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Inspection Summary


Overall summary & rating

Good

Updated 3 July 2019

About the service

Meadowfields is a care home which accommodates up to 65 people across two floors. Within Meadowfields there are three separate wings, each of which has adapted facilities. At the time of the inspection, the service supported 63 people, some of whom were living with dementia.

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

People were supported by trained staff. Staff were knowledgeable about the different types of abuse and were able to raise concerns to ensure people remained safe.

People received their medicines as prescribed by trained staff. People were supported in a clean environment and staff wore protective equipment where required to reduce the risk of infection. Any accidents and incidents were reported by staff to the management team and actions were taken to reduce any future risk.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. People’s privacy and dignity was respected by staff.

People were supported to maintain a healthy diet and had access to healthcare professionals should they need them. People had detailed care plans which were updated when their needs changed. This ensured the staff knew people well and provided care which was effective.

People were treated with kindness and compassion. People were supported to plan for the end of their lives with families and other professionals where they wished. There were sufficient numbers of staff to meet people’s needs and to allow people time to build relationships with staff.

The provider learned lessons when things went wrong and completed regular reviews of the quality of the service to ensure continuous improvements to people’s care. The provider sought and acted of people's feedback about the service. This meant that people's voice was heard.

The provider had quality assurance tools in place to monitor the quality of care and support they provided. The provider took action where improvements were required to ensure people continued to receive safe and effective care.

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

Rating at last inspection and update

The last rating for this service was requires improvement (published 10 January 2019). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found significant improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

The inspection was prompted in part due to concerns received about the service not engaging with health professionals in a timely way and staff training. 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 this concern. Please see the ‘Effective’ and ‘Well-Led’ sections of this full report.

Inspection areas

Safe

Good

Updated 3 July 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 3 July 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 3 July 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 3 July 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 3 July 2019

The service was well-led.

Details are in our well-Led findings below.