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CQC report explained · a residential care home

What the CQC found at Meadowside Residential Care Home

Goodpublished 5 December 2018, 7 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors were assured about infection prevention and control, safe admissions, PPE, testing and visiting arrangements. The provider also said it had measures to manage COVID-19-related staffing pressures.
Effective?
Good
Does the care work? Training, consent, food and drink, working with GPs and nurses.
Caring?
Good
Are people treated with kindness and dignity?
Responsive?
Good
Is care built around the person? Care plans, activities, complaints.
Well-led?
Good
Is the home run well? The manager, the culture, how problems get found and fixed.
The latest report, explained

What inspectors found, March 2022

Inspected but not rated; inspectors found strong COVID-19 infection control and visiting arrangements.

This was an announced, targeted inspection on 25 February 2022. Inspectors looked at infection prevention and control, visiting arrangements and whether COVID-19 staffing pressures were affecting the home.

Inspectors found the home was clean and fresh. They found regular cleaning, infection control checks, suitable PPE, staff training and testing for people and staff. They were assured that admissions and visits were managed safely.

The home was inspected but not rated. This means the report gives findings about the areas checked, but it is not an overall CQC rating of the home.

What inspectors praised
  • Clean environment

    The home had regular cleaning schedules and additional cleaning of frequently touched surfaces. Infection control audits were carried out and actions were followed up.

    “The service was clean and fresh, staff carried out a regular cleaning schedule.” from the report
  • Safe admissions

    New admissions were only allowed after a confirmed negative COVID-19 test. The environment had been assessed so people could be isolated if needed.

    “The provider had robust systems to ensure safe admissions, including only allowing new admissions after a confirmed negative result of the Covid-19 test.” from the report
  • PPE and staff training

    Staff had training and regular competency checks on infection control and PPE. The home had a sufficient PPE supply and a designated area for putting it on and taking it off.

    “Staff had received training on infection prevention and control guidance.” from the report
  • Keeping relatives in touch

    Relatives could stay in contact through technology and safe face-to-face visits. Visits changed as restrictions were lifted, in line with government guidance.

    “People's relatives were able to stay in touch with people.” 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. 01What infection prevention and control arrangements are in place now, and how often are cleaning and infection control checks completed?
  2. 02How would you manage a new resident who needed to isolate after admission?
  3. 03How are visits arranged now, and what happens if there is an infection outbreak?
  4. 04How do you manage COVID-19-related staffing pressures, and could these affect the care provided?
  5. 05How are staff trained and checked on using PPE safely?

This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; the service was inspected but not rated overall. This explanation was written from the published report of 8 March 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, December 2018

Rated Good; inspectors found safe, kind and person-centred care, with small improvements needed to recruitment records and accessible information.

The home was inspected without notice on 30 October 2018 by one inspector. The inspection looked at all five areas: safe, effective, caring, responsive and well-led. Inspectors spoke with seven people, relatives or visitors, and staff. They also observed care, lunch and medicines being given, and checked care plans, medicine records, staff files, accidents and management records.

All five areas were rated Good. Inspectors found enough staff, safe medicines practice, suitable care plans, kind staff and a calm atmosphere. People were supported with food, drink, healthcare, activities, independence and personal choices.

There were two areas to improve. Two of the three staff files checked did not contain a full employment history, although the manager acted straight away and there was no reported impact on people. The manager also needed to review the Accessible Information Standard. The overall Good rating stayed the same as at the previous inspection in May 2016.

What inspectors praised
  • Safe medicines support

    Medicines were ordered, stored, given and disposed of through robust arrangements. Staff were trained and their competence was checked.

    “There were robust arrangements in place for ordering, storing, administering and disposing of medicines.” from the report
  • Kind and respectful care

    Staff knew people well and treated them with kindness, respect and compassion. People were supported to remain as independent as possible.

    “People were treated with kindness and respect by a caring staff team.” from the report
  • Individual support

    Care plans included people's physical, social, cultural and spiritual needs. Staff respected preferred routines and updated plans when needs changed.

    “Individualised and responsive care was provided to people by a staff team who recognised the importance of lifestyle preferences.” from the report
  • Positive leadership

    The management team was described as supportive and approachable. Audits, meetings and feedback were used to monitor and improve the service.

    “The service continued to be well-led.” from the report
What inspectors were concerned about
  • Incomplete recruitment records

    needs fixing

    Two of the three staff files checked did not contain a full employment history. The manager took immediate action to change the recruitment process, and inspectors found no impact on people.

    “However, we noted a full employment history was not held in two of the three files we reviewed.” from the report
  • Accessible information

    needs fixing

    The manager was not fully aware of the Accessible Information Standard. Inspectors recommended reviewing it, although care plans did include communication needs and guidance.

    “We recommend the provider reviews the accessible information standard and checks they are meeting the requirements of the standard.” from the report
Questions to ask them, based on this report
  1. 01Have all staff recruitment files now been completed with full employment histories?
  2. 02How do you currently meet the Accessible Information Standard for people with communication or sensory needs?
  3. 03Are the staffing levels still based on regular reviews of people's dependency and needs?
  4. 04How are people's activity preferences and individual routines recorded and reviewed?
  5. 05How are medicines staff trained and their competence checked now?

This was an unannounced comprehensive inspection of all five key questions; the overall and five question ratings remained Good from the May 2016 inspection. This explanation was written from the published report of 5 December 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.

The story over the years

Every inspection of Meadowside Residential Care Home

2 rated inspections over 2 years: the service has held its Good rating throughout.

  1. March 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Meadowside Residential Care Home →

  2. December 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Meadowside Residential Care Home →

  3. June 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. July 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. August 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. November 2012

    Registered with the Care Quality Commission on 6 November 2012.

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

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