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Inspection Summary


Overall summary & rating

Good

Updated 6 June 2019

About the service: Meylan House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. It was registered for the support of up to seven people with learning disabilities and/or autism. Seven people were using the service at the time of the inspection.

Why we inspected: We undertook an unannounced focused inspection of Meylan House on 30 April 2019. We had received concerns from an anonymous whistle-blower about the practice of a member of staff. Alongside this we had received a high level of notifications of incidents between people who lived in the service. As a result, we undertook the focused inspection to investigate these concerns to ensure that risks were being managed safely. No risks, concerns or significant improvement were identified in the remaining Key Questions through our ongoing monitoring or during our inspection activity, so we did not inspect the Key Questions of Effective, Caring or Responsive. The ratings from the previous comprehensive inspection for these Key Questions were included in calculating the overall rating in this inspection.

People’s experience of using this service:

People were protected from abuse and avoidable harm. The provider had reported any concerns or allegations to safeguarding when it was identified. Where required, investigations were thorough.

The service shared information about risks consistently and reliably with staff and relevant others, including in handover meetings when staff changed over and other meetings.

Staff had received training and support was provided from a positive behaviour support team. This helped staff to identify and manage any risks that could result from behaviours that challenge.

Staff performance relating to unsafe care was recognised and responded to appropriately and quickly. Where concerns were brought to the provider’s attention, there was an appropriate thorough investigation involving all relevant staff and others.

Medicines systems were organised, and people were receiving their medicines when they should. The provider was following safe protocols for the receipt, storage, administration and disposal of medicines.

The provider and registered manager had an understanding of prioritising safe and high-quality care. There was evidence to demonstrate what action had taken place in response to concerns and incidents and in planning to prevent similar incidents in the future.

The service had effective governance, management and accountability arrangements. Where necessary, management had accounted for the actions, behaviours and performance of staff. Concerns are investigated in a sensitive and confidential way, and lessons are shared and acted on.

Rating at last inspection: At the last inspection the service was rated Good (published on 14 November 2017).

Follow up: Going forward we will continue to monitor this service and plan to inspect in line with our inspection schedule for those services rated as Good.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk. The report from our last comprehensive inspection, can be found by selecting the 'all reports' link for Meylan House on our website at www.cqc.org.uk.

Inspection areas

Safe

Good

Updated 6 June 2019

The service was safe

Details are in our Safe findings below.

Effective

Good

Updated 6 June 2019

Caring

Good

Updated 6 June 2019

Responsive

Good

Updated 6 June 2019

Well-led

Good

Updated 6 June 2019

The service was well-led

Details are in our Well-Led findings below.