Background to this inspection
Updated
21 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.
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
The inspection was carried out by 2 inspectors.
Service and service type
Meadow 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. Meadow View is a care home without 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
We gave the service 24 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 07 February 2023 and ended on 14 February 2023. We visited the location on 07 February 2023.
What we did before the inspection
We reviewed information we had received about the service since it registered with CQC. We sought feedback from the local authority. 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.
We contacted social care commissioners who help arrange and monitor the care of people living at Meadow View. We also contacted Healthwatch Sheffield. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all of this information to plan our inspection
During the inspection
We visited all areas of the home and observed interactions between staff and people living at the service. We spoke with 6 members of staff which included, the company director, the registered manager, the home manager, a manager, and 2 care staff.
We reviewed a range of records. This included 2 people's care records and medication records. We looked at 3 staff files in relation to recruitment and staff supervision. We reviewed a variety of records relating to the management of the service, including policies and procedures.
Updated
21 March 2023
About the service
Meadow View is a registered care home providing accommodation and personal care to up to 4 people. The service provides support to people with a learning disability and associated needs. At the time of our inspection there were 4 people using the service.
People’s experience of using this service and what we found
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
The service was able to demonstrate how they were meeting the underpinning principles of right support, right care, right culture.
Right Support:
Staff supported people to have maximum possible choice, control and independence. They used personalised communication strategies to support people to understand and make choices. They found creative ways to promote learning and for people to develop new skills. Staff focused on people's strengths so people could have fulfilling and meaningful lives. Staff supported people to pursue their interests and achieve aspirations and goals. They overcame barriers and found ways to help ensure people took part in a wide range of age appropriate social activities. The home is located in a rural area of Sheffield with access to public transport. This is more remote than current best practice guidance recommends. However, the location of the service having a negative impact on people was mitigated by developing a home that was truly tailored to the wants and needs of the people living there.
Right Care:
People received kind and compassionate care. Staff protected and respected people's privacy and dignity. They understood and responded to their individual needs. Staff understood how to protect people from poor care and abuse. People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs. The provider encouraged people to try new activities that enhanced and enriched their lives. Staff supported people to take positive risks.
Right Culture:
People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management and staff. People received good quality care, support and treatment because trained staff could meet their needs and wishes. Staff turnover was low, which supported people to receive consistent care from staff who knew them well.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
A focused inspection was carried out between 09 September 2020 and 16 September 2020. As part of this focused Inspection, we investigated whether the organisation was safe and well-led. The service was inspected but not rated (published 23 October 2020).
Why we inspected
This inspection was prompted by a review of the information we held about this service.
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.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.