• Care Home
  • Care home

Meavy View Retirement Home

Overall: Inadequate read more about inspection ratings

146 Milkstone Road, Rochdale, Lancashire, OL11 1NX (01706) 861876

Provided and run by:
MTCARE Property Limited

Important: The provider of this service has requested a review of one or more of the ratings.

Latest inspection summary

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Background to this inspection

Updated 28 June 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was undertaken by 2 inspectors and an Expert by Experience on day 1, and 2 inspectors on day 2. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Meavy View Retirement Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Meavy View Retirement Home is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We observed how staff provided support for people, to help us better understand their experiences of the care they received. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We spoke with 7 people living in the home and 5 visitors. We also spoke with 7 staff including care staff, cook, the registered manager, deputy manager and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We had a tour of the building with the registered manager. We reviewed a range of records, including care records, records relating to medicines, staff recruitment, training and supervision, building maintenance, cleaning and equipment checks, accident and incidents and safeguarding logs and policies and procedures for infection control. Also, a variety of records relating to the management of the service, including audits and policies and procedures were reviewed.

Overall inspection

Inadequate

Updated 28 June 2023

About the service

Meavy View Retirement Home is a residential care home providing accommodation and personal care to up to 32 people. At the time of our inspection there were 27 people using the service.

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

All required checks and maintenance to the building were not yet fully completed. Concerns identified in the fire risk assessment had not been fully addressed. Ongoing concerns were found with equipment and the environment. For example, there was a lack of appropriate lap belts for baths and a shower chair, some radiator covers and wardrobes were not fixed to the walls and a part of the kitchen flooring was torn.

Care records relating to the management of risk were not always accurate or complete. All required recruitment checks had not been made prior to staff starting to work at the home. Medicines were not always managed safely. Staff did not have the training required to ensure they could carry out their roles effectively. Care and support was not always designed to meet people’s needs or to reflect people’s preferences. Information was not always held securely.

Further improvement was needed to systems for auditing, assessing, monitoring and improving the quality and safety of the service. They were not sufficiently detailed or robust and had not identified or addressed issues found during this inspection or ensured the warning notice issued at the last inspection had been met.

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.

Staff were aware of their safeguarding responsibilities and knew how to identify and report concerns. Systems in place helped to minimise the risk associated with COVID-19 and other infections. There were no restrictions on people having visitors to the home.

There were sufficient staff deployed to provide people with unrushed, timely care. People were supported to eat a balanced diet. However, records did not always indicate people had received appropriate levels of fluid. People were supported to access health care services and support.

Throughout the inspection respectful, caring and patient interactions were observed. People were involved in decisions about their care. There was a system in place for recording and responding to complaints. We received mixed feedback on how involved visitors felt with their family member’s care. Staff were positive about the new registered manager and felt supported.

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 24 November 2022.) This service has been rated requires improvement for the last 3 consecutive inspections.

The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found the provider remained in breach of regulations.

Why we inspected.

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.

This inspection was carried out to follow up on action we told the provider to take at the last inspection.

The overall rating for the service has changed from requires improvement to inadequate based on the findings of this inspection.

You can see what action we have asked the provider to take at the end of this full report.

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

Enforcement

We have identified breaches in relation to premises and equipment, management of risk, recruitment, medicines management, staff training, person centred care and governance at this inspection.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

The overall rating for this service is ‘Inadequate’ and the service is therefore in ‘special measures’. This means we will keep the service under review and, if we do not propose to cancel the provider’s registration, we will re-inspect within 6 months to check for significant improvements.

If the provider has not made enough improvement within this timeframe and there is still a rating of inadequate for any key question or overall rating, we will take action in line with our enforcement procedures. This will mean we will begin the process of preventing the provider from operating this service. This will usually lead to cancellation of their registration or to varying the conditions of the registration.

For adult social care services, the maximum time for being in special measures will usually be no more than 12 months. If the service has demonstrated improvements when we inspect it and it is no longer rated as inadequate for any of the five key questions it will no longer be in special measures.