Meadow View

Updated 31 March 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by 3 inspectors, 1 medicines inspector, 1 specialist advisor and 2 Experts by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Meadow View is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under 1 contractual agreement dependent on their registration with us. Meadow View is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations. At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced on the first and third days.

Inspection activity started on 1 March 2023 and ended on 14 March 2022. We visited the service on 1, 2 and 14 March 2022.

What we did before the inspection

We reviewed information we received about the service since the last inspection We asked for feedback and information about the service from the Local Authority and local Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spent time talking with 12 people who used the service. We spoke with 5 family members about their experiences of the service. We spoke to 16 members of staff including the registered manager, assistant managers, team leaders, support staff, senior support staff and members of the quality assurance team. We spoke with the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We took time to observe the care and support people received in their homes and we reviewed their risk assessments, positive behaviour support plans, care plans and day to day records. We reviewed all aspects of the management of people’s medicines. We looked at staff records in relation to staff recruitment training and support. We reviewed a range of management records spanning how the provider monitored people’s access to their community, their health and their quality of life, safeguarding records and accident and incident investigation and review.

Updated 31 March 2023

About the service

Meadow View is a residential care home providing accommodation and personal care to 80 people. At the time of the inspection 72 people were using the service.

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

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Right support:

The setting at Meadow View was based in a rural location, which enabled people to have access to the countryside. Staff also ensured people had links to shops and other community services People were protected from the risk of harm because robust safeguarding processes were in place. Risks to people’s safety were considered and the registered manager made sure there was a culture of person-centred care and support. 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.

Right care:

Care was person-centred and promoted people's dignity, privacy and human rights. Education and learning were promoted. People were supported to lead active lifestyles of their choosing. People’s wellbeing was promoted, and their communication needs were assessed. People were supported to use various communication tools to assist in their engagement with others. People received good quality care, support and treatment because trained staff could meet their needs and wishes. People were supported to maintain good health, were supported with their medicines and had accessed healthcare services when needed.

We have made a recommendation about the management of some medicines.

Right culture:

There was a positive culture of person-centred care for people. The ethos, values, attitudes and behaviours of leaders and support staff made sure people were leading confident, inclusive and empowered lives. People and their families and advocates were informed, engaged and involved in developing and improving the service. Families told us the registered manager was approachable and good at listening. They were very happy with communication and engagement from the service. Families felt that the staff promoted a safe, consistent and predictable atmosphere which met people's individual needs

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 26 February 2019.).

Why we inspected

The inspection was prompted in part due to concerns received about safeguarding people, staffing and medicines. A decision was made for us to inspect and examine those risks. We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the safe, effective and well-led sections of this full report.

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.

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 remains 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 Meadow View on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.