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Lower Meadow Requires improvement

Inspection Summary

Overall summary & rating

Requires improvement

Updated 1 May 2019

About the service: Lower Meadow provides accommodation and personal care for up to 69 people. It provides care to older people, some of whom are living with dementia. Care is provided in four separate units over two floors. Each unit has their own lounge and dining room. At the time of our visit 30 people lived at the home as there had been a placement stop for 12 months and nobody had been able to move into the home.

People’s experience of using this service:

•Changes in managers meant there had been no consistent leadership at the home.

•The provider was working towards a service improvement plan (SIP) to address the issues that led to the placement stop being imposed. Improvements in practice had not been consistently maintained when managers changed.

•Due to the high level of vacant rooms and significant changes in the staff team, we were not able to determine whether staffing levels would remain effective when the home was fully occupied.

•Improvements needed to be embedded into the culture of the home under the new manager and with the new staff team to ensure they would be sustained, particularly when new people started to move to the home.

•Overall medicines were managed safely and people received their medicines as prescribed.

•Staff had received safeguarding training and knew how to keep people safe protecting them from harm or abuse.

•People’s risks to safety and well-being were assessed, recorded and reviewed to reduce the risk of avoidable harm occurring.

•People made decisions about their care and were supported by staff who worked within the principles of the Mental Capacity Act 2005.

•Staff were suitably skilled to meet people’s needs.

•People received enough food and drink to meet their dietary requirements.

•People had access to healthcare as and when required.

•Care plans focussed on people’s individual needs so staff could provide a personalised response to those needs.

Rating at last inspection: At the last inspection the service was rated as good. (The last report was published on 22 August 2017).

Why we inspected: This was a planned inspection based on the rating at the last inspection. The service is now rated as ‘Requires Improvement’ overall.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our inspection programme. If any concerning information is received we may inspect sooner.

For more details, please see the full report which is on the CQC website at

Inspection areas


Requires improvement

Updated 1 May 2019

The service was not always safe.

Details are in our Safe findings below.



Updated 1 May 2019

The service was effective.

Details are in our Effective findings below.



Updated 1 May 2019

The service was caring.

Details are in our Caring findings below.



Updated 1 May 2019

The service was responsive.

Details are in our Responsive findings below.


Requires improvement

Updated 1 May 2019

The service was not always well-led.

Details are in our Well-Led findings below.