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We have edited an inspection report for Meadow Bank House in order to remove some text which should not have been included in this report. This has not affected the rating given to this service.

Inspection Summary


Overall summary & rating

Good

Updated 22 December 2018

This inspection took place on 22 November 2018 and was unannounced. Meadow Bank House is registered to provide personal care and nursing care for 47 people. On the day of the inspection there were 17 people living on Poppy unit who required nursing care. On Primrose unit there were 23 people, of which six required nursing care.

Meadow Bank House is a purpose built care home in the Great Lever area of Bolton. There is limited outside garden space. Car parking is available at the front of the home and on the main road. The home is close to local amenities and public transport.

Meadow Bank House is a ‘care home’. People in care home 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.

At our last inspection on 3 April 2018. We rated the service as requires improvement. We found five breaches of the regulations. These related to appropriate care and treatment, dignity, safe care and treatment, governance and staffing.

On 10 April 2018 the home sent us an action plan showing us how they planned to make improvements and a timescale for when these would be completed.

At the inspection on 22 November 2018 we found that the breaches had been met. The home was working closely with the local authority quality assurance monitoring team, safeguarding team and the Clinical Commissioning Group (CCG).

The home had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People were safe from the risks of abuse and ill treatment. Staff had undertaken training in safeguarding vulnerable people and policies and procedures were in place for staff to refer to.

People were supported by enough staff to meet their needs.

Individual care records were in place. Information reflected people’s involvement where possible and had been reviewed and updated.

People told us that activities were provided both in the home and outside in the community.

People told us, and we observed, staff treat them with dignity and respect when offering care and support. Staff were said to be helpful and caring and understood people’s individual needs and wishes.

All relevant recruitment checks were undertaken prior to new staff commencing employment.

Relevant authorisations were in place where people were being deprived of their liberty. Care records showed that capacity and consent had been considered when planning people’s care and support.

Safe systems were in place for the management and administration of people’s prescribed medicines. People had access to relevant healthcare support so that their health and well-being was maintained.

Effective systems were in place to ensure the premises and equipment were regularly serviced and safe to use. Internal maintenance checks were completed. Issues identified during the inspection were immediately acted upon so that the building was safe.

Suitable arrangements were in place to minimise the risk of cross infection.

Systems were in place for the reporting and responding to any complaints and concerns. People and their visitors said they were able to raise any issues and felt they would be listened to and acted upon. The home had received a number of thank you letters and cards.

Inspection areas

Safe

Good

Updated 22 December 2018

The service was safe.

Recruitment at the service was safe and the staffing levels were sufficient to meet the people’s needs.

A safeguarding policy and procedures were in place and staff had received training and were knowledgeable of safeguarding.

Safe systems were in place for the ordering, storage, administration and disposal of medicines. Infection control procedures were in place.

Effective

Good

Updated 22 December 2018

The service was effective.

The care plans included a range of health and personal information to guide staff on the care and support people required.

Nutrition and hydration requirements were addressed and the dining experience was calm and unhurried.

The service was working within the legal requirements of the Mental Capacity Act (MCA) 2005.

Staff completed an induction programme on commencing work and the service. Staff training was ongoing.

Caring

Good

Updated 22 December 2018

The service was caring.

People who used the service, and their relatives, told us that staff were kind and caring. Dignity and privacy was respected at all times.

People who used the service and their relatives where appropriate, were involved in planning and reviewing their care delivery.

There was a service user guide available that provided information about the home and the services available.

Responsive

Good

Updated 22 December 2018

The service was responsive.

Care plans were person centred and included information about people’s health and social care needs, preferences, likes and dislikes and background and interests.

A range of activities was available, both in the home and outside.

There were systems in place for dealing with any complaints and concerns. The home had received several compliments from family and friends.

Well-led

Good

Updated 22 December 2018

The service was well led.

There was a registered manager at the service who was supported by a senior management team.

Systems were in place for completing checks and audits.

The registered manager participated in local groups and meetings and worked closely with other agencies and healthcare professionals.