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Inspection Summary


Overall summary & rating

Good

Updated 3 October 2020

About the service

Meadbank is a care home providing nursing and personal care to 112 older people at the time of our inspection. The service can support up to a maximum of 176 people. The premises are divided into five separate units, each of which has their own adapted facilities. Most people using the service are living with dementia.

People’s experience of using this service and what we found

People using the service and their relatives spoke positively about the care home and how they continued to improve.

At our last two consecutive inspections we found the provider had made good progress against all the breaches of regulations. The service has also shown continuous improvement in the way they managed risk, ensured the service was adequately staffed and operated their quality monitoring systems.

At this inspection we found the provider continued to improve the way they managed risks people might face, staffing levels, staff training and operated their governance systems. This demonstrated the provider could maintain this progress over a sustained period of time.

People were cared for and supported by staff who knew how to keep them safe while respecting their human rights. The care home was adequately staffed and staff received the right levels of up to date training they required to effectively meet people’s needs. Managers had also significantly reduced the service’s reliance on temporary agency staff. This meant people were now supported by staff who were familiar with their needs, wishes and daily routines.

In addition, the provider’s governance systems continued to be effectively operated and there were systems in place to learn lessons when things went wrong to prevent similar incidents reoccurring.

Since our last inspection the provider has appointed a new manager who has recently applied to be registered with us.

However, further improvements were still needed to ensure the service was managed better. This was because we received mixed comments from staff about the new manager’s leadership style. We discussed this mixed feedback from staff with the provider at the time of our inspection. They told us an action plan had already been agreed to improve how the new manager communicated with her staff team. Progress made by the new manager to achieve this stated aim will be assessed at their next inspection.

Staff continued to undergo all the relevant pre-employment checks to ensure their suitability and fitness for their role. People continued to receive their medicines safely and as prescribed. The provider had effective systems in place to assess and respond to risks regarding infection prevention and control, including those associated with COVID-19.

The new manager consulted people, their relatives and staff as part of their on-going programme of improving the service they provided. The provider continued to work in close partnership with other health and social care professionals and agencies to plan and deliver positive outcomes for people using the service.

Rating at last inspection and update.

The last rating for this service was requires improvement (published 25 May 2019), although there were no breaches of regulation identified at that time. At this inspection we found the provider continued to sustain the progress they had made at their previous two inspections. This report only covers our findings in relation to the key questions; Is the service safe, effective and well-led?

Why we inspected

This inspection was prompted in part due to concerns received about the leadership style of the new manager and to check service had sustained all the progress they had made at the time of our last inspection. A decision was made for us to inspect and examine the risks associated with all the issues described above.

The Care Quality Commission (CQC) has introduced focused/targeted inspections to check specific concerns.

We used the targeted inspection approach to look at a specific concern

Inspection areas

Safe

Good

Updated 3 October 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 3 October 2020

Inspected but not rated

Details are in our effective findings below.

Caring

Good

Updated 3 October 2020

Responsive

Good

Updated 3 October 2020

Well-led

Good

Updated 3 October 2020

The service was well-led.

Details are in our well-led findings below.