We carried out a review of the data available to us about The Sands Meadows on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about The Sands Meadows, you can give feedback on this service.
The Sands Meadows is a care home providing accommodation and personal care to 23 people who are living with dementia. There were 23 people living in the home at the time we inspected. The home is an adapted building in a residential area.
People's experience of using this service and what we found
People received safe care from kind and caring staff. People were protected from the risk of harm and staff supported them to maintain their safety and wellbeing. People received their medicines as prescribed from staff who had been trained in medicines and had their competencies checked by managers. Relatives told us they felt confident their relations were safe living in the home and praised the friendly and caring attitudes of staff and managers. People's rights were protected and their equality and diversity needs were respected. People's bedrooms were personalised to reflect their tastes and preferences.
People were confident in the management team at the home, and praised how approachable they were. Relatives were similarly pleased with the way the home was managed. People received high-quality person-centred care because the provider and managers had maintained effective oversight of the quality of care practice and records. Staff were committed to providing high-quality care and felt they were supported in their role by managers. Relatives felt they were kept up to date with any matters affecting their relations.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at the last inspection an update
The last rating for this service was requires improvement. (published 20 January 2022. There was a breach of the regulations. 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 improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for The Sands Meadows on our website at ww.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
The Sands Meadows is a care home providing accommodation and personal care to 23 people who are living with dementia. There were 22 people living in the home at the time we inspected. The home is an adapted building in a residential area.
Up until March 2020 the home had been called Greenroyds Residential Home. The provider then changed the name of the home to The Sands Meadows.
People’s experience of using this service and what we found
Medicines were not always managed safely. The provider took action to improve the safety of medicines management during the inspection. There were enough staff to care for people. The provider used safe recruitment processes to ensure new staff were suitable to work in the home. Risks to people’s safety had been identified and managed. People were protected from the risk of infection. Incidents in the home were analysed and lessons learnt were shared with staff to improve the service.
The systems used to audit the service were not robust and had not identified the issues around the management of medicines. People received person-centred care which met their needs. The management team asked people, their families and staff for their views and took action in response to feedback to improve the service. The provider and management team understood their responsibilities under the duty of candour. The staff worked with other agencies to meet people’s needs.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 30 August 2019).
Why we inspected
We received concerns in relation to aspects of the safety of the service. We undertook a focused inspection to review the key questions of safe and well-led only.
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.
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.
We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for The Sands Meadows on our website at www.cqc.org.uk.
Enforcement
We have identified a breach in relation to the management of medicines at this inspection.
Please see the action we have told the provider to take at the end of this report.
Follow up
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 progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
Greenroyd Residential Home is a residential care home providing accommodation and personal care to people living with dementia. The service can support up to 23 people. At the time of the inspection the service was providing support to 22 people. Greenroyd Residential Home is an adapted building with two communal living areas and an unsecured outside garden.
People’s experience of using this service and what we found
Although relatives told us they people were safe, we have made some to ensure safety was consistently promoted. During the inspection we found risks to people’s well-being were not always effectively addressed and managed in a timely manner. Deployment of staffing in communal areas was not always consistent to ensure oversight and manage risk.
Although recommendations have been made to promote safety, we found the registered manager had worked hard to make improvements in other areas. We noted improvements had been made to promote infection prevention and control processes throughout the home. There was an ongoing commitment to ensuring all staff had appropriate training to challenge and report any abusive practice.
Relatives repeatedly told us people received effective care. They praised the way in which staff managed people’s health care needs. Three relatives told us they had seen a marked difference in people’s health. One relative told us they had never seen their family member so happy. Changes had been made to the menu’s to promote choice and to ensure people received nutritious foods. The registered manager was in the process of reviewing paperwork and systems to ensure the service was compliant with the Mental Capacity Act 2005. 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.
Care and support was flexible and tailored to people’s needs. People were able to wake up when they wanted, and we saw there was a flexible approach at meal times. Relatives told us they were always welcomed at the home. When people had no family members to assist them with decisions, we saw advocates were encouraged. Relatives told us staff were kind and caring. Observations made during the inspection confirmed this.
There was an emphasis on providing activities for people who lived at the home. The service had an activities coordinator who was developing and building community links to decrease the risk of social isolation for people. Relatives praised the recreational opportunities provided. The provider had a suitable complaints policy and had received no formal complaints since they had taken over the management of the home. We saw feedback from relatives and visitors was actively sought. The service had received multiple positive comments since the new management team had taken over at the home.
Relatives and staff told us the service was well-led. They praised the skills and approachability of the registered manager and their commitment to driving up standards within the home. The registered manager was described as, ‘The best boss,’ and, "Enthusiastic." Everyone agreed there was a commitment to developing a person-centred culture. The registered manager was aware of their role and responsibilities.
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)
This service was registered with us on 31/08/2018 and this is the first inspection.
The last rating for this service was requires improvement (published 14 March 2018). Since this rating was awarded the registered provider of the service has changed.
Why we inspected
This was a planned and scheduled inspection.
Follow Up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Greenroyd Residential Home on our website at www.cqc.org.uk.