CQC report explained · a nursing home
What the CQC found at Meadowview Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People told inspectors they felt safe. Medicines, staffing, infection control, equipment and risks were managed safely.
- Effective?
- Good
- Staff had the skills and training to meet people's needs. People's dietary needs and rights to make decisions were supported.
- Caring?
- Good
- Staff were kind and compassionate. They respected privacy, dignity and personal choices, and encouraged independence.
- Responsive?
- Good
- Care plans reflected people's needs, histories and preferences. People had activities, could raise complaints and were referred to health professionals when needed.
- Well-led?
- Good
- Inspectors found a person-centred culture and systems to monitor and improve the home. Staff and visitors spoke positively about the management.
What inspectors found, January 2019
Rated Good; inspectors found kind, safe and person-centred care, with some room to improve safeguarding knowledge and dining choices.
This was an unannounced inspection on 8 January 2019. Inspectors observed care, spoke with people, relatives, staff and health professionals, and checked care records, medicines, staff files and management records.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines, suitable care plans, skilled staff and a clean environment.
People were treated with kindness, dignity and respect. They were involved in decisions, supported to stay independent, offered activities and given food and drink suited to their needs.
The report says the home had improved since the January 2018 inspection. Safe, Effective, Responsive and Well-led had previously required improvement and were now rated Good.
Kind and respectful care
Staff showed compassion, protected people's dignity and respected their choices. People and relatives spoke positively about the care.
“Staff showed kindness and compassion and ensured people were treated with dignity and respect.” from the report
Safe medicines and staffing
Inspectors found enough staff and saw medicines being given carefully. Records and staff competency checks supported safe medicines management.
“Medicines were managed safely and people received their medicines as prescribed.” from the report
Personalised care
Care plans included people's histories, needs and preferences. People and relatives helped develop and review the plans.
“Care plans were person-centred and gave clear guidance to staff in how people wished their care needs to be met.” from the report
Improvement since 2018
The home had improved its ratings in Safe, Effective, Responsive and Well-led since the previous inspection, when these areas required improvement.
“At this inspection we found improvements had been made and people were supported by a safe service.” from the report
Activities and relationships
People could take part in group or one-to-one activities, including trips out. Inspectors saw a relaxed and friendly atmosphere.
“There was a relaxed friendly atmosphere throughout the inspection.” from the report
Safeguarding knowledge
needs fixingNot every staff member could name the outside agencies to contact about abuse concerns. They did know where to find this information.
“Not all staff were able to tell us the external agencies they could report to but knew where they could find the information.” from the report
Dining choices
minorThe manager was monitoring the dining experience because people were not always offered the most person-centred choices. The report says there was still room for improvement.
“The registered manager told us this was an area of improvement they were monitoring as there was still some room for improvement” from the report
- 01How do you make sure every staff member knows which outside agencies to contact if they suspect abuse?
- 02What changes have you made to offer people picture menus and a choice of food at mealtimes?
- 03How are care plans reviewed with residents and relatives, and how often?
- 04How do you make sure people with dementia or communication difficulties can express their choices?
- 05How do you check that staffing levels remain sufficient throughout the day and night?
This was an unannounced comprehensive inspection covering Safe, Effective, Caring, Responsive and Well-led; the report records that the service was rated Good in all five areas. This explanation was written from the published report of 23 January 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.
What inspectors found, January 2018
Rated Requires Improvement; the home improved from Inadequate and is out of Special Measures, but CQC wanted proof the changes would last.
This was an unannounced inspection on 4 January 2018. Inspectors spoke with people, relatives, staff and a visiting health professional. They reviewed care records, staff files and management records.
The home had made significant improvements since the previous inspection in August 2017, when it was rated Inadequate and placed in Special Measures. Inspectors found safer care, better medicines management, improved care plans, kinder interactions, better food and stronger communication.
All five areas were rated. Caring was rated Good. Safe, Effective, Responsive and Well-led were rated Requires Improvement. The home was meeting the regulations at this inspection, but CQC wanted to see that the improvements could be maintained.
Kind and respectful care
Inspectors saw staff explain what they were doing, ask permission and support people with patience and compassion.
“People were supported by staff who showed kindness and compassion.” from the report
Safer medicines
Medicine records were complete and staff administered medicines safely and in line with people's wishes.
“Medicines were managed safely and people received their medicines as prescribed.” from the report
Person-centred care plans
Care plans included people's histories, interests, preferences and health needs. Relatives or representatives were invited to reviews where appropriate.
“Care plans were person-centred and included information about people's life histories and interests.” from the report
Improved communication
The provider and managers had created a more open culture and improved communication with people, relatives, health professionals and staff.
“The provider and management team promoted an open culture and communicated effectively with people, relatives, health professionals and staff.” from the report
Food and nutrition
Menus reflected people's likes and dislikes. Staff supported people to eat at their own pace and followed advice about special diets.
“People received food and drink that ensured their nutritional needs were met.” from the report
Advice about covert medicines
needs fixingFor people given medicines in a disguised form, the provider had not obtained advice from the dispensing pharmacist. It had instead worked with the prescribing GP to support safe administration.
“Where people were receiving their medicines covertly the provider had been unable to obtain advice from the dispensing pharmacist to ensure that it was safe to administer the medicines in a covert manner.” from the report
Quality checks were not fully recorded
needs fixingA monthly quality visit took place, but there was no record of action resulting from its report. The provider and home manager said they would introduce one.
“However, there was no record of action being taken as a result of the report.” from the report
- 01Have you now obtained dispensing pharmacist advice for every person receiving covert medicines, and where is this recorded?
- 02What written record do you now keep to show actions taken after each monthly quality assurance visit?
- 03Has the application for the home manager to become the registered manager been completed, and who has legal responsibility for the home in the meantime?
- 04How are you checking that the improvements found in January 2018 are still being maintained?
- 05How are relatives involved in regular care reviews and informed about changes in a person's health or care?
This was an unannounced follow-up inspection covering all five key questions, after the previous Inadequate rating and Special Measures placement in August 2017. This explanation was written from the published report of 27 January 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.
Every inspection of Meadowview Nursing Home
8 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- January 2019Goodcurrent ratingup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2018Requires improvementup from InadequateSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- September 2017Inadequatedown from Requires improvementSafe: InadequateEffective: InadequateCaring: Requires improvementResponsive: InadequateWell-led: Inadequate
- April 2017Requires improvementstayed Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- June 2016Requires improvementstayed Requires improvementSafe: Requires improvement
- March 2016Requires improvementstayed Requires improvementSafe: InadequateEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- August 2015Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- April 2015Requires improvementSafe: Requires improvementEffective: InadequateCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- December 2013
Report published without a new overall rating.
- September 2013
Report published without a new overall rating.
- June 2013
Report published without a new overall rating.
- May 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 26 January 2011.
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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