We carried out a review of the data available to us about Meridian Health and Social Care - Wakefield 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 Meridian Health and Social Care - Wakefield, you can give feedback on this service.
Meridian Health and Social Care - Wakefield is a domiciliary care agency and provides personal care and support to people who require assistance in their own home. At the time of our inspection there were 73 people being supported by the service. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
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
People’s care plans and risk assessments were not always reviewed in a timely manner. People were not impacted by this and we saw care records were detailed and person centred. Staff had not undertaken specific training related to supporting people with a learning disability, however people told us staff offered day to day choices and promoted independence for them. There were sufficient staff to provide support to people and staff were safely recruited. Medicines were managed safely, staff were assessed for competency and were trained to administer medicines.
Right Care
People and their relatives were positive about the care people received and said staff were kind. People told us they were involved in pre assessments and their wishes were listened to. Staff understood how to promote privacy and dignity and people told us staff were respectful towards them. Choice of meals and drinks were offered to people that met their likes and dislikes.
Right Culture
The provider's systems and processes that monitored and improved quality and safety required improvements. Feedback was not sought from people in an accessible way and relatives’ feedback was not sought. Staff told us the manager was supportive and approachable and that staff morale was positive. People told us staff knew them well and they had a good rapport with staff.
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 last inspection
This service was registered with us on 12 October 2020 and this is the first inspection. The last rating for the service under the previous provider was requires improvement (published 7 April 2020).
Why we inspected
We carried out an inspection of a newly registered service to give the provider a rating.
We have found evidence that the provider needs to make improvements. Please see the well-led sections of this full report.
Recommendations
We recommend the provider reviews the quality monitoring systems in place, to ensure records are up to date and feedback about the service is sought from people and their relatives.
We recommend the provider reviews the underpinning principles of Right support, right care, right culture and implements this into practice for people and staff.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.