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Meadow Lodge Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 1 May 2021

About the service

Meadow Lodge is a care home providing accommodation and personal care people for younger adults and people aged 65 and over. At the time of the inspection 11 people were living at the home. The service can support up to 22 people.

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

The provider has a poor history of meeting the regulation. When improvements are made, they are not always sustained. The provider had a quality monitoring system in place, this was not always effective. Issues were identified and not acted on in a timely way or the system did not identify the issues.

The environment was not always maintained in a way that ensured people’s safety. Infection control practices were in place but not consistently effective. The management of risk’s to people was not always effective and placed people at risk of potential harm.

Medication was not always stored or managed safely. People’s care records were not always detailed, accurate and kept up to date.

Staff knew how to report concerns of abuse and there was enough staff to respond to people’s request for care. However, not all staff felt the service was well managed.

People told us they were happy with their care and felt safe living at Meadow Lodge.

Rating at last inspection and update.

The last rating for this service was Requires Improvement (Published on 12 November 2019).

Why we inspected

The inspection was prompted due to concerns about poor infection prevention and control (IPC) and whistleblowing concerns including concerns about the management of the service. A decision was made for us to inspect and examine those risks.

We looked at infection prevention and control measures under the safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.

We reviewed the information we held about the service. We only looked at safe and well led during this inspection. We did not look at the key questions of effective, caring and responsive. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service remains as Requires Improvement. This is based on the findings at this inspection.

We have found evidence that the provider needs to make improvement. Please see the safe and well led sections of this full report.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Meadow Lodge care Home on our website at www.cqc.org.uk.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified three breaches in relation to safe care, premises and good governance. Full information about CQC's regulatory response to the more serious concerns found during inspections are added to reports after any representations and appeals have been concluded.

Please see the action we told the provider to take at the end of this report.

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will also request an action plan for the provider to

understand what they will do to improve the standards of quality and safety.

Inspection areas

Safe

Requires improvement

Updated 1 May 2021

The service was not always safe.

Details are in our Safe findings below.

Effective

Requires improvement

Updated 1 May 2021

Caring

Requires improvement

Updated 1 May 2021

Responsive

Requires improvement

Updated 1 May 2021

Well-led

Inadequate

Updated 1 May 2021

The service was not well-led.

Details are in our Well-Led findings below.