CQC report explained · a residential care home
What the CQC found at Meadow View
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that people were protected from abuse and avoidable harm. Staffing, risk management, medicines and infection control were all found to be safe.
- Effective?
- Good
- Care plans reflected people's needs, health and aspirations, and staff had suitable training and supervision. Inspectors noted that pathways towards future goals needed to be reviewed and evaluated more regularly.
- Caring?
- Good
- Staff treated people with kindness, dignity and respect. People were supported to make choices, communicate in their own ways and develop independence.
- Responsive?
- Good
- People took part in activities and interests they chose, and staff adapted communication and support to each person. Concerns and complaints were investigated and used to help improve the service.
- Well-led?
- Good
- Managers were visible and approachable, and staff felt able to raise concerns and suggest ideas. Quality checks were effective and helped the home act on shortfalls.
What inspectors found, June 2022
Meadow View rated Good; inspectors found safe, kind and personalised care, with some care plans needing more regular review.
Inspectors visited the home without notice on 6, 9 and 11 May 2022. They spoke with five people living there, six relatives and 11 staff. They also observed care and checked care, medicine, recruitment and management records.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough trained staff, safe medicines practice, good infection control and care tailored to people's communication needs, choices and goals.
People were supported to be independent, take part in activities and access healthcare. Relatives were involved in care planning. The home had effective checks and acted when it found shortfalls. The overall rating remained Good, as it was at the previous inspection published in June 2018.
Choice and independence
Staff focused on what people could do and helped them make choices, pursue interests and live more independently.
“Staff supported people to have the maximum possible choice, control and independence and they had control over their own lives.” from the report
Communication support
Staff understood different communication methods, including sounds, objects, pictures and body language. This helped people communicate comfortably.
“People who had individual ways of communicating, using body language, sounds, pictures and symbols could interact comfortably with staff” from the report
Kind and respectful care
Inspectors saw staff respond calmly to people's emotions and sensory needs, while respecting privacy, dignity and personal space.
“People received kind and compassionate care from staff who used positive, respectful language which people understood and responded well to.” from the report
Safe staffing and medicines
There were enough staff to support people with everyday needs and activities. Medicines were administered, recorded and stored safely.
“The service had enough staff, including for one-to-one support for people to take part in activities and visits how and when they wanted.” from the report
Goals needed more regular review
minorPlans included future goals and skills teaching, but inspectors said these were not reviewed and evaluated often enough.
“These needed to be more regularly reviewed and evaluated.” from the report
- 01How often will my relative's future goals and skills teaching plan be reviewed and evaluated?
- 02How will you support my relative to communicate their choices, needs and feelings?
- 03What activities and community opportunities could my relative take part in, and how would one-to-one support be arranged?
- 04How will my relative be involved in planning their care, meals, healthcare and medicines?
- 05How will you respond if my relative or our family raises a concern or complaint?
This was an unannounced comprehensive inspection covering all five key questions, including infection prevention and control; all five ratings remained Good from the previous inspection. This explanation was written from the published report of 10 June 2022 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, June 2018
Meadow View was rated Good overall; inspectors found safe, kind and personalised care, with Good ratings in all five areas.
This was the first comprehensive inspection. It was unannounced and took place on 18 April 2018. One inspector spoke with people living in the home, staff and relatives, observed care, and checked care records, recruitment files, medicines records and quality checks.
The inspectors found that people were safe and supported by enough staff. Staff understood safeguarding, medicines were managed safely, and risk assessments helped people stay independent. Staff had relevant training, supervision and support.
People were treated with kindness, dignity and respect. Their care plans reflected their wishes, interests and needs. People were supported to make choices, maintain relationships, attend health appointments and take part in activities.
The home received a Good rating overall and Good ratings for Safe, Effective, Caring, Responsive and Well-led. The report found open management, regular checks on quality and action taken when improvements were identified.
Personalised risk support
Risk assessments were tailored to each person and explained how staff should support them. They also aimed to promote independence.
“Risk assessments were personalised to each individual and clearly explained how staff should support them.” from the report
Choice and involvement
People were involved in decisions about their support, food, activities and daily life. Care plans recorded their likes, dislikes and goals.
“People were involved in decisions about the way their support was delivered; staff understood their roles and responsibilities in relation to assessing people's capacity to make decisions about their care.” from the report
Kind and respectful care
Inspectors saw positive relationships between staff and people. Staff understood people's individual ways of showing distress or discomfort.
“People were treated with compassion, respect and kindness.” from the report
Open management
Managers and staff worked closely with people and families. Audits, meetings and feedback were used to identify and make improvements.
“There was an open and inclusive culture which focussed on providing person-centred care.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you make sure staffing remains consistent for my relative, including their one-to-one support if needed?
- 02How will you update my relative's personalised risk assessments as their needs or independence change?
- 03How will my relative be supported to communicate choices about food, activities and daily care?
- 04How do you involve families in care plan reviews and discuss any changes in support?
- 05How do your quality audits identify and follow up any problems with care, medicines or staff training?
This was the first comprehensive inspection, covering all five CQC questions, and it was unannounced. This explanation was written from the published report of 29 June 2018 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 View
2 rated inspections over 4 years: the service has held its Good rating throughout.
- June 2022Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2018GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2017
Registered with the Care Quality Commission on 19 April 2017.
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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What to check when you visit
At least 100 live-in carers within about an hour of West Northamptonshire
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 £980 to £1,280 a week. 87 can care for a couple. 12 years' experience on average.
“We can all fully relax around Nyarai and she feels like part of our family, which is no mean feat!”
“If you bump into her in the night on her way to the bathroom she will still inquire how you are and if everything is alright.”
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.