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New Meppershall Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 27 September 2019

About the service

New Meppershall is a residential care home providing personal and nursing care to 71 people aged 65 and over at the time of the inspection. The care home is split over two adapted buildings and two floors. One building is designed to support people living with dementia and the second building supports people who require personal and/or nursing care. Each building and each floor have access to outside garden space and each bedroom has ensuite facilities. The service can support up to 81 people.

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

People told us they felt safe and could call for staff if they needed help. Staff did check on people regularly but not all people were able to work their call alarms. This resulted in some people having to wait up to 20 minutes after shouting out for staff checks to occur, before they were heard.

Staff supported people safely, but it took a long time to complete tasks such as personal care and meal support as there were not enough staff on duty. Staff minimised the risk of harm as they had training and a good awareness of how to keep people safe.

Staff had assessed people’s needs and completed risk assessments. People received their medicines safely. People told us they had plenty to eat and drink but choice was sometimes limited. People’s mealtime experience was inconsistent across the service.

People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did support this practice. This was because there were not enough staff on duty to enable people to choose the time they got up or received personal care or meals. People did not have a choice about how they spent their time as there were not sufficient staffing levels to provide a range of activities and engagement.

People said the staff were very caring and kind and treated them well. They told us staff maintained their privacy and provided the care they wanted. Staff spoke to people politely and with respect

Peoples records and plans were very person centred and important details and preferences considered. However, these could not be delivered in practice as there was not enough staff on duty to meet everyone’s needs in a timely manner. People told us they felt bored and just sat around with nothing to do.

People felt the manager was doing a good job and they were aware of changes going on in the service. People did not have formal opportunities to give their views on the service but did feel confident to do so if needed.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published12 July 2018).

Why we inspected

The inspection was prompted in part due to concerns received about poor care practices in relation to hydration, nutrition and skin care. A decision was made for us to inspect and examine those risks. We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the safe, effective and caring sections of this full report.

Enforcement

We have identified breaches in relation to staffing and person-centred care. The service did not have enough staff to meet people’s needs in a reasonable time frame in-line with their preferences. People were not able to have control over how they spent their time and there was insufficient meaningful engagement. Please see the action we have told the provider to take at the end of this report.

Follow up

We will speak 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 work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 27 September 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 27 September 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 27 September 2019

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 27 September 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 27 September 2019

The service was not always well-led.

Details are in our well-led findings below.