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CQC report explained · a residential care home

What the CQC found at Meadowview Care Home

Requires improvementpublished 9 January 2025, 20 months ago

Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.

The latest report, explained

What inspectors found, February 2022

Inspected but not rated; inspectors were assured about infection control and found good communication with families.

This was an announced, targeted inspection on 18 January 2022. Inspectors looked at infection prevention and control during the COVID-19 pandemic. They also asked about staffing pressures.

The home was clean and hygienic. Staff were observed using and disposing of protective equipment safely. People and staff could access regular COVID-19 testing, and the home followed guidance on visits, distancing, shielding and vaccinations.

Families said communication was good, especially about COVID-19. The inspection found good practice, but it did not give an overall quality rating or a rated judgement for safe care.

What inspectors praised
  • Infection control

    The home was visibly clean, with cleaning schedules in place. Staff had infection control training and were seen using protective equipment correctly.

    “The home was visibly clean and hygienic and regular cleaning schedules were maintained by house keeping staff to evidence regular cleaning tasks were being completed.” from the report
  • Safe use of PPE

    Inspectors saw staff following current guidance when using and disposing of protective equipment.

    “Staff had received training in relation to infection prevention and control and were observed following current guidance in the use and disposal of PPE.” from the report
  • Family communication

    The home regularly updated families about important changes, particularly those relating to COVID-19. Families also spoke positively about how risks had been managed.

    “The registered manager and staff regularly communicated with family members to keep them informed of any important changes; particularly in relation to COVID-19.” from the report
  • Testing and vaccination checks

    People and staff were supported to access regular COVID-19 testing. The home had systems to check vaccination requirements for staff and visiting professionals.

    “Staff and people were supported to access regular COVID-19 testing and the provider had systems in place to ensure they followed current guidance in relation to COVID-19 vaccinations for staff and visiting professionals.” 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. 01How have your infection prevention and control arrangements changed since the inspection on 18 January 2022?
  2. 02How do you currently manage staffing pressures, and what happens if COVID-19 affects staffing levels?
  3. 03How do you keep families informed about important changes affecting their relatives?
  4. 04How are visits currently arranged, and what steps are taken to prevent infections spreading?
  5. 05How do you check that staff and visiting professionals meet current vaccination or exemption requirements?

This was a targeted inspection of infection prevention and control, with questions about staffing pressures; it did not provide ratings for the overall service or the other four questions. This explanation was written from the published report of 4 February 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, October 2020

Meadowview Care Home is rated Good; inspectors found safe, well-managed care, with some records and refurbishment still needing development.

This was a focused inspection on 7 and 9 October 2020. Inspectors looked at medicines, safety, infection control and how the home was managed. They spoke with people, relatives, staff and managers, observed care and reviewed records.

The home was rated Good overall. Safe improved from Requires Improvement to Good. Inspectors found that medicines were being managed safely, staff understood safeguarding, risks were assessed and infection control arrangements were suitable.

Families and people living at the home spoke positively about the staff and manager. The systems used to check quality and safety had improved. However, the report says more work was needed on care records and the refurbishment and decoration of the home.

Only Safe and Well-led were inspected during this visit. The other three areas were not inspected, so their previous ratings were used when calculating the overall rating.

What inspectors praised
  • Medicines safety

    Medicines audits had been strengthened and staff had the training and skills needed to support people with medicines.

    “Auditing systems had strengthened since the last inspection to improve management of medication.” from the report
  • Kind and reassuring staff

    People and relatives said staff were kind, helpful and reassuring. Inspectors found there were enough staff with the right skills.

    “There were enough staff with the right skills to support people.” from the report
  • Infection control

    Staff used protective equipment and followed infection control guidance. Inspectors were assured that the home was taking steps to reduce infection risks.

    “Staff followed good infection control practices and used personal protective equipment to help prevent the spread of healthcare related infections.” from the report
  • Improved oversight

    The systems for checking care quality and safety had improved. Audits were being used to improve care and medicines management.

    “The systems in place to ensure the quality and safety of the service had improved and there was effective oversight of the service.” from the report
What inspectors were concerned about
  • Care records still developing

    needs fixing

    The report says care records were still being developed. Ask how complete and up to date records now are for your relative.

    “Staff continued their development of people's care records.” from the report
  • Refurbishment still needed

    needs fixing

    Further work was planned on the refurbishment and decoration of the home, including development of the environment for people living with dementia.

    “Further development was needed to continue the refurbishment and decoration of the home and continuation of the development of all care records.” from the report
Questions to ask them, based on this report
  1. 01What improvements have been made to care records since the inspection?
  2. 02What refurbishment and decoration work has been completed, and what remains to be done?
  3. 03How are medicines audits carried out now, and how are any problems followed up?
  4. 04How will the environment be developed to better meet the needs of people living with dementia?
  5. 05How will my family be kept updated about my relative's care and any changes?

This was a focused inspection of Safe and Well-led only, following concerns about medicines; Effective, Caring and Responsive were not inspected and their previous ratings were carried over. This explanation was written from the published report of 29 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.

The story over the years

Every inspection of Meadowview Care Home

3 rated inspections over 5 years: the service has held its Good rating throughout.

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

    Read what inspectors found at Meadowview Care Home →

  2. October 2020Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Meadowview Care Home →

  3. January 2019Goodstayed Good
    Safe: Requires improvementWell-led: Good

    Read this report on cqc.org.uk

  4. January 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. July 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. November 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. February 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. February 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. December 2010

    Registered with the Care Quality Commission on 3 December 2010.

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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