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Meavy View Retirement Home Requires improvement

Reports


Inspection carried out on 22 September 2020

During an inspection looking at part of the service

About the service

Meavy View Retirement Home is a residential care home providing personal care to 18 people at the time of the inspection. The service can support up to 32 people in one adapted building.

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

People told us they felt safe and were happy with the care provided. The environment was clean in all areas seen. Staff were caring and we observed some positive interactions between staff and residents. Most relatives had no concerns about the service and they told us they had received updates about their family members during the covid pandemic.

There were sufficient numbers of staff on duty and they responded to people’s needs in a timely manner. However, there were concerns about security at the service as several people had managed to leave the premises. There were concerns that the service was not raising safeguarding concerns appropriately and there was little evidence of learning lessons from incidents that had occurred, to minimise the risk of them happening again.

We found maintenance issues within the home and although there were sufficient supplies of personal protective equipment, we found some issues around infection control that had not been addressed effectively.

People told us the registered manager was very supportive and well liked. Although audits were taking place, they were not robust enough to pick up the issues we found on inspection. The provider had little oversight of the management of the service and there was no evidence of any provider audits taking place.

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 good (published 11 May 2018) At this inspection we found the service had deteriorated to requires improvement.

Why we inspected

This inspection was prompted in part due to concerns received. A decision was made for us to inspect and to examine any risks to people’s health and safety. This report only covers our findings in relation to the key questions Safe and Well-Led.

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 the service can respond to coronavirus and other infection outbreaks effectively.

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

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 deteriorated to requires improvement.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We identified two breaches in relation to Regulation 12 Safe Care and Treatment and Regulation 17 good governance.

Please see the action we have told the provider to take at the end of this report.

Follow up

The overall rating for this service is requires improvement. We will meet with the provider following this report being published. In addition, we will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor

Inspection carried out on 3 April 2018

During a routine inspection

Meavy View is a care home providing personal care and accommodation for up to 32 people older people. The three-storey building is purpose built and a passenger lift is provided to all floors. Twenty-eight single and two double bedrooms are provided. One single and one double room have en-suite facilities. The home is located approximately one mile from Rochdale town centre, close to a small shopping precinct and Post Office. It is near to local public transport routes. There were 28 people accommodated at the home during the inspection.

This is the first rated inspection for this service since the home changed providers. Prior to the inspection we received a concern from a whistle blower which we investigated during the inspection.

A manager was in post and was given the news that they had been successful with their registration with the Care Quality Commission during the inspection. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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. The manager had been in post since September 2017.

We saw that the quality of care plans gave staff sufficient information to look after people accommodated at the care home and they were regularly reviewed. However, we have made a recommendation that the provider looks at best practice information around more personalised care plans and recording people’s end of life wishes.

The service used the local authority safeguarding procedures to report any safeguarding concerns. Staff had been trained in safeguarding topics and were aware of their responsibilities to report any possible abuse.

Recruitment procedures were robust and ensured new staff should be safe to work with vulnerable adults.

The administration of medicines was safe. Staff had been trained in the administration of medicines and had up to date policies and procedures to follow.

The home was clean, tidy and homely in character. The environment was maintained at a good level and homely in character.

Electrical and gas appliances were serviced regularly. Each person had a personal emergency evacuation plan (PEEP) and there was a business plan for any unforeseen emergencies.

There were systems in place to prevent the spread of infection. Staff were trained in infection control and provided with the necessary equipment and hand washing facilities. This helped to protect the health and welfare of staff and people who used the service.

People were given choices in the food they ate and told us it was good. People were encouraged to eat and drink to ensure they were hydrated and well fed.

Most staff had been trained in the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS). The registered manager was aware of therr responsibilities of how to apply for any best interest decisions under the Mental Capacity Act (2005) and followed the correct procedures using independent professionals.

New staff received induction training to provide them with the skills to care for people. Staff files and the training matrix showed staff had undertaken sufficient training to meet the needs of people and they were supervised regularly to check their competence. Supervision sessions also gave staff the opportunity to discuss their work and ask for any training they felt necessary.

We observed there were good interactions between staff and people who used the service. People told us staff were kind and caring.

We saw from our observations of staff and records that people who used the service were given choices in many aspects of their lives and helped to remain independent where possible.

We saw that people were able to attend activities of their choice and families and friends were able to visit when they wanted.

Audits, surve