What the CQC found at Meadow View Care Home

People and relatives were generally positive about staff and care. Staff were described as caring, and people appeared clean and well presented.

“Family members spoke positively about the care provided, which included the positive and caring relationships developed between their family member and staff.” from the report

The home had completed the required checks for the staff files inspectors reviewed.

“Staff were recruited safely. Staff records included all required information, to evidence their suitability to work with people, which included a Disclosure and Barring Service check (DBS).” from the report

The provider worked with the local authority and the local integrated commissioning board to reduce risks and support improvements.

“During the inspection the provider worked with the local authority and the local integrated commissioning board (ICB) to reduce the risks at the service, however improvements were still needed.” from the report

Families were asked for their views and some relatives could access care records or raise concerns through meetings.

“Family members told us they were kept informed about key changes and were involved in decisions.” from the report

A person missed medicine for two days because it had not been ordered in advance. Some care plans lacked important information, including guidance about catheter care and changing needs.

“These failures to effectively assess risk with people's health, the environmental risks, the ineffective management of medicines and inaccurate care records was a breach of Regulation 12” from the report

Inspectors found that staff did not always refer people to health professionals quickly enough. One referral for a pressure sore took three months.

“external health professionals told CQC it had taken staff from the service, three months to make a referral to the Tissue Viability Nurse (TVN)” from the report

Audits had not picked up problems with medicines, continence and wound care. The home had no registered manager for about 19 months at the time of inspection.

“Systems and processes had not been operated to ensure robust governance and oversight of the service. This was a breach of Regulation 17” from the report

Inspectors found dirty windows and storage areas that were not kept clean. The provider said extra housekeeping and other improvements were being put in place.

“We were not assured the provider was preventing the risk of infection as inspectors found issues with cleanliness in the home” from the report

Inspectors saw little physical activity. Relatives also said entertainment was limited, and some families had not been told about incidents promptly.

“Inspection team observed a lack of physical activities taking place at the service” from the report