CQC report explained · a nursing home
What the CQC found at Meyer House Nursing and Residential Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People told inspectors they felt safe. Medicines, safeguarding, risk assessments, staffing, recruitment and infection control were found to be managed safely.
- Effective?
- Good
- Staff had relevant training, supervision and appraisals. People received support with food, healthcare, their care needs and decisions about their care.
- Caring?
- Good
- This question was not inspected during this visit. The report used the previous rating when calculating the overall rating, but does not state that rating here.
- Responsive?
- Good
- This question was not inspected during this visit. The report used the previous rating when calculating the overall rating, but does not state that rating here.
- Well-led?
- Good
- The home had regular audits, staff meetings and feedback from people and relatives. The manager and provider had systems to monitor quality and make improvements.
What inspectors found, March 2023
Meyer House Nursing and Residential Care Home is rated Good; inspectors found safe, effective and well-managed care, with earlier breaches now resolved.
This was an unannounced focused inspection on 14 February 2023. One inspector and an Expert by Experience spoke with people, relatives and staff. They reviewed care and medicine records, recruitment and training files, audits and other management records.
The inspectors found people were safe. Medicines were managed safely, staff understood safeguarding, risks were assessed and there were enough staff. Staff had suitable training and supervision. People had support with food, healthcare and personal choices. The home was clean, accessible and well maintained.
The home had previously been rated Requires Improvement, with breaches about infection control and quality monitoring. The inspectors found the home had acted on its action plan. It was no longer in breach of the regulations, and the overall rating changed to Good.
Safe medicines
Medicines were stored, administered and checked safely. Staff responsible for medicines had training and their competency had been assessed.
“People received support to take their medicines safely.” from the report
Enough trained staff
Inspectors found staffing levels met people's needs. Staff training covered areas including dementia, diabetes, safeguarding, medicines and clinical care.
“We saw there were enough staff to meet people's needs.” from the report
Good partnership working
The home worked with GPs and other health and social care professionals. Care records showed involvement from several specialist services.
“The service worked proactively with health and social care professionals to ensure people received good care.” from the report
Improved management systems
The provider had introduced regular audits and action plans. Feedback from people and relatives was used to make changes.
“We saw regular audits were carried out on care plans and risk assessments, medicines administration, staff recruitment, training and supervision, infection control, health and safety, incidents and accidents, safeguarding and complaints.” from the report
Previous infection control breach
seriousThe previous inspection found the home had not done enough to reduce infection risks for visitors. Inspectors said this had been fixed by this inspection and the breach no longer applied.
“At our last inspection (Published 8 December 2021) the provider had failed to make sure measures were in place to minimise the risk of visitors catching or spreading infections.” from the report
Previous quality monitoring breach
seriousThe previous inspection found that quality monitoring and improvement systems were not effective. Inspectors found these systems had improved and the home was no longer in breach.
“At our last inspection (Published 8 December 2021) the provider had failed to make sure effective systems were in place to monitor and assess the quality of the service and drive improvement.” from the report
- 01How are you checking that the infection prevention and control improvements remain in place?
- 02What was the recent medicines management issue, and how have staff been checked since the refresher training?
- 03How often are medicines, care plans, risk assessments and complaints audited, and what happens when an issue is found?
- 04How do you use the dependency tool to make sure staffing levels remain suitable for my relative's needs?
- 05What are the current findings for Caring and Responsive, which were not assessed during this focused inspection?
This was a focused inspection of Safe, Effective and Well-led only; Caring and Responsive were not inspected and their previous ratings were carried over when calculating the overall rating. This explanation was written from the published report of 9 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, February 2022
Inspected but not rated; inspectors found significant improvements in infection control and no longer found a breach of Regulation 12.
This was an announced, targeted inspection during a COVID-19 outbreak. Inspectors looked mainly at infection prevention and control, and asked about staffing pressures.
Inspectors found that the home had improved its visitor checks. Visitors were screened for symptoms and supported to use hand washing, sanitiser and personal protective equipment.
The home had COVID-19 testing, staff training, cleaning arrangements and supplies of protective equipment. Inspectors saw staff using protective equipment and keeping their distance, and found the home very clean.
The service was inspected but not rated. The previous concern about infection control had been addressed, and the home was no longer in breach of Regulation 12.
Visitor safety
Visitors were screened for symptoms and supported to follow hygiene, protective equipment and distancing guidance before and during visits.
“The provider screened essential visitors for symptoms of acute respiratory infection before they were allowed to enter the home.” from the report
Staff training and testing
Regular and agency staff received infection control and protective equipment training. Staff were tested regularly and agency workers were checked for training and vaccination.
“Agency staff received the same training and supervision as regular staff whilst working at the home and they were being tested regularly for COVID-19.” from the report
Clean environment
The home had a dedicated housekeeping team and a cleaning schedule. Inspectors found the home very clean during their visit.
“During our visit we saw that the home was very clean throughout.” from the report
Improved infection control
The earlier problem with visitor arrangements had been addressed. Inspectors were assured that the home met good infection prevention and control guidelines.
“At this inspection we found that significant improvements had been made and we were assured that this service met good infection prevention and control guidelines.” from the report
Inspectors raised no specific concerns in this report.
- 01How are visitors currently screened for symptoms and supported with hand hygiene, protective equipment and social distancing?
- 02How do you make sure agency staff have the required infection control training and checks before working here?
- 03How often are people living here and staff tested during an infection outbreak?
- 04How do you maintain staffing levels if staff are absent because of COVID-19?
- 05What changes have been made since the previous inspection to prevent infection from spreading?
This was a targeted inspection of infection prevention and control and staffing pressures; it did not provide a full rating of the other areas of care. This explanation was written from the published report of 2 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.
Every inspection of Meyer House Nursing and Residential Care Home
4 rated inspections over 6 years: the service has held its Good rating throughout.
- March 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Meyer House Nursing and Residential Care Home →
- February 2022Inspected but not ratedSafe: Inspected but not rated
Read what inspectors found at Meyer House Nursing and Residential Care Home →
- December 2021Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementWell-led: Requires improvement
- July 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2014
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- December 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 18 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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