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CQC report explained · a residential care home

What the CQC found at Meadowside Care Home

Goodpublished 7 January 2022, 4 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People were protected from abuse and avoidable harm. Inspectors found enough staff, safe recruitment, clear risk assessments, safe medicines processes and appropriate infection control.
Effective?
Good
People's needs were assessed and staff had training, supervision and support. People were supported with nutrition, hydration, healthcare and decisions about their care.
Caring?
No published rating
This key question was not covered by this focused inspection and no new rating was given.
Responsive?
No published rating
This key question was not covered by this focused inspection and no new rating was given.
Well-led?
Good
Inspectors found a positive culture, supportive leadership and regular quality checks. People, relatives and staff said they could raise concerns and that these were acted on.
The latest report, explained

What inspectors found, January 2022

Rated Good; inspectors found safe, effective and well-led care, with fire door replacement still under way.

This was an unannounced, focused inspection on 29 November 2021. Inspectors spoke with people living in the home, relatives, staff and the manager. They reviewed care records, staff files, medicines, infection control and quality checks.

The home was rated Good for Safe, Effective and Well-led. Inspectors found enough staff, safe recruitment, suitable risk assessments and safe medicines management. They were also assured about infection control during the coronavirus pandemic.

People were supported with food, drinks, healthcare and moving around safely. Staff received training and support. Inspectors found a positive, person-centred culture and regular checks on the quality of the service.

This inspection did not assess Caring or Responsive. Those areas were not given new ratings. The previous overall rating was also Good, published on 23 November 2017.

What inspectors praised
  • People felt safe

    People and relatives said they felt safe. Staff understood how to recognise and report possible abuse.

    “People and their relatives told us they felt people living at the service were safe.” from the report
  • Safe medicines

    Medicines were ordered, stored, given and disposed of safely. Staff who gave medicines were trained and had their competence checked.

    “People received their medicines safely and as prescribed.” from the report
  • Support with meals

    People had choices and were supported to eat and drink at their own pace. Care plans included dietary needs and risks.

    “Meals were served in a dignified and interactive manner.” from the report
  • Quality monitoring

    The manager used monthly checks to monitor the service and said problems found were dealt with by the next check.

    “Quality was monitored through a variety of monthly audits completed by the registered manager.” from the report
What inspectors were concerned about
  • Fire door work ongoing

    minor

    Maintenance work was still taking place to replace the fire doors. People said disruption had been kept to a minimum, but families may want to check when this work will finish.

    “The home was currently undergoing maintenance work in order to ensure the home remained safe in the event of a fire outbreak, all the fire doors were in the process of being changed.” from the report
Questions to ask them, based on this report
  1. 01When will all the fire doors be replaced, and how are you keeping people safe while this work continues?
  2. 02How do you review staffing levels when people's needs or dependency levels change?
  3. 03How will you support my relative's particular risks, such as falls, choking, pressure damage or malnutrition?
  4. 04How do you make sure medicines prescribed to be taken at specific times are given safely and on time?
  5. 05How can my relative and our family give feedback, and how will we know what action has been taken?

This was a focused inspection of Safe, Effective and Well-led only; Caring and Responsive were not assessed and were not given new ratings. This explanation was written from the published report of 7 January 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.

An earlier report, explained

What inspectors found, September 2020

Inspected but not rated; inspectors found good infection control and safe arrangements during the Covid-19 pandemic.

This was an announced, targeted inspection on 28 August 2020. It looked only at infection prevention and control during the Covid-19 pandemic. There were 58 people living in the home at the time.

Inspectors were assured that the home had suitable arrangements for visitors, testing, admissions, personal protective equipment, cleaning, social distancing and managing possible outbreaks. Staff had received training on Covid-19, infection control and using protective equipment.

The home was inspected but not rated. This means the inspection did not give a new overall quality rating or a rated result for Safe. It was a check of infection control arrangements rather than a full inspection of all aspects of care.

What inspectors praised
  • Visitor safety

    Visitors completed checks, had their temperatures taken and were supported to use face coverings and hand hygiene. The home also provided a separate visiting space in the garden.

    “Visitors had their temperatures taken on arrival and were screened for symptoms of acute respiratory infection before being allowed to enter the home.” from the report
  • Testing arrangements

    The home had a designated team carrying out Covid-19 testing for people living there and staff. Inspectors said testing followed government guidance.

    “There was a designated team of staff that carried out all testing on people and staff at the home.” from the report
  • Staff training and support

    Staff had training on Covid-19, infection control and protective equipment. They also received guidance on supporting people with dementia and support when returning to work after illness.

    “All staff had received training on Covid 19, infection control and the use of Personal Protective Equipment (PPE).” from the report
  • Cleaning and layout

    Sanitiser was available throughout the building. Daily cleaning, regular carpet deep cleaning and a housekeeper for each floor were in place, with furniture arranged for social distancing.

    “There were sanitiser points available throughout the building and thorough cleaning was done daily and a housekeeper was in place for each floor.” from the report
  • Keeping families connected

    People were supported to stay in touch with family and friends by phone and virtual technology. A safe visiting policy and a visiting space were available.

    “The provider ensured that people using the service could maintain links with family members and friends.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01Are the visiting checks, face coverings and separate visiting arrangements still in place?
  2. 02How are people living in the home and staff tested for infections now?
  3. 03How often are shared areas, carpets and other high-touch areas cleaned?
  4. 04What training do staff receive on infection control, protective equipment and supporting people with dementia?
  5. 05What arrangements are in place if there is an infection outbreak?

This was a targeted thematic inspection of infection prevention and control during the Covid-19 pandemic; it did not provide ratings for the other four questions or a new overall rating. This explanation was written from the published report of 10 September 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.

The story over the years

Every inspection of Meadowside Care Home

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. January 2022Goodcurrent rating
    Safe: GoodEffective: GoodCaring: No published ratingResponsive: No published ratingWell-led: Good

    Read what inspectors found at Meadowside Care Home →

  2. September 2020Inspected but not rated
    Safe: Inspected but not rated

    Read what inspectors found at Meadowside Care Home →

  3. July 2019

    Registered with the Care Quality Commission on 8 July 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.

Next steps

Weigh the report against the rest

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