Archived: Meadow Rise

Updated 12 March 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

One adult social care inspector carried out the inspection.

Service and service type:

Meadow Rise is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Meadow Rise accommodates up to four people in one adapted building.

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.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

We gave the service 48 hours’ notice of the inspection visit because it is small. We needed to be sure that they would be in.

What we did:

We used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We also reviewed the information all the information we held about the service, this included notifications of significant changes or events.

We checked for feedback we received from members of the public, local authorities and clinical commissioning groups (CCGs). We also checked Companies House records.

We spoke with four relatives of people who used the service, as people living at Meadow Rise were unable to provide us with direct feedback. We also spoke with the registered manager and three care workers.

We reviewed two people's care records, two staff personnel files, audits and other records about the quality and safety of the service.

We requested additional evidence to be sent to us after our inspection. This was received and the information was used as part of our inspection.

Updated 12 March 2019

About the service:

Meadow Rise is a residential care home that was providing personal and nursing care to four people with a learning disability at the time of the inspection.

People’s experience of using this service:

People at Meadow Rise usually received a personalised service that met their needs. Relatives gave positive feedback about the care but felt constant staff changes were impacting on the service. Supporting people to communicate their needs and choices was a strength of the home. People had positive relationships with the staff team and they interacted well with each other.

Relatives and staff told us the home was safe. New staff were recruited safely. Accidents, incidents and safeguarding concerns were monitored and investigated thoroughly. The home was clean, modern and well decorated in line with people’s preferences. Medicines were managed effectively and staff worked to reduce people’s reliance on some medicines.

Staff were very well supported and completed the training they needed. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Staff supported people to have a healthy diet and to access external healthcare services.

People’s needs were fully assessed. The information was used to develop detailed and personalised care plans. People were engaged in activities meaningful to them and had opportunities to access their local community.

The home was well-led with staff and relatives giving positive feedback about the registered manager. The provider had effective quality assurance checks which were successful in identifying areas for improvement. There were good opportunities for relatives and staff to provide feedback.

More information is in our full report.

Rating at last inspection:

Good (the last report was published on 17 June 2016).

Why we inspected:

This was a planned inspection based on the previous rating.

Follow up:

We will continue to monitor this service and inspect in line with our reinspection schedule for services rated good.