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Inspection Summary


Overall summary & rating

Good

Updated 4 October 2017

This unannounced inspection took place took place on 8 August 2017. The service was last inspected in March 2015 and we rated the service Good. At this inspection, the service continued to be rated Good.

Meadowbanks Care Home provides accommodation and personal care to 40 older people. At the time of our inspection, 35 people were using the service.

A registered manager was 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.

People told us they felt safe living in the service. Risks to people, such as falls, were identified and managed to support people as safely as possible.

The service had made improvements in medication management following recommendations we made at our last inspection. People received their medicines safely from staff who were trained to do so. Medicines were recorded correctly after they were administered.

The premises were safe, clean and regularly maintained. Some damage had occurred to the building and the provider had taken action to resolve the situation and ensure people and staff were safe.

Staff received training on how to keep people safe and were able to describe the actions they would take if they had any concerns about people’s safety. The provider also had a whistleblowing policy which staff were aware of and they knew how to report on concerns they had.

The provider had safe recruitment procedures in place and carried out checks on new applicants. There were enough staff working at the service to meet people’s needs.

Staff were supported with regular training, meetings and supervision. Staff work performance was reviewed on a yearly basis. Staff told us they were not fully confident in meeting the needs of people who exhibited behaviours that posed a risk to themselves and other people.

The provider had systems in place to support people who lacked capacity to make decisions for themselves. Staff received training about the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS).

We have made a recommendation about seeking further guidance and additional training for staff on the MCA and managing behaviours that challenge the service, for further staff development.

Staff ensured people had access to appropriate healthcare treatment and that their nutritional needs were met so that people’s health and wellbeing was maintained.

Staff were aware of people’s habits, routines and preferences. People were treated with dignity and their choices were respected. Staff encouraged people to be as independent as possible.

People received personalised care and support, to ensure their individual needs were met. They were encouraged to participate in activities and pursue any hobbies and interests.

People and relatives were able to make complaints and they were confident their concerns would be addressed and investigated. They were also able to make compliments and suggestions to the management team.

Staff felt supported by the management team. The provider had systems in place to monitor the quality of the service provided to people. The registered manager and the provider worked well together to ensure improvements were made.

Inspection areas

Safe

Good

Updated 4 October 2017

The service was safe. People told us they felt safe.

Staff were aware of the steps to take to report any allegations of abuse.

Medicines were managed safely by staff and people received them on time.

There were safe recruitment procedures in place and enough staff to support people.

Effective

Good

Updated 4 October 2017

The service was effective.

Staff were supported with training and supervision. We made a recommendation about further staff development and training in certain topics.

People were supported to eat a balanced diet and their nutritional needs were met.

People were supported to receive treatment and checks from healthcare professionals, when required.

Caring

Good

Updated 4 October 2017

The service was caring. Staff treated people with kindness and dignity.

People's rights were respected. They were involved in making decisions about their care and support.

People were encouraged to be as independent as possible.

Staff knew people well and understood their preferences.

Responsive

Good

Updated 4 October 2017

The service was responsive. People’s care needs were assessed and reviewed regularly.

Care plans were personalised and contained information about people's wishes and preferences.

People were able to make choices about their daily lives and participate in activities that interested them.

Staff and the management team listened to people. Complaints and concerns were addressed and investigated.

Well-led

Good

Updated 4 October 2017

The service was well led. The management team supported staff and provided them with guidance.

There were quality assurance systems to monitor and evaluate the service

and make improvements.

People and relatives provided their views on the service through satisfaction surveys.