Meadowview Nursing Home

Updated 23 January 2019

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service and to provide a rating for the service under the Care Act 2014.

This inspection took place on 8 January 2019 and was unannounced.

The inspection was carried out by two inspectors and an Expert by Experience (ExE). An ExE is a person who has personal experience of using or caring for someone who uses this type of care service.

Prior to the inspection we looked at information we held about the service. This included notifications. Notifications are events that providers must notify us about by law.

We used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection we spoke with six people who used the service, seven relatives and two visiting health professionals. We spoke with the registered manager, deputy manager, clinical lead, a nurse, two care staff, an activity coordinator and the chef. We looked at four people’s records, medicine records, three staff files and other records relating to the management of the service.

We observed care practice throughout the day. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

Following the inspection, we received feedback from two health and social care professionals who had worked with the service to support people living there.

Updated 23 January 2019

This inspection took place on 8 January 2019 and was unannounced.

Meadowview Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Meadowview Nursing Home is registered to accommodate up to 42 people in one adapted building. At the time of our inspection there were 24 people using the service. The service supports older people with a range of conditions and includes providing support for people living with dementia.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

There was a relaxed friendly atmosphere throughout the inspection. Visitors were made welcome and people had developed positive relationships with each other and staff. Staff showed kindness and compassion and ensured people were treated with dignity and respect.

There was a person-centred culture promoted by the management team that ensured people were treated as unique individuals. Everyone was positive about the management of the service and the improvements that had been made.

Care plans were person-centred and gave clear guidance to staff in how people wished their care needs to be met. People and relatives were involved in the development of their care plans and regular reviews were completed.

People were supported by sufficient staff who understood their responsibilities to identify and report any concerns relating to harm or abuse. Medicines were managed safely and there were systems in place to ensure the equipment and the environment were safe.

Staff had the skills and knowledge to meet people’s needs. Staff were supported through regular supervision and were encouraged to improve their skills.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

The service worked in partnership with health professionals to ensure people had access to appropriate health care to support them to maintain healthier lives.

People enjoyed a variety of food and drink that met their individual dietary needs. Where people were at risk of weight loss this was monitored and referrals made to health professionals.

There were systems in place to monitor and improve the service. The registered manager was committed to continual development of staff and improvement of the quality of the service.