About the service:
Meadow View Care Centre is a care home that provides personal care for up to 32 people. The accommodation is across four levels. The ground level is a dementia specific unit for 16 people. On the second floor there is a day unit, meeting spaces and therapy rooms and a café. CQC does not regulate these. On the third floor there is an intermediate unit for eight people, this is to support people to return to their home after a period of ill health. On the top floor there is a respite unit which can accommodate eight people. This enables people to have a short break to support family carers or receive support during a period of changing health needs. Each unit has their own communal spaces and bathing facilities. At the time of the inspection there were 27 people using the service.
People’s experience of using this service:
Medicine was not always managed safely and risk assessments completed to reduce the risk to people. Lessons were learnt in some areas, however in others the lessons had not been reviewed to ensure they had been embedded into new practice.
Audits had been completed, however these had not always identified areas of concern to address any risks or drive improvement. Some notifications had not been completed or sent to us as required to inform us of events or concerns.
The provider had not always supported the registered manager with the processes needed to manage the service in all areas. Care plans were not always detailed to ensure staff had all the information to provide safe care. Information about people’s methods of communication or equality needs were not reflected.
People were supported by sufficient staff and this support was flexible when people’s needs changed. When staff were recruited, the appropriate checks had been completed, including references and a police check.
People’s behaviours had been managed by staff who had received the training and who followed detailed guidance. When people received care, this was done with dignity and respect. People could choose how to spend their day. There were activities on offer and external entertainers visited weekly.
There was a choice of meals and people’s preferences had been considered. When people’s health needs changed they were supported with health care professionals who provided guidance.
People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.
People were able to raise any concerns they had and they were responded to with a formal response. There was an opportunity for people to reflect and comment on their care they received. This was used to reflect on changes to the meals or activities, in addition to the quality of the care provided.
Staff felt supported by the registered manager and there was a homely atmosphere to the environment. Partnerships had been developed with health and social care professionals and this had enhanced how they worked together to develop new processes.
We found two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.You can see what action we told the provider to take at the back of the full version of the report.
Rating at last inspection: Requires Improvement (Published April 2018)
Why we inspected: This was a planned inspection based on the rating at the last inspection which was ‘Requires improvement.’ At this inspection we found the service continued to be ‘Requires Improvement.’
Enforcement : Action we told the provider to take. We found two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.You can see what action we told the provider to take at the back of the full version of the report.
Full information about CQC’s regulatory response to the more serious concerns found in inspections and appeals are added to reports after representations and appeals have been concluded.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk