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Inspection Summary


Overall summary & rating

Good

Updated 23 January 2019

This inspection took place on 8 January 2019 and was unannounced.

Meadowview Nursing Home 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.

Meadowview Nursing Home is registered to accommodate up to 42 people in one adapted building. At the time of our inspection there were 24 people using the service. The service supports older people with a range of conditions and includes providing support for people living with dementia.

There was a registered manager 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.

There was a relaxed friendly atmosphere throughout the inspection. Visitors were made welcome and people had developed positive relationships with each other and staff. Staff showed kindness and compassion and ensured people were treated with dignity and respect.

There was a person-centred culture promoted by the management team that ensured people were treated as unique individuals. Everyone was positive about the management of the service and the improvements that had been made.

Care plans were person-centred and gave clear guidance to staff in how people wished their care needs to be met. People and relatives were involved in the development of their care plans and regular reviews were completed.

People were supported by sufficient staff who understood their responsibilities to identify and report any concerns relating to harm or abuse. Medicines were managed safely and there were systems in place to ensure the equipment and the environment were safe.

Staff had the skills and knowledge to meet people’s needs. Staff were supported through regular supervision and were encouraged to improve their skills.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

The service worked in partnership with health professionals to ensure people had access to appropriate health care to support them to maintain healthier lives.

People enjoyed a variety of food and drink that met their individual dietary needs. Where people were at risk of weight loss this was monitored and referrals made to health professionals.

There were systems in place to monitor and improve the service. The registered manager was committed to continual development of staff and improvement of the quality of the service.

Inspection areas

Safe

Good

Updated 23 January 2019

The service was safe.

Staff understood their responsibilities to identify and report concerns relating to harm and abuse.

Medicines were managed safely and people received their medicines as prescribed.

There were sufficient staff to meet people's needs.

Effective

Good

Updated 23 January 2019

The service was effective.

People were supported by staff who had the skills and knowledge to meet people's needs.

Staff understood the principles of The Mental Capacity Act 2005 and how to support people in line with the principles of the act.

People enjoyed the food and individual dietary needs were provided for.

Caring

Good

Updated 23 January 2019

The service was caring.

Staff were kind and compassionate.

People were involved in decisions about their care.

Staff promoted people's independence.

Responsive

Good

Updated 23 January 2019

The service was responsive.

Care plans identified peoples' needs and how they wished them to be met.

There was a range of activities for people to enjoy.

The provider had a complaints policy and procedure in place. People were confident to raise concerns.

Well-led

Good

Updated 23 January 2019

The service was well-led.

There was a person-centred culture in the service.

There were systems in place to monitor and improve the service.

Staff were valued and respected.