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Meylan House Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 11 June 2021

About the service

Meylan House is a residential care home registered to provide personal care and accommodation to up to seven people aged 18 and over. The service was fully occupied at the time of our inspection.

The site comprises of a six-bedded building and a one-bedroomed independent annexe in the property’s garden equipped with a living/kitchen area and bathroom.

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

We carried out a focused inspection of the key questions ‘safe’, ‘caring’ and ‘well-led’.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. The service was not fully reflecting the principles and values of ‘Right support; Right care; Right culture’. This statutory guidance supports Care Quality Commission to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. Providers of existing services are expected to demonstrate principles and values including the environment meeting people’s sensory needs and preferences.

There were six people living in the main house and four of these people had autism. There was also one autistic person living in the annexe. The main house had little evidence of an autism-friendly layout in line with best practice guidance (such as appropriate quiet spaces to ensure people’s sensory needs and preferences were optimised). There was one open plan communal space but with the number of people and staffing levels required, the environment could be noisy with little opportunity for people to use other areas, other than their bedrooms.

We have made a recommendation the provider seeks and implements the values and principles of the current guidance.

The staff team were relatively new and beginning to work well together and in a collaborative way to ensure people received the support they needed. However, some staff did not have prior experience working in social care and we found the induction and training programme did not always reflect this. This meant the training provided did not fully ensure staff felt skilled and confident to support people with behaviours that could challenge. We also found that improvements were needed to ensure people’s preferred communication methods were effectively met in order to be able to express their views and choices.

We have made a recommendation about the provider seeking and implementing up to date best practice in respect of effective communication to meet people’s preferences and needs.

We observed many caring interactions and people and relatives we spoke with felt staff were caring and wanted the best outcomes for people.

Medicines were administered and managed in a safe way. Risk management plans were detailed. The home was clean and tidy, and there were mostly safe infection control practices in place.

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. There were auditing systems in place and the registered manager had an oversight of the day to day running of the service.

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 (published 6 June 2019).

Why we inspected

We received concerns in relation to the care people were receiving. As a result, we undertook a focused inspection to review the key questions of safe, caring and well-led only.

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 COVID-19 and other infection outbreaks effectively.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service has changed from Good to Requires Improvement. 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 Meylan House on our website at www.cqc.org.uk

Follow up

We will continue to monitor information we receive about the service until we 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 11 June 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 11 June 2021

Caring

Requires improvement

Updated 11 June 2021

The service was not always caring.

Details are in our caring findings below.

Responsive

Good

Updated 11 June 2021

Well-led

Requires improvement

Updated 11 June 2021

The service was not always well-led.

Details are in our well-Led findings below.