We carried out a review of the data available to us about Meadow View 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 Meadow View, you can give feedback on this service.
About the service
Meadow View is a residential care home providing personal care for up to seven people with learning disabilities and autistic spectrum disorder or associate physical health needs. The home is a large bungalow with seven en-suite bedrooms, communal kitchen/diner and living room with access to outside space. It is situated in a residential area. At the time of the inspection seven people were living there.
People’s experience of using this service and what we found
Right Support
Staff supported people to have the maximum possible choice, control and independence and they had control over their own lives. Staff focused on people’s strengths and promoted what they could do, so people had a fulfilling and meaningful everyday life.
People were supported by staff to take part in activities and pursue their interests in the local area. Staff supported people to achieve their aspirations and goals.
The service gave people care and support in a safe, clean, well equipped, well-furnished and well-maintained environment that met their sensory and physical needs. People had a choice about their living environment and were able to personalise their rooms.
Staff supported people to make decisions following best practice in decision-making. Staff communicated with people in ways that met their needs.
Staff supported people to play an active role in maintaining their own health and wellbeing. People were supported with their medicines in a way that promoted their independence and achieved the best possible health outcome. Staff ensured people had full access to health and social care to maintain their health and wellbeing.
Right Care
People received kind and compassionate care. Staff protected and respected people’s privacy and dignity.They understood and responded to their individual needs and promoted equality and diversity in their support for people.
People told us or communicated with us they were happy living at Meadow View. Relatives feedback was their family members were safe and comfortable at the service. Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it.
People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs. There was enough appropriately skilled staff to meet people’s needs and keep them safe.
People who had individual ways of communicating, using body language, sounds, pictures and symbols could interact comfortably with staff and others involved in their care and support because staff had the necessary skills to understand them.
People’s care, treatment and support plans reflected their range of needs and this promoted their wellbeing and enjoyment of life. People could take part in activities and pursue interests that were tailored to them.
Staff and people cooperated to assess risks people might face. Where appropriate, staff encouraged and enabled people to take positive risks.
Right culture
People received good quality care, support and treatment because trained staff and specialists could meet their needs and wishes. People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management and staff.
People were supported by staff who understood best practice in relation to the wide range of strengths, impairments or sensitivities people with a learning disability and/or autistic people may have. This meant people received compassionate and empowering care that was tailored to their needs.
Staff placed people’s wishes, needs and rights at the heart of everything they did. They knew and understood people well and were responsive, supporting their aspirations to live a quality life of their choosing.
People and those important to them were involved in planning their care. The service enabled people and those important to them to work with staff to develop the service. Staff valued and acted upon people’s views.
People’s quality of life was enhanced by the service’s culture of improvement and inclusivity. Staff ensured risks of a closed culture were minimised so that people received support based on transparency, respect and inclusivity.
The registered manager and provider had implemented effective checks and audits on the quality and safety of the service. When shortfalls were identified, action was taken to address these.
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 29 June 2018)
Why we inspected
We undertook this inspection as part of a random selection of services rated Good and Outstanding to test the reliability of our new monitoring approach. We also inspected to assess that the service is applying the principles of Right support right care right culture.
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.
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.
Meadow View 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.
Meadow View is registered to accommodate up to six people. The service supports people with autism and a learning disability. The service is a house with six bedrooms and communal living areas, in a residential area in Northampton. The care service has been developed and designed in line with the values that underpin the ‘Registering the Right Support’ and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen. At the time of our inspection, five people were living at the service.
The service had two registered managers in post. 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 safe, and staff had an understanding of abuse and the safeguarding procedures that should be followed to report abuse. People had risk assessments in place to cover any risks that were present within their lives, but also enabled them to be as independent as possible. All the staff we spoke with were confident that any concerns they raised would be followed up appropriately by the registered managers.
Staffing levels were adequate to meet people's current needs, and rotas showed that staffing was consistent.
The staff recruitment procedures ensured that appropriate pre-employment checks were carried out to ensure only suitable staff worked at the service. References and security checks were carried out as required.
Staff attended induction training where they completed mandatory training courses and were able to shadow more experienced staff giving care. Staff told us that they were able to update their mandatory training with refresher courses.
Staff supported people with the administration of medicines, and were trained to do so. The people we spoke with were happy with the support they received.
Staff were well supported by the registered managers, senior team and provider, and had one to one supervisions and observations.
People's consent was gained before any care was provided and the requirements of the Mental Capacity Act 2005 were met. Consent forms were signed and held within people's files.
People were able to choose the food and drink they wanted and staff supported people with this. Staff supported people to access health appointments when necessary. Health professionals were involved with people's support as and when required.
Staff treated people with kindness, dignity and respect and spent time getting to know them and their specific needs and wishes. People told us they were happy with the way that staff spoke to them, and they provided their care in a respectful and dignified manner.
People were involved in their own care planning as much as they could be, and were able to contribute to the way in which they were supported. Care planning was personalised and mentioned people's likes and dislikes, so that staff understood their needs fully. People were in control of their care and listened to by staff.
The service had a complaints procedure in place. This ensured people and their families were able to provide feedback about their care and to help the service make improvements where required. The people we spoke with knew how to use it or felt confident in raising concerns.
Quality monitoring systems and processes were in place and comprehensive audits were taking place within the service to identify where improvements could be made.
The service worked in partnership with other agencies to ensure quality of care across all levels. Communication was open and honest, and improvements were highlighted and worked upon as required.