Meadway Court

Updated 9 January 2025

Meadway Court is a residential care home providing personal care to up to 42 people aged 65 and over. At the time of our inspection there were 40 people using the service, many of whom were living with dementia. This assessment was undertaken between 22 January and 13 February 2025.

The provider was previously in breach of legal regulations in relation to management of medicines; assessment and mitigation of risk; and systems for governance and oversight. At this assessment we found improvements needed had not been sustained and ongoing concerns regarding how people were supported with their medicines, how risk was managed and mitigated, and the systems in place for oversight of these concerns. New breaches of regulation in regard to person-centred care and staffing were also found.

Medicines were not always safely managed and accurate records were not being effectively maintained. There was insufficient oversight of risk and this was not always well managed. Staff were kind but task focused. People felt safe at the home.

People’s needs were assessed and reviewed. However, reviews were not always completed robustly in response to incidents. Records of consent were not always effectively maintained. There was not always enough oversight of people to ensure their needs were met around fluid intake and repositioning. Personalised information was obtained about people’s interests and preferences but not always incorporated into care plans or care delivery.

A new home manager was in post and people and families felt able to raise concerns. However, there had been insufficient oversight of the home to ensure the safety and quality of the service and the systems of checks in place had not identified all areas for improvement found at this assessment.

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Updated 9 January 2025

People spoke positively about staff and told us, “Staff are pleasant and helpful” and that there was a “Great atmosphere. Staff are very knowledgeable and friendly.” However, people did raise concerns about staffing levels and we observed staff were not always available to provide support in a timely way. People felt confident that staff knew them and would seek appropriate support in an emergency. We found that staff responded appropriately to medical issues, such falls, but follow up action to mitigate future risk was not always evident within the records.

People generally appeared to enjoy their meals and people’s weights were reasonably stable but records did not always demonstrate that people were being offered enough to drink or additional snacks outside of mealtimes. Relatives told us they would like to see increased levels of personal care. Some people were not receiving levels of personal and oral care they were recorded as needing within their care plans.

People’s medicines were not always safely managed but people were supported to take their medicines by staff who were kind and patient. Staff did not always have enough oversight to ensure people’s needs were being effectively met.