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Inspection Summary


Overall summary & rating

Good

Updated 4 April 2019

About the service:

Meadowside is a ‘care home.’ People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Meadowside is registered to accommodate a maximum of 10 people at any time. It is a respite service, offering occasional overnight stays for people with learning disabilities, who usually live with family members or carers. Meadowside provides access to respite support for 84 people in total. At the time of the inspection there were six people staying at the service, one was on long stay placement, meaning they were living at the service until a more suitable place could be found.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

People’s experience of using this service:

The outcomes for people using the service reflected the principles and values of Registering the Right Support. People were encouraged to be a part of the local community; attending clubs, the library, pubs, visiting local shops, cafes, swimming pools and gyms. People were supported to move on to supported living services to become more independent.

Since the last inspection, where we found four breaches of regulations, we found that improvements had been made so the service was no longer in breach and now met the characteristic of good in all areas.

¿ People were provided with the support they required. People and their relatives/carers took an active role in developing their care and support plans and these were reviewed each time a person revisited the service to ensure information was up-to-date.

¿ We asked people if they felt safe and they nodded. Relatives told us that they felt their loved ones were safe and well cared for.

¿ There were safeguarding and complaints information in easy read and pictorial form for people and the information was communicated to people in resident's meetings.

¿ Risks to people were identified and mitigated. Since the last inspection, the fire system had been completely replaced and new fire doors had been fitted throughout.

¿ New positive behaviour training and support plans had been implemented so staff had a greater understanding of people's behaviour and how to manage and overcome it safely.

¿ There were enough staff who had appropriate training to support people and it was clear to see that people felt relaxed and comfortable in the company of staff. Staff knew people well and we saw agency staff and staff who had little contact with people previously reading people’s care plans and communication aids before they met them.

¿ People had access to medicines which were stored safely and checked by staff. People were encouraged to take their medicine independently.

¿ Incidents and accidents were investigated and learnt from so the risk of reoccurrence was reduced.

¿ People received the necessary support when they were physically or mentally unwell as staff worked closely with medical professionals and people's relatives/carers.

¿ People had a choice of what they had to eat and drink. Refreshments were available throughout the day and people were encouraged to make their own drinks and help prepare meals.

¿ The environment was adaptable and met people's needs. It was clean, and the premises had been redecorated throughout.

¿ People's privacy and dignity were respected.

¿ Personal independence was promoted, and people were challenged to try new things and learn new skills.

Rating at last inspection: At the last inspection we rated the service requires improvement. (Published 1 March 2018).

Why we inspected:

Scheduled inspection based on previous rating of requires improvement.

Follow up:

We will continue to moni

Inspection areas

Safe

Good

Updated 4 April 2019

The service was safe.

Effective

Good

Updated 4 April 2019

The service was effective.

Caring

Good

Updated 4 April 2019

The service was caring.

Responsive

Good

Updated 4 April 2019

The service was responsive.

Well-led

Good

Updated 4 April 2019

The service was well-led.