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Meadow House Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 28 January 2021

About the service

Meadow House is a residential care home and was providing personal care to eight people with mental health needs at the time of the inspection.

People's experience of using this service and what we found:

Risks associated with people’s care and support had either not been assessed or had not been reviewed to help ensure people were sufficiently supported to keep themselves and others safe. This included risks associated with fire, infection control, and the environment. People did not experience care in the least restrictive way possible. Records did not show people had been involved in best interest decisions to enable them to have maximum choice and control of their lives.

Ineffective provider and management level oversight of the service had impacted on the quality of care people received. The provider's systems to monitor the quality and safety of the service were not effective and their policies and procedures were not always followed. The management team had not identified the concerns that could arise through poor infection control and the lack of clear records.

People told us they felt safe and were positive about the staff. We saw people were comfortable around staff demonstrating they felt safe. Arrangements were in place for the safe recruitment of staff but not all pre-employment checks had been fully completed. Staff knew people well and knew how to support their needs. They shared mixed views about management of the home due to experiencing frequent changes in management.

We identified there were ongoing actions needed to fully comply with the conditions placed on the provider’s registration. There continued to be two breaches of the Health and Social Care Act (Regulated Activities) Regulations 2014 relating to safe care and treatment and good governance.

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 (11 May 2019) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection enough improvement had not been made, and the provider was still in breach of regulations.

This service has been rated requires improvement for the last two consecutive inspections.

Why we inspected

This was a planned inspection based on the previous rating.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.

We carried out an unannounced comprehensive inspection of this service on 18 March 2019. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve. This was in regard to actions to comply with Safe Care and Treatment, Good Governance and the requirement to display performance assessments (their rating).

We undertook this focused inspection to follow up on the conditions we imposed on the provider’s registration, as well as, to check they had followed their action plan to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well Led which contain those requirements.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has remained the same. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Meadow House on our website at www.cqc.org.uk.

Enforcement

We are mindful of th

Inspection areas

Safe

Requires improvement

Updated 28 January 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 28 January 2021

Caring

Good

Updated 28 January 2021

Responsive

Good

Updated 28 January 2021

Well-led

Inadequate

Updated 28 January 2021

The service was not well led.

Details are in our well led findings below.