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
- People had individual risk assessments, medicines were managed safely and staff were trained. The home had systems for safeguarding, infection control and learning from accidents and mistakes.
- Effective?
- Good
- Care was planned around people's needs, choices and communication preferences. Staff supported people with food, healthcare, skills and independence, although one professional said some agreed goals were not always actioned promptly.
- Caring?
- Good
- Staff were observed to be knowledgeable, caring and kind. People were supported to express their views, make daily choices, maintain dignity and work towards personal goals.
- Responsive?
- Good
- Support plans recorded people's preferences and were reviewed. People took part in activities they chose, went into the community and maintained relationships with family and visitors.
- Well-led?
- Good
- Inspectors found a positive, person-centred and open culture, with regular audits and supportive management. However, feedback about communication and the follow-up of agreed actions was mixed.
What inspectors found, March 2023
Rated Good; inspectors found kind, person-centred care, but noted some communication and follow-up had not always been timely.
Inspectors visited the home on 7 February 2023 and carried out inspection activity until 14 February. They observed care, spoke with six staff members, reviewed care and medicines records, and checked staff recruitment and management records.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. People were supported by staff who knew them well. Inspectors found personalised communication, support with choices and independence, kind care, and a range of activities and outings.
There were some weaker areas. The home is in a rural location that is more remote than current guidance recommends. Inspectors also received mixed feedback about whether agreed actions were followed up promptly and whether information was always passed on between staff. The report says communication had improved recently.
Choice and independence
Staff helped people make choices, develop skills and work towards both everyday and longer-term goals.
“Staff supported people to have maximum possible choice, control and independence.” from the report
Kind and respectful care
People were treated with kindness and compassion. Staff understood individual communication needs and respected privacy and dignity.
“People received kind and compassionate care. Staff protected and respected people's privacy and dignity.” from the report
Activities and community life
People were supported to enjoy activities suited to their interests, including outings and building independent skills in the community.
“Staff had supported people to build independent skills whilst out in the community.” from the report
Consistent staff team
The home did not use agency staff and had low staff turnover. This meant people were usually supported by staff who knew them well.
“Staff turnover was low, which supported people to receive consistent care from staff who knew them well.” from the report
Follow-up and care plan detail
needs fixingOne professional said agreed actions were not always followed up promptly. The report also noted that some support plan documentation did not contain enough detail.
“One professional stated agreed actions were not always followed up in a timely manner and that some documentation within a support plan lacked sufficient detail.” from the report
Communication between staff
needs fixingRelatives reported that information had not always been passed on between people in the office. Inspectors said communication had improved recently.
“Sometimes when I contact the home you can say something to one person, and it doesn't get passed on” from the report
Remote location
minorThe home is in a rural area that is more remote than current best practice guidance recommends. Inspectors said the provider had reduced the possible negative impact by tailoring the home to people's needs.
“This is more remote than current best practice guidance recommends.” from the report
- 01How do you make sure agreed actions from professionals are followed up promptly?
- 02How do you ensure important information is passed on between office staff and care staff?
- 03How will you keep support plans detailed and up to date?
- 04How does the home's rural location affect transport, outings and access to the local community?
- 05How are the new person-centred reviews being used to track each person's goals and progress?
This inspection looked at all five key questions, including the premises, care provided and infection prevention and control; inspection activity ran from 07 February to 14 February 2023, with a visit on 07 February. This explanation was written from the published report of 21 March 2023 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, October 2020
Inspected but not rated; Meadow View was Good for safety and Outstanding for leadership, with a remote location noted.
This was the home’s first inspection. Inspectors visited on 9 September 2020 and reviewed information and records before and after the visit. They spoke with staff, relatives and visiting professionals, although some people living at the home could not communicate meaningfully with the inspector or chose not to speak.
The home was rated Good for Safe and Outstanding for Well-led. Inspectors found people were protected from abuse, medicines were managed safely, staffing was sufficient, and risks were regularly reviewed. The home was clean and had infection control measures, including COVID-19 guidance.
Inspectors found exceptional leadership and a strong person-centred culture. Staff supported people to make choices, become more independent and achieve positive outcomes. The home worked closely with health professionals and responded quickly to suggestions for improvement.
This was a focused inspection covering only Safe and Well-led. The home was therefore inspected but not given an overall rating. The other three areas were not assessed.
Person-centred support
The home tailored support around people’s preferences, choices and abilities. Inspectors found that this helped people become happier and more independent.
“People were absolutely at the heart of the service.” from the report
Detailed risk planning
Risk assessments reflected individual needs and routines and were reviewed regularly. Staff supported people to take part in activities while managing risks.
“Risk assessments were detailed, reflected people's individual needs, preferences, daily routines, and were regularly reviewed” from the report
Strong health partnerships
The home worked closely with health professionals to understand people’s needs and improve their care and support.
“The service had extremely strong working relationships with health professionals which ensured people's healthcare needs were fully met.” from the report
Responsive leadership
Managers listened to suggestions and made changes to improve people’s experience, including changes to reduce noise-related anxiety.
“The management team were extremely responsive to any suggestions for improvement. They acted immediately to make changes.” from the report
Remote location
minorThe home is more remote than current best practice guidance recommends. Inspectors said the home’s design and highly tailored support reduced the negative impact for people living there.
“This is more remote than current best practice guidance recommends.” from the report
- 01How will you support the person to make choices and become more independent?
- 02How do you review risk assessments when the person’s needs, preferences or daily routines change?
- 03How does the home manage the effects of its remote location on activities, transport and access to the community?
- 04How will you involve health professionals and the person’s family when the person’s healthcare or behaviour support needs change?
- 05What checks do you make to ensure medicines, including as-required medicines, are given only when needed?
This was a focused inspection of Safe and Well-led only; Effective, Caring and Responsive were not assessed and the service was not given an overall rating. This explanation was written from the published report of 24 October 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.
Every inspection of Meadow View
Each visit the CQC has published, newest first, back to the day the home was registered.
- March 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2020Inspected but not ratedSafe: GoodWell-led: Outstanding
- March 2019
Registered with the Care Quality Commission on 14 March 2019.
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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90 live-in carers within about an hour of Sheffield
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 £1,020 to £1,270 a week. 76 can care for a couple. 11 years' experience on average.
“Carla has been a god send with the implementation of bringing mum back home from respite care.”
“Beatrice was a talent dementia carer whose professionalism and dedication allowed mums wishes to remain in her own her come true.”
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.