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CQC report explained · a residential care home

What the CQC found at The Meadowgate Centre

Goodpublished 2 June 2021, 5 years ago

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

The five questions inspectors ask
Safe?
Good
People said they felt safe. Inspectors found good risk assessment, safe medicines management, suitable staffing and effective infection control.
Effective?
Outstanding
The home worked exceptionally well with other agencies and used detailed care planning, technology and rehabilitation approaches. Inspectors found this led to quick returns home and reduced hospital admissions.
Caring?
Good
Staff were kind and compassionate, knew people well and supported their dignity, independence and choices. Relatives were kept in regular contact.
Responsive?
Good
Care plans reflected people's needs, wishes and preferences. People had activities, communication support and help to keep in touch with loved ones.
Well-led?
Good
Inspectors found skilled leadership, effective quality checks and an open culture. Staff worked well together and feedback was used to improve the service.
The latest report, explained

What inspectors found, June 2021

Rated Good overall, with Outstanding effectiveness; inspectors found safe, kind and highly personalised rehabilitation care.

This was the first inspection of the home. One inspector visited unannounced on 10 May 2021. They spoke with four people, six staff members and health professionals, and checked care, medicines, recruitment, training and management records.

Inspectors found that people felt safe and received kind, respectful care. Staff managed risks and medicines safely, infection control was in place, and there were enough staff. The home worked closely with other services and supported people to regain skills and return home.

The home was rated Good overall. Safe, Caring, Responsive and Well-led were rated Good. Effective was rated Outstanding because people's outcomes were consistently better than expected compared with similar services. This was the first inspection, so there is no earlier rating to compare with.

What inspectors praised
  • Joined-up rehabilitation

    The home worked closely with other agencies to plan care and support people to return home. Inspectors linked this approach with reduced hospital admissions.

    “The service worked exceptionally well with other agencies to provide a holistic approach to assessment, planning and delivery of care.” from the report
  • Skilled and supported staff

    Staff received training based on people's needs and said they were well supported. Inspectors found staff were flexible and highly skilled.

    “Staff were extremely well supported to carry out their roles. They were highly skilled and flexible in their approach to providing care to people.” from the report
  • Choice and independence

    People were involved in decisions about their care and discharge. The home used goal setting, activities and adapted spaces to build confidence and independence.

    “People were empowered to make their own choices about their care. They were central to decision making about their discharge packages.” from the report
  • Safe infection control

    Inspectors were assured that the home had suitable arrangements for preventing and managing infection, including visits, testing and protective equipment.

    “We were assured that the provider's infection prevention and control policy was up to date.” 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 adapt the rehabilitation programme to my relative's specific condition, goals and chances of returning home?
  2. 02What support would be arranged before discharge, and how would you involve our family in those decisions?
  3. 03How would you support my relative to manage their own medicines, if they wanted and were able to do so?
  4. 04What communication support, equipment or adapted spaces would be available for my relative?
  5. 05How would you keep us involved in care planning and updates during the stay?

This was the home's first comprehensive inspection and covered all five key questions, including infection prevention and control under Safe. This explanation was written from the published report of 2 June 2021 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, February 2021

Inspected but not rated; inspectors found good infection control arrangements during the coronavirus pandemic.

This was a planned, announced inspection of the home on 2 February 2021. It was a targeted inspection because the home was being checked for infection prevention and control during the coronavirus pandemic.

Inspectors found good practice. They were assured that visitors were protected from infection, people were admitted safely, and shielding and social distancing rules were followed. PPE was available and staff were trained to use it.

People and staff were tested for coronavirus. Inspectors also found that the home had suitable hygiene arrangements, could manage outbreaks, and had an up-to-date infection control policy.

The home was inspected but not rated. This report does not give a quality rating for the five areas of care.

What inspectors praised
  • Visitor infection control

    Inspectors found systems to reduce the risk of visitors catching or spreading infections.

    “Effective systems were in place to prevent visitors from catching and spreading infections.” from the report
  • Safe admissions

    People were admitted safely and isolated or shielded when this was needed.

    “People were safely admitted into the service and isolated and shielded when needed.” from the report
  • PPE and staff training

    PPE was available and staff had been trained to use it safely.

    “Personal protective equipment (PPE) was in place and staff were trained to use it.” from the report
  • Coronavirus testing

    The home was accessing coronavirus testing for people using the service and staff.

    “The provider was accessing testing for people using the service and staff.” from the report
  • Up-to-date policy

    Inspectors found that the infection prevention and control policy was current.

    “We were assured that the provider's infection prevention and control policy was up to date.” 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 are visitors currently prevented from catching or spreading infections?
  2. 02What is the current process for admitting and isolating people who may have an infection?
  3. 03How are people and staff tested for coronavirus or other infections now?
  4. 04How do you make sure staff continue to use PPE safely?
  5. 05When was the infection prevention and control policy last reviewed?

This was a targeted inspection of infection prevention and control practices only; the service was inspected but not rated and the other areas were not covered. This explanation was written from the published report of 25 February 2021 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 The Meadowgate Centre

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. June 2021Goodcurrent rating
    Safe: GoodEffective: OutstandingCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at The Meadowgate Centre →

  2. February 2021Inspected but not rated
    Safe: Inspected but not rated

    Read what inspectors found at The Meadowgate Centre →

  3. November 2019

    Registered with the Care Quality Commission on 21 November 2019.

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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Care at home

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These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.

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