Archived: Meadoway Homes Limited - 613 Barking Road

The service is registered to provide accommodation and support with personal care to up to five adults with mental health needs. Four people were using the service at the time of inspection. The service had a registered manager in place. 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 were enough staff working at the service to meet people’s needs and robust staff recruitment procedures were in place. Appropriate safeguarding procedures were in place. Risk assessments provided information about how to support people in a safe manner. Medicines were managed safely.

Staff received on-going training to support them in their role. People were able to make choices for themselves and the service operated within the principles of Mental Capacity Act 2005. People told us they enjoyed the food. People were supported to access relevant health care professionals.

People told us they were treated with respect and that staff were caring. Staff had a good understanding of how to promote people’s privacy, independence and dignity.

Care plans were in place which set out how to meet people’s individual needs. Care plans were subject to regular review. People were supported to engage in various activities. The service had a complaints procedure in place and people knew how to make complaints.

Staff and people spoke positively about the registered manager. Systems were in place to seek the views of people on the running of the service.

We reviewed care plans and records from sessions with key workers. We found that people's preferences were considered by staff in the delivery of their care.

People were not cared for in a clean, hygienic environment and the premises was not being maintained.

We were not provided with evidence that staff were being supervised, appraised and monitored.

Two people we spoke to on the day of the inspection told us that they had recently had a review of their care plans and were shown what they had agreed and had signed it. The people we spoke to told us they knew where their care plan was and could easily have access to it if they wished.

The people we spoke to told us they were happy at the home and with the care. They also told us they preferred the new format of care plan as there was a lot more detail to record aspirations. We spoke to two family members and they said they were happy with the care provided.

We did inform the registered manager that there were some care plans where they had not been signed or dated by the keyworker which did not provide an accurate record as to when a goal was agreed with an individual.

Although people told us that they were involved in the planning of their care, not all records showed evidence of regular review. This meant that care plans did not always reflect what people were working towards and the support they needed to achieve this.