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Inspection carried out on 28 September 2016

During a routine inspection

This comprehensive inspection took place on 28 September and 4 October 2016 and was unannounced.

Meadowside is close to the centre of Tavistock, a market town on the edge of Dartmoor in Devon. The home is a large semi-detached Edwardian house with accommodation on four floors. There are 11 bedrooms, two of which have en-suite toilets. Bedrooms are arranged over the four floors with bathrooms and toilets on each floor. There are two sitting rooms, the smaller of which is a smoking lounge. The main lounge is open plan and has a dining area and small kitchen area where people can make hot drinks and snacks. French windows from this lounge lead to a level garden which people have the use of. There is a large kitchen where meals are prepared by people and staff.

The home provides accommodation and personal care for up to 11 adults who have needs arising from enduring mental health issues. At the time of inspection, there were 11 people living at Meadowside. Most people had lived at the home for a number of years.

The home had a registered manager who was also one of the providers. 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.

The service was previously inspected in January 2014 when the service was found compliant with all the regulations inspected.

Meadowside was well run by a registered manager and her deputy, both of whom had worked at the home for over 20 years. The ethos of the home was to encourage people to be independent and lead fulfilling lives, maximising their potential. There were regular checks to ensure the safety and quality of the service was maintained. People said they knew how to complain but had not had to do so formally.

People living at Meadowside described how much they enjoyed living at the home. Comments included “it’s lovely” and “I really liked living here.” People were encouraged to undertake activities both as an individual and as a group. Care plans were developed when a person first moved into the home. These care plans were updated regularly to reflect changing needs and people’s aspirations. People said they were involved in the development of these plans. Staff had a relaxed, positive and encouraging attitude when working with people, who they clearly knew well.

Risks to people had been assessed and plans put in place to reduce the risks. Most people did not require help with personal care, although some people did need help with their medicines. Staff had been trained to administer and record medicines safely.

There were sufficient staff to meet people’s needs. Staff had been recruited safely with appropriate checks being carried out before they started working. All the staff we met were enthusiastic about their role, describing how they enjoyed working at Meadowside. New staff were provided with an induction to the home. Staff were also supported to refresher training from time to time and undertake nationally recognized qualifications. This ensured staff had the right skills and competencies to do their job effectively.

Staff understood their responsibilities in terms of protecting people from the risk of abuse. Staff also understood their role in terms of working within the legal framework outlined in the Mental Capacity Act 2005.

People were encouraged to have a healthy balanced diet which they were involved in choosing. People were able to do some meal preparation themselves including breakfast and lunch. Staff supported people to address their health needs with health professionals including the person’s GP.

The home was well maintained throughout and people were encouraged to individualise their bedrooms.

Inspection carried out on 20, 21 January 2014

During a routine inspection

Meadowside is home for up to eleven adults with long term mental health issues. The people living at Meadowside have done so for many years. They feel safe at the care home. One person told us that they were not well enough to live independently, but the support of the staff helped them to remain as well as they could be. Another person told us that they did not want to leave the home. They said, of the staff, "Yes they are doing a good job, yes they are, yes." Many of the staff had worked at the home for a long time. Therefore staff knew each person living at Meadowside very well indeed.

We found that the care home was in the process of changing to a computerised filing system. This meant that some of their records were incomplete. We could see that this was a consequence of the change process and the provider told us that she would ensure that the faults would be rectified.

We observed the medication being administered and saw that the home had good systems in place to ensure that people's medication was safely dispensed. We looked at the staffing levels and found that careful consideration was given to ensure that the home had enough staff on duty to meet the planned needs of each person living at Meadowside.

Inspection carried out on 30 April 2012

During a routine inspection

We conducted this unannounced visit to Meadowside Residential Home as part of a planned inspection of the service. We were accompanied by an Expert by Experience (expert) who spoke to seven people who used the service and one who had previously done so and was visiting. An expert is a person with experience of the conditions affecting people who used the service and so they spoke to them about what it was like to live at the home.

Following the visit we contacted a senior member of the local mental health team who had good knowledge of the service provided. They spoke very positively about the home.

We spoke with three staff at the home and the manager. We saw the results from questionnaires received from people who used the service and their families, care files and other documents relating to the way the home was run.

People told us that they felt safe at the home and that they would take any concern to the manager. There was a good rapport and trust between them and the manager, who was regularly sought out for discussion. The three staff were aware of how to report concerns which might iindicate abuse had occurred and escalate them if not dealt with.

There were no negative comments from people about the staff and we saw that they worked in a competent way and were knowledgeable about people's needs and how to meet them. People's independence was promoted and they were making day to day, and long term, choices and decisions. Staff were trained, supervised and supported in their work by an experienced manager.

People's physical and mental health needs were understood and met and they were supported to do things that they wanted or needed to do. This included health care visits, contacting family through computer, shopping, walking and holidays.

There were arrangements to monitor the service people received and make improvement, such as improving care files to make them more useful to people and support workers. The home environment was checked regularly and we saw that it was well maintained.

Reports under our old system of regulation (including those from before CQC was created)