Meridian Health and Social Care, Nottingham is a domiciliary care service providing personal care to people living in their own homes supporting them to remain as independent as possible. The service provides support to people living with dementia, learning disabilities or autism, people with mental health needs, older people, physical disability and sensory impairment. The service provides care and support to 170 people, 114 people were reiving support with personal care.
At the time of the inspection, the location did not care for or support anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.
People’s experience of using this service and what we found
Records for medicines administration and governance and oversight arrangements were in place and completed. The provider's policy framework was up to date, comprehensive and was followed. Audits were completed regularly and any shortfalls identified were addressed and learning taken from this to continually improve the service.
Care plans and risk assessments were in place to help reduce risks and promote safe care for people.
Systems kept people safe from the risk of abuse and avoidable harm. Risks from infection transmission, including COVID-19, were assessed and actions in place to reduce risks.
Recruitment processes were followed to check staff were suitable to work with vulnerable people. There were enough staff to meet people’s needs. Assessment processes helped to inform people's care plans and people using the service were involved in this. Advice and guidance from other health and social care professionals to help provide people with effective care were included in care plans. Staff were provided with training relevant to people's health and care needs. People were assisted with relevant nutritional support where this was part of their care.
People received care from friendly and caring staff. Staff understood how to promote people's independence and respect their privacy and dignity. People's equality and diversity needs were respected. People were listened to and involved in their care decisions.
People received personalised care and their choices were respected so they retained control over their lives. Staff knew the people they cared for and provided responsive care. People were supported with any communication needs they may have. Care was provided in a way that helped to reduce social isolation and
promoted people's relationships with others. People were able to provide feedback or raise complaints which were listened to and responded to.
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 15 August 2019)
Why we inspected
We undertook this inspection as part of a random selection of services rated Good and Outstanding.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.