14 August 2023
During an inspection looking at part of the service
Meera House Nursing Home is a residential care home providing personal and nursing care for up to 59 older people who may also live with dementia. At the time of our inspection there were 48 people using the service.
People’s experience of using this service and what we found
Since the last inspection we found that improvements had been made. Care plans were personalised, there was an activities coordinator in place and the home had been decorated and new furniture purchased.
People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. Staff understood and responded to people’s individual needs. Staff knew 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.
Care plans were personalised and included people’s specific medical conditions, so we were assured that people’s needs were being met by the service. Medicines were managed safely.
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.
The provider had ensured staff were in post to meet people’s care and support needs. Staff had received an induction at the commencement of their employment to ensure they had the required knowledge to meet people’s needs. The provider had a system in place to ensure training was refreshed annually or as required. Staff received regular supervision from the manager.
People’s relatives gave positive feedback about the support their family members received from staff. The provider had systems in place to monitor and assess the quality of the care and support provided to people. Policies and procedures reflecting current best practice were in place to underpin this. People’s views about their care were sought on a regular basis.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 12 November 2021) and there were breaches of regulations. 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 found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
The inspection was prompted in part due to concerns about the environment of the service, fire safety, cleanliness, staffing levels, and poor staff awareness of safeguarding. . As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led. We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the safe, effective and well-led sections of this full report.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
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.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Meera House Nursing Home on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.