Updated 13 July 2025
Meadow View Residential Care Home provides care and support for older people, the majority of whom were living with dementia. Some people also have physical disabilities.
Date of assessment: This assessment took place on 14, 16 and 30 July 2025. We undertook this assessment as concerns had been received about safe care being delivered to people. During the assessment we found 5 4 breaches of the regulations in relation to safe care and treatment, staffing, safeguarding service users from abuse and improper treatment, assessing the risk of, and preventing, detecting and controlling the spread of, infections, and good governance.
We identified significant and widespread concerns across the service. This included people’s medicines not being managed safely, gaps in training and knowledge of staff. People’s health conditions were not always well managed because of a lack of knowledge for staff.
We observed that there were not always enough staff to meet people’s needs and keep them safe. People who needed support at lunch time did not always receive it. Parts of the service smelt strongly of urine.. People did not always have access to the equipment they needed to support them safely. When we raised this with the registered manager, the equipment was ordered.
There was a new leadership team at the service, who were trying to implement improvements, but had failed to identify and act on the widespread issues. Audits and checks at the service had been ineffective at driving timely improvements, and issues identified within the providers compliance audit in February 2025 remained. Other checks and audits identified no issues, for example with medicines management where we identified multiple issues. There was a lack of learning from incidents and embedding good practice and lessons learnt.
There was a closed culture at the service, and a disconnect between leaders and staff. Staff did not feel they received the support they needed to make improvements when issues were identified. Staff did not feel they could raise concerns within the organisation.
This service is being placed in special measures. The purpose of special measures is to ensure that services providing inadequate care make significant improvements. Special measures provide a framework within which we user our enforcement powers in response to inadequate care and provide a timeframe within which providers must improve the quality of the care they provide. In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/ or appeals have been concluded.