us there had been occasional communication issues in the past between them and the staff.” from the report
- 01What is the timetable for completing the refurbishment of the worn and chipped corridor areas?
- 02How do you make sure communication with healthcare professionals remains clear and timely?
- 03How would you support my relative to build or maintain their independence?
- 04How would you adapt activities and communication to my relative's particular needs and interests?
- 05How are people and relatives involved in reviewing care and making decisions about the home?
This was an unannounced planned inspection covering all five CQC questions, including care, treatment, premises and how the home was managed. This explanation was written from the published report of 27 April 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 Meadow House Nursing Home
2 rated inspections over 3 years: the service has held its Outstanding rating throughout.
- April 2019Outstandingcurrent ratingstayed OutstandingSafe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Good
- July 2016OutstandingSafe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Good
- September 2013
Report published without a new overall rating.
- June 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- February 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 23 December 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
How to read CQC ratings and reports
What to check when you visit
13 live-in carers within about an hour of Norfolk
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 £990 to £1,120 a week. 9 can care for a couple. 14 years' experience on average.
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.