CQC report explained · a residential care home
What the CQC found at Meadow View Residential and Community Care Centre
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that medicines were given as prescribed, risks were assessed and managed, staffing was sufficient, and infection control measures were being followed.
- Effective?
- Good
- This area was not examined during this focused inspection. Its previous rating was carried forward when calculating the overall rating.
- Caring?
- Good
- This area was not examined during this focused inspection. Its previous rating was carried forward when calculating the overall rating.
- Responsive?
- Requires improvement
- This area was not examined during this focused inspection. Its previous rating was carried forward when calculating the overall rating.
- Well-led?
- Good
- Inspectors found effective systems for monitoring quality, reviewing falls and medicines, reporting mistakes and working with other professionals.
What inspectors found, August 2020
Meadow View Residential and Community Care Centre was rated Good; inspectors found safe care and improved management after earlier concerns.
The inspection took place on 10 August 2020. One inspector reviewed care records, medicines records and management audits. They spoke with four staff members, attended a handover meeting and observed care on the dementia care floor.
The home was rated Good for Safe and Well-led. Inspectors found that medicines, staffing, infection control and risk management were handled safely. They also found better systems for checking quality, learning from mistakes and managing falls.
This was a focused inspection during the COVID-19 pandemic. It checked Safe and Well-led, including infection control. The other three areas were not inspected at this visit, so their previous ratings were used in the overall rating.
Medicines managed safely
Staff understood medicines records and checks. Inspectors found that prescribed times, variable doses and short-life medicines were being managed appropriately.
“Medicines were managed to reduce the risks associated with them.” from the report
Strong infection control
The home had introduced detailed measures to reduce infection risks during the pandemic, including separate zones, visitor controls, testing and correct protective equipment.
“Infection control processes were rigorously applied to reduce the risk of spreading infections.” from the report
Enough staff
Inspectors found enough staff to meet people's needs safely and promptly. Staff also had time to provide company and activities.
“There were enough staff deployed to safely meet people's needs.” from the report
Improved oversight
The home had improved its audits and management checks. Falls and medicines were reviewed, and lessons from mistakes were used to change practice.
“There were clear systems in place to monitor, review and improve the service to achieve good outcomes for the people who lived there.” from the report
Inspectors raised no specific concerns in this report.
- 01How are medicines checked when someone first arrives, and how are errors identified and followed up?
- 02How are falls reviewed now, and how are changes made when patterns or causes are identified?
- 03How will you keep families informed and involved if visiting or group meetings are restricted?
- 04How are rehabilitation goals and professional support arranged for people staying short term?
- 05What infection control arrangements are currently used for visitors, staff uniforms and staff working across different areas?
This was a focused inspection of Safe and Well-led, including infection control; Caring, Effective and Responsive were not inspected and their previous ratings carried over. This explanation was written from the published report of 26 August 2020 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 2019
Meadow View Residential and Community Care Centre was rated Requires Improvement; inspectors found kind care and enough staff, but serious medicines, risk and management problems.
This was an unannounced inspection on 19 March 2019. Inspectors spoke with people, relatives, staff and health professionals. They observed care and checked care, medicine, recruitment, training and management records.
The home was rated Good for Effective and Caring. People were treated with kindness and respect. Staff were trained, there were enough staff, people had choices, and health needs were usually followed up. Activities, meals and links with health professionals were also positive.
The home was rated Requires Improvement for Safe, Responsive and Well-led. Inspectors found medicines were not always given safely, risk assessments were incomplete or out of date, and some care plans did not contain enough detail. Audits and management systems had not reliably found or fixed these problems.
The overall rating was Requires Improvement for the second inspection in a row. Two regulations were breached, and CQC issued a warning notice about safe care and treatment. CQC said it would continue monitoring the home and could inspect sooner if concerning information was received.
Staffing
Inspectors found enough staff to meet people’s needs. Staffing could be increased when people’s needs changed, although agency staff were still being used.
“There were sufficient staff to support people's needs.” from the report
Kind and respectful care
People were treated with dignity and staff supported their privacy, choices and personal preferences.
“People were treated with respect and staff knew how to maintain people's confidentiality.” from the report
Health support
The home worked with health professionals and generally acted on changes in people’s health needs.
“Relationships had been developed with health and social care professionals.” from the report
Choice and activities
People could choose when to get up and how to spend their day. Staff and relatives supported activities, trips and entertainment.
“People were able to choose how they spend their day or the time they wished to get up or retire.” from the report
Medicines and known risks
seriousSome medicines were not given as prescribed. Risk assessments were missing or inaccurate, and staff did not always follow guidance about choking, falls or mobility.
“Medicine was not always managed safely. Some people did not receive their medicine as prescribed.” from the report
Care plans lacked detail
needs fixingSome care plans were not up to date and did not give staff enough information about dietary, moving, communication or equality needs. End of life plans also contained limited detail.
“People's care was not always personalised. Care plans we reviewed lacked the detail to provide staff with the information they required to ensure people received the correct care.” from the report
Weak checks and oversight
seriousAudits did not always identify problems or show that changes had been embedded. Some incidents and required notifications were not recorded or sent to CQC.
“The provider had not ensured there were processes in place to review the quality of the service being delivered.” from the report
Safeguarding response
seriousUnexplained bruising had been recorded but was not initially escalated or investigated as a safeguarding concern. The manager raised it and started an investigation after the inspection.
“However, we found one person had some unexplained bruising, this had not been escalated to a senior manager or raised as a safeguarding.” from the report
- 01What changes have been made to ensure every medicine is given in the prescribed way and at the prescribed time?
- 02How are choking, falls and mobility risks now assessed, recorded and checked in practice?
- 03How do you check that care plans contain current information about diet, moving and communication needs?
- 04What system now makes sure accidents, safeguarding concerns and other required events are recorded and notified to CQC?
- 05What evidence can you show that the warning notice and the improvement plan have been fully acted on?
This was an unannounced planned inspection of the care home, including the premises and care, and it assessed all five CQC questions; the day unit, meeting spaces, therapy rooms and café were not regulated by CQC. This explanation was written from the published report of 22 June 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 View Residential and Community Care Centre
3 rated inspections over 2 years: the service has improved, from Requires improvement to Good.
- August 2020Goodcurrent ratingup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good
Read what inspectors found at Meadow View Residential and Community Care Centre →
- June 2019Requires improvementstayed Requires improvementSafe: Requires improvementWell-led: Requires improvement
Read what inspectors found at Meadow View Residential and Community Care Centre →
- April 2018Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- June 2016
Registered with the Care Quality Commission on 8 June 2016.
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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