You are here

Radcliffe Meadows Learning Disability Nursing Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 11 May 2019

About the service:

Radcliffe Meadows is a single storey building that provides accommodation and nursing care for up to twelve adults who have a learning / physical disability and /or mental health needs. Radcliffe Meadows was providing personal and nursing care to 11 adults at the time of the inspection. This home is larger than current best practice guidance and did not fit with the guidance contained in the Registering Right Support review document. The home was clearly identifiable as a care home with large signage at the top of the road and outside the premises, four large industrial size bins were visible at the front of the property. However, staff were not required to wear uniforms so there was no suggestion they were care staff as they were coming and going from the property.

People’s experience of using this service:

People told us that they liked living in Radcliffe Meadows and many of people had lived there many years. People were complimentary about the staff who cared for them. Relatives told us that they were satisfied with the care their loved ones received.

However, we found some areas of concern.

Improvements were needed to the environment, which have proved difficult to implement by the provider. In part due to a covenant on the property and the materials used in the original construction of the building.

There were sufficient staff to meet people’s needs. There was a high dependency on agency staff. This could mean people are unfamiliar with the staff working with them. Improvements were needed to recruit permanent staff. Agency staff were not always appropriately trained in fire evacuation procedures, which could put themselves and others at risk.

Ineffective systems were in place for people to raise complaints and concerns and for the service to consult people living in the home, family and stakeholder, including staff.

Risks were identified and managed to minimise harm. Appropriate recruitment checks were carried out to ensure staff were suitable to work in the care environment. Medicines were managed safely by trained staff in the home. However, there was insufficient overview and effective monitoring of the service.

The home complied with the principals of Mental Capacity Act 2005 (MCA), measures were in place to ensure consent to care and treatment. People were well cared for by staff who treated them with respect and dignity.

You can see what action we told the provider to take at the back of the full version of the report.

Rating at last inspection:

The rating was good at the inspection dated 17 May 2016.

Why we inspected:

This inspection was scheduled/planned inspection in accordance with our inspection schedule. The rating is now Requires Improvement.

Follow up:

We will continue to monitor any intelligence we receive about the service until we return to visit as per our inspection schedule. If any concerning information is received we may inspect sooner.

Inspection areas

Safe

Good

Updated 11 May 2019

The service was safe.

Details of our findings can be seen in the safe section of this report.

Effective

Requires improvement

Updated 11 May 2019

The service was not always effective.

Details of our findings can be seen in the effective section of this report.

Caring

Good

Updated 11 May 2019

The service was caring.

Details of our findings can be seen in the caring section of this report.

Responsive

Requires improvement

Updated 11 May 2019

The service was not always responsive.

Details of our findings can be seen in the responsive section of this report.

Well-led

Requires improvement

Updated 11 May 2019

The service was not always well-led.

Details of our findings can be seen in the well-led section of this report.