Meadfoot View

Updated 25 May 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.

As part of this inspection, we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was carried out by two Inspectors.

Service and service type

Meadfoot View 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. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of our inspection there were 2 registered managers in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

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 also reviewed additional information we held about the service, this included previous inspection reports and statutory notifications. A statutory notification contains information about certain incidents and events the provider is required to notify us about by law.

During the inspection

We spoke with 8 members of staff. This included both registered managers, one of whom was the provider’s nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We also spoke with care staff, activities co-ordinators, catering staff and the provider’s quality and compliance manager. We spoke with 3 people who lived at the service.

We reviewed a range of records, including people’s care records, staff recruitment files, records relating to safety checks including fire safety and accident and incident records. We also reviewed medicines records and records relating to monitoring and quality assurance.

Following our site visit, we contacted 7 healthcare professionals to seek their views on the service and received feedback from 5 of them. We also spoke with 3 people’s relatives and 2 members of staff. We received further clarification and documentation from the service to validate evidence found.

Updated 25 May 2023

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

About the service

Meadfoot View is a residential care home providing personal care to up to 14 people. The service provides support to people with physical disabilities. At the time of our inspection there were 11 people using the service.

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

People told us they felt safe in the company of staff and our observations supported this. One person told us, "I am happy here. The staff are lovely, caring. Absolutely wonderful staff, I feel so safe here.” Staff understood safeguarding reporting procedures.

Risks to people were managed and the environment was safely maintained. People received their medicines when required. There were sufficient staff on duty to meet people’s needs and this was kept under continual review. Staff were recruited safely into the service. The service environment was clean and infection control measures were effective.

People’s needs were assessed prior to moving into the service and they were supported by appropriately trained staff. The environment people lived in was well equipped, well-furnished and well-maintained. People received enough support to eat and drink enough and any health concerns were escalated to relevant professionals as needed.

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. Where required, applications to lawfully deprive people of their liberty had been made and best interest processes followed.

People, relatives and health professionals spoke positively of the care provided at Meadfoot View. People were supported to be involved in choices about the care and support they received. The service provided responsive care to people and people’s communication needs were considered when care was being designed. People were involved in activities both within the service and the community. People were supported to participate in their chosen social and leisure interests on a regular basis.

People were positive about the service management who were clearly driven to provide the best possible outcomes for people. There was a governance framework in place to monitor and assess the quality and safety of the service. Within the service there were systems to ensure the involvement and views of people, relatives, staff and healthcare professionals. There was a continual development plan in place to continually evolve the service for the benefit of those living within it.

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

This service was registered with us on 25 June 2021 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Follow up

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