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Meridian Health and Social Care - Preston

The provider of this service changed - see old profile

We have not inspected this service yet

Inspection summaries and ratings from previous provider

Overall summary & rating


Updated 18 November 2017

This service was registered by CQC on 16 February 2016. This was the service's first inspection since Sevacare (UK) Limited took over the service and had registered with the Care Quality Commission at this location. At the time of this inspection the service was providing support to people living in Preston. Synergy provides support with personal care, domestic tasks and shopping to people living in their own homes. This inspection took place on 19 and 20 September 2017 and the provider was given 48 hours notice of the inspection in accordance with our current methodology for the inspection of domiciliary care agencies.

At the time of our inspection, the service did not have a registered manager in place. The previously registered manager had recently de-registered with the CQC, and the new manager was in the processing of applying for registration with the CQC. A registered manager (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.

The feedback we received from people using the service and their relatives was very positive. People told us they were very satisfied with the standards of care and support they received. They described how they enjoyed good working relationships with care staff and they were treated with dignity and respect.

People were supported in their own homes by well-trained staff that were able to meet people’s needs safely. Staff were appropriately and robustly recruited to check their suitability. There was sufficient staffing capacity to ensure people received safe, consistent care.

Good support was given to people to maintain their health and, where needed, to meet their dietary requirements. There were good working relationships developed with health and social care professional to meet these needs. Suitable arrangements were made to safely assist people in taking their prescribed medicines. However, we noted that medicine records were not always completed correctly, and have made a recommendation about improvements needed to medicine records.

People received person centred care in line with their individual needs and preferences. Care planning was focused on the wellbeing of the individual, how they preferred to be supported and the outcomes they wished to achieve. There was a clear commitment to support people in a way that promoted their independence.

We found the service had established effective systems to protect people from abuse and respond to any safeguarding concerns. Risks to personal safety had been assessed and measures were in place to prevent people from being harmed.

The registered provider had a procedure for receiving and managing complaints. The new manager and provider demonstrated a good understanding of the importance of effective quality assurance systems in promoting the quality of the service. The new manager promoted an open, inclusive culture and provided leadership to the staff team. Staff were proud to work for the organisation.

Inspection areas



Updated 18 November 2017

The service was safe.

There were enough staff to provide the support people required. Robust systems were in place to check that new staff were suitable to work in people�s homes.

The care staff and managers in the service took appropriate action to protect people from the risk of abuse and to keep people safe.

Suitable arrangements were made to safely assist people in taking their prescribed medicines.�



Updated 18 November 2017

The service was effective.

Care staff were trained and supported to ensure they had the skills and knowledge to provide the support people needed.

People received the support they needed with the preparation of their meals and drinks.

People were well supported to maintain good health. Staff were aware of people�s healthcare needs and where appropriate worked with other professionals to promote and improve people�s health and wellbeing.

People�s capacity was always assessed in line with the Mental Capacity Act.



Updated 18 November 2017

The service was caring.

People were supported by staff who were very caring, kind and friendly. They were asked for their views and the choices they made were respected.

The staff knew people well. They gave people time to carry out tasks themselves and understood the importance of supporting people's independence.



Updated 18 November 2017

The service was effective.

Care plans were sufficiently detailed and person centred and people�s abilities and preferences were clearly recorded.

People made choices about their lives and were included in decisions about their support.

The registered provider had an appropriate and responsive procedure for receiving and managing complaints.



Updated 18 November 2017

The service was well-led.

Although the service did not have registered manager in place, the new manager, who was experienced and well trained, was going through the application process to be registered with the CQC.

People using the service, their relatives and staff were positive about the new manager�s running of the service.

People were asked for their views about the service and knew how to contact a member of the management team if they needed.

The provider set high standards and monitored the quality of the service to ensure these were maintained.