The Care Quality Commission
  • Care Home
  • Care home

The Meadows

Overall: Requires improvement read more about inspection ratings

Oak Farm House, Acle Road, South Walsham, Norwich, Norfolk, NR13 6DD 07487 831001

Provided and run by:
Beeshaw Care Limited

Important:

We served 2 warning notices on Beeshaw Care Limited on 28 August 2026 for failing to meet the regulations related to Dignity and Respect and Good Governance at The Meadows.

All Inspections

During an assessment under our new approach

Date of assessment: 3 August to 19 August 2026. We visited The Meadows 3 times during the assessment process. The Meadows is a service supporting 7 people with an acquired brain injury. The Meadows are registered with The Care Quality Commission (CQC) to provide support to people with learning disabilities, mental health conditions, physical disabilities and sensory impairments.

We did not inspect against CQC's ‘Right support, right care, right culture’ guidance as the service was not supporting autistic people or people with a learning disability. The assessment was promoted by the aged rating of the service.

We found the service was in breach of legal regulations in relation to dignity and respect, safe care and treatment and good governance. The provider did not have an effective governance system in place to identify areas of improvement, we found medicines expiry dates were not checked and Controlled Medicines were not recorded in line with national protocols, there were no general risk assessments in place for the service. Staff worked prolonged shifts and could sleep on duty, this put people at risk. The service did not respect people’s dignity, we found kitchen cupboards padlocked with no risk assessments in place, times for people to be able to smoke or vape were on a poster on the communal activities board, we observed people going to a shelf by the door of the office when their medicine was due, staff then dispensed the medicines and placed it on the shelf for people to take from. People had baby monitors in place to be used at night, we found these monitors were on in the staff office during the day. People were not always supported safely in line with their individual needs including night checks not being documented, people’s mental capacity assessments not completed in line with information we found in people’s care plans.

Whilst the provider responded to the concerns identified during the assessment, we could not be assured that improvements had been fully embedded or that effective oversight arrangements were in place to sustain these changes and reduce the risk of a reoccurrence.

However, staff told us that they felt supported by the leadership team. We observed kind and compassionate interactions between the people living at The Meadows and the staff who supported them. Relatives felt that their loved ones were looked after by staff who cared.

24 July 2018

During a routine inspection

This inspection was announced 24 hours’ prior to our visit, as it is a small home and we wanted to ensure that someone would be available to speak with us. This was the first comprehensive inspection carried out of this service which was registered with the Care Quality Commission (CQC) in June 2017.

The Meadows 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.

The care home accommodates up to 6 people in one adapted building. At the time of our inspection 3 people were living in the home.

The Meadows provided accommodation, care and rehabilitation to adults who have neurological difficulties such as acquired brain injury. The home had communal areas such as a kitchen and lounge, and people were accommodated in their own rooms, each with an en-suite shower or bathroom

There was a registered manager working in the service. 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 supported by a suitable number of staff who understood how to keep them safe, and staff were recruited safely. Risks to people were assessed and mitigated, including those associated with the environment they lived in as well as their own health needs. Staff administered and supervised medicines safely, and people received these as prescribed. The home was clean and there were infection control processes in place.

People’s needs were thoroughly assessed prior to moving into the home. The staff continued to work effectively with other teams to ensure people received consistent care. Staff received training relevant to their roles, including the provider’s mandatory training as well as training specific to some people’s needs. They also received supervision from the management team. Staff supported people to drink enough and to eat a balanced diet, and to access healthcare from other professionals as needed.

People lived in a homely environment and garden which was adapted to their needs. Staff knew about people’s mental capacity and understood how to support people to make decisions. There were also appropriate healthcare professionals involved in making best interests decisions for some people.

There were caring and supportive relationships between staff and people. Staff adapted their communication according to people’s needs. Privacy and dignity was respected at all times, and people and relatives were involved in their care as much as possible.

Care records were in place for people living in the home, and these contained individualised guidance for staff about how to support people. People were able to go out into the local community if they wanted, and participate in activities, as well as do activities in the home with staff.

People and relatives felt they could raise any concerns with staff, and a complaints system was in place.

There was good leadership in place and staff felt happy in their roles. There were quality assurance systems in place which contributed to assessing, monitoring, and improving the service provided.