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CQC report explained · a residential care home

What the CQC found at Meyrick Lodge

Goodpublished 19 December 2019, 6 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found that risks were assessed and managed, staffing and recruitment were safe, and medicines were stored and given safely. Medicine records had no gaps or errors.
Effective?
Good
People had detailed assessments and care plans, relevant staff training and access to healthcare professionals. People were involved in planning their care, meals and daily choices.
Caring?
Good
Staff treated people with kindness, dignity and respect. People were involved in decisions, could refuse activities and were supported to build independence.
Responsive?
Good
Care plans reflected people's needs, preferences, communication styles and goals. People had access to activities, work experience, community projects and support to maintain relationships.
Well-led?
Good
Inspectors found an open, friendly and supportive culture, with clear leadership and quality checks. People, relatives, staff and health professionals said their views were listened to.
The latest report, explained

What inspectors found, December 2019

Rated Good; inspectors found kind, personalised care, safe medicines and strong support for people's independence.

The inspection took place on 20 and 21 November 2019. The first day was unannounced. One inspector spoke with people, staff, relatives and health professionals, observed care and checked care, medicines, staffing and management records.

The home supported five people with learning disabilities, although it was registered for up to six. Inspectors found a relaxed and welcoming atmosphere. Staff knew people well, treated them with dignity and supported their choices, activities, health and independence.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This means the inspectors found the service consistently met the expected standard in these areas at the time of the inspection.

The previous inspection rating was also Good, published in May 2017. The report says the inspection was planned because of that previous rating.

What inspectors praised
  • Kind, individual care

    Staff knew people well and provided care based on their individual preferences. People and relatives gave positive feedback about the warmth and kindness of the support.

    “People were supported by staff who knew them very well and provided kind, caring person-centred care and support.” from the report
  • Choice and independence

    People were supported to make choices, develop daily living skills and take part in activities, voluntary work and community life.

    “People led active lives, supported by staff to take part in a variety of activities, hobbies and voluntary work that they enjoyed and that maintained their independence.” from the report
  • Safe medicines and staffing

    Inspectors found enough appropriately trained staff and safe medicines systems. All five medicine administration records checked were complete.

    “Medicine Administration records were complete and contained no gaps or errors in administration.” from the report
  • Strong health support

    The home worked closely with health and social care professionals. Staff supported people to attend healthcare appointments and monitored ongoing health needs.

    “The registered manager and service worked collaboratively and closely with external health care professionals and social care specialists.” from the report
  • Open leadership

    Inspectors found a friendly and supportive culture, with regular meetings, quality checks and opportunities for people, relatives and staff to share their views.

    “There was a friendly, homely, supportive and open culture at the service.” 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 would you support my relative's particular communication style and preferences?
  2. 02What activities, work experience or community opportunities could my relative take part in?
  3. 03How would you manage my relative's healthcare needs if they became more complex, given that the home does not provide nursing care?
  4. 04How are relatives involved in reviewing care plans and raising concerns?
  5. 05How would you support my relative to develop independence while managing any risks?

This was a planned inspection of the overall service and all five key questions, including the care provided and the premises; the home did not provide nursing care. This explanation was written from the published report of 19 December 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.

An earlier report, explained

What inspectors found, June 2017

Meyrick Lodge was rated Good; inspectors found safe, kind and personalised care, with one complaint not recorded properly.

This was an unannounced comprehensive inspection on 12 May 2017. Inspectors reviewed care records, medicines records, staffing and training records, policies, maintenance records and quality checks. They observed care and spoke with people, staff, a relative and professionals.

The home supported five people with learning disabilities and had space for six. Inspectors found people felt safe and were supported by trained staff who knew them well. Care was personalised, respectful and focused on people's choices, independence and community activities.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors said the provider was meeting the regulations. They noted that one completed complaint had not been entered in the complaints log, and the manager said this would be corrected in future.

What inspectors praised
  • People felt safe

    People said they felt safe, and inspectors found detailed risk assessments and plans for emergencies.

    “People told us they felt safe at the home.” from the report
  • Personalised care

    Staff knew people's routines, communication needs and preferences. Support plans gave clear instructions about how to provide individual care.

    “Support plans were person centred and gave detailed guidance for staff to follow” from the report
  • Staff training

    Staff completed core training and additional training linked to people's individual needs. Medication competency checks were also carried out.

    “People were supported by staff who were trained to deliver care and support safely and to an appropriate standard.” from the report
  • Independence and activities

    People were supported with cooking, shopping, budgeting, household tasks, work placements and activities in the community.

    “People were supported in promoting their own independence and community involvement.” from the report
What inspectors were concerned about
  • Complaint was not recorded

    minor

    A complaint had been investigated and completed but was missing from the complaints log. The manager said future complaints would be fully recorded.

    “The manager told us about a complaint they had received which had been fully investigated and concluded, however the complaint had not been recorded in their complaints log.” from the report
Questions to ask them, based on this report
  1. 01How do you adjust staffing levels when people's needs or occupancy change?
  2. 02How will you make sure every complaint is recorded, investigated and reviewed?
  3. 03How often are people's risk assessments and support plans reviewed after a change in their needs?
  4. 04What activities, work placements and community opportunities are available for the person we are considering moving here?
  5. 05How are families involved in care planning, training and reviews?

This was an unannounced comprehensive inspection covering Safe, Effective, Caring, Responsive and Well-led. This explanation was written from the published report of 9 June 2017 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 Meyrick Lodge

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

  1. December 2019Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Meyrick Lodge →

  2. June 2017Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Meyrick Lodge →

  3. January 2016

    Registered with the Care Quality Commission on 12 January 2016.

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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