Meyer House Nursing and Residential Care Home

Updated 9 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.

Inspection team

This inspection was undertaken by one inspector and an Expert 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

Meyer House Nursing and Residential Care Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Meyer House Nursing and Residential Care Home is a care home with 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.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority who work with the service. 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 spoke with four people who used the service and two relatives about their experience of the care provided. We spoke with two care staff, a nurse, an activities coordinator, the deputy manager, the operations and compliance manager and the registered manager. We reviewed a range of records. This included five people’s care records and medication records. We looked at staff files in relation to recruitment and staff training. We also reviewed a variety of records relating to the management of the service including quality monitoring checks and audits and policies and procedures.

Updated 9 March 2023

About the service

Meyer House Nursing and Residential Care Home is a care home service that accommodates up to thirty four people across two floors in one adapted building. There were twenty-eight people using the service at the time of our inspection.

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

People told us they felt safe. Staff were following current government guidance in relation to infection prevention and control and there were appropriate procedures in place to reduce the risk of spread of infections. People’s medicines were managed safely. There were safeguarding procedures in place and staff understood these procedures. Risks to people were assessed and staff were aware of the action to take to minimise risks where they had been identified. There were enough staff to meet people’s care and support needs. Safe recruitment checks took place before staff started work at the home.

Assessments of people’s care needs were carried out when they started using the service. Nursing staff and care staff received training and support relevant to people’s needs. People said they liked the food provided at the home and they were supported to maintain a balanced diet. People had access to a range of healthcare services when they needed them. The design of the premises was meeting people's needs. 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.

There were effective systems in place to monitor the quality of service that people received. The provider took people’s views into account through residents and relative’s meetings and satisfaction surveys and feedback from these was used to improve the service. Staff said they received good support from the registered manager. The registered manager and staff worked with health and social care providers to drive improvement and to deliver an effective service.

Rating at last inspection and update

The last rating for this service was requires improvement (published 8 December 2021). At that inspection we found breaches of our regulations in relation to infection control and failing to have effective systems in place for monitoring, assessing the quality of the service and driving improvement.

We carried out an infection, prevention and control inspection on 18 January 2022. We were assured the service was following appropriate infection prevention and control procedures to keep people safe.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Meyer House Nursing and Residential Care Home on our website at www.cqc.org.uk.

The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we were assured the service was following appropriate infection prevention and control procedures to keep people safe. We also found the provider had developed more effective systems for monitoring, assessing the quality of the service and driving improvement.

We found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We undertook this focused inspection to check the provider had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Effective and Well-led. 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 has changed from requires improvement to good. This is based on the findings at this inspection.

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