Meadow View Residential and Community Care Centre

Updated 26 August 2020

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted as part of our Thematic Review of infection control and prevention in care homes.

Inspection team

This inspection was completed by one inspector.

Service and service type

Meadow View Residential and Community Care Centre 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.

Notice of inspection

We telephoned on the morning of the inspection to announce it. We talked to the registered manager about how we would minimise the length of time spent in the home. This is part of our risk assessment and protects people living at the home. The registered manager was able to provide some information prior to the inspection visit to support this.

What we did before the inspection

We used information we held about the service which included notifications that they sent us to plan this inspection. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

During the inspection-

We spent the majority of the inspection visit on the ground floor where people living with dementia were. We did not visit the other floors to maintain the separation the provider had established to reduce the risk of infection spreading. We spoke with people who lived on this floor but as most were unable to give detailed feedback, we also observed staff interaction with them in communal areas.

We spoke with four members of staff including the registered manager, the deputy manager, a senior care staff and a member of care staff. We also attended a handover meeting with several other staff.

We reviewed a range of records. These included four people’s care records and several medication records. We looked at a variety of records relating to the management of the service, including audits.

Updated 26 August 2020

About the service

Meadow View Residential and Community Care Centre is a care home that provides personal care for up to 32 people. The ground level is long term care for 16 people living with dementia. The other provision supports people on a short-term basis with rehabilitation goals. All rooms have en-suite facilities, there are communal areas and accessible gardens.

People’s experience of using this service and what we found

People received their medicines as prescribed and the risks associated with medicines were managed effectively. People received safe care and there were effective infection control systems to keep them safe. There were enough staff available to meet people’s needs safely and in a timely manner. Staff were recruited safely to ensure they did not pose a risk to people. People were protected from the risk of harm and lessons were learnt when mistakes happened.

The systems in place to monitor and improve the service were effective in achieving good outcomes for people. Staff were aware of their responsibilities and were encouraged to raise concerns and report mistakes to create a learning culture. Under current restrictions the service had implemented strict infection control measures but were innovative in maintaining contact with other professionals and stakeholders virtually.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was requires improvement (published 20 June 2019).

The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We carried out an unannounced comprehensive inspection of this service on 19 March 2019. Breaches of legal requirements were found and a Warning Notice was issued. We undertook this focused inspection to check whether the Warning Notice we previously served in relation to Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 had been met. This report only covers our findings in relation to the Key Questions of Safe and Well-led which contain those requirements.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from Requires Improvement to Good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Meadow View Residential and Community Care Centre on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.