Inspection on 14/12/06 for Meadow View Care Centre
Also see our care home review for Meadow View Care Centre for more information
This inspection was carried out on 14th December 2006.
CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.
The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.
What follows are excerpts from this inspection report. For more information read the full report on the next tab.
What the care home does well
Meadow View is a purpose built home which is spacious, well maintained and has good quality furnishings. There is a pleasant garden and there are various seating areas around the home, which visitors, residents and their relatives can sit in if they do not wish to use the lounges or bedrooms. All bedrooms within this home have an en-suite shower and residents have been able to furnish their rooms with personal possessions to make them more homely. Visitors are made welcome to the home and there is an open visiting policy. A hot drinks machine is located in the reception area of the home for visitors.Formal staff supervision has been commenced by the manager to help and support staff in meeting the policies and procedures of the home for the benefit of the residents.
What has improved since the last inspection?
The manager has now devised a letter to send out to residents following their admission to confirm the home can meet their needs. The manager advised that families are now being kept more involved in resident care. This includes the organisation of more care reviews where families can be involved in planning the care of their relative. The manager has implemented a three monthly quality monitoring system in which she compiles a report on numerous matters relating to care and services provided. This shows areas where there is a need for improvement as well as areas, which the home are achieving well. Some actions have been taken to improve the provision of activities and the recording of these so that it is clear which residents have participated. Duty rotas have been reviewed to clearly show the staff who are responsible to provide care to the residents who live in the bungalows. Actions had been taken to ensure medication was being given out at the times prescribed.
What the care home could do better:
Actions taken to address the requirements to the last inspection remain outstanding in many areas. Systems need to be introduced to ensure these are addressed in a timely manner. The Service User Guide provided to prospective residents needs to contain all of the required information so that they can make an informed choice about whether to stay at the home. Assessment records need to be clearly identifiable from the care plans and show the care needs of the residents. Care plans and risk assessments require further review to ensure these are upto-date so that staff know what is required of them to meet the care needs of the residents safely.Specialist care needs of residents, including dental care, needs to be clearly identified in care plans and acted upon promptly to ensure the health care needs of residents are not compromised. A further review of medication management is needed to ensure these are managed effectively to safeguard residents. The privacy and dignity of residents is still in need of attention including attention to personal care needs and how residents are dressed. Although some progress has been made in regard to the provision of social activities for residents, it was evident that further work is required to ensure all residents are able to enjoy some form of social interaction and stimulation regularly. A review of the provision of drinks is required to ensure all residents are receiving these regularly and in accordance with their wishes. Some attention is needed in regard to record management. This applies to providing clear contact information in the complaints procedure so that both residents and visitors to the home know how to raise a complaint formally and in ensuring accidents and incidents are reported to the Commission with actions taken so that the Commission know the home are taking appropriate actions to safeguard residents. Some attention to lighting is needed so that all areas are sufficiently bright to support those residents moving around the home safely. Some actions are required in regard to the environment, some doors are heavy for residents to open and some residents like to keep their doors open but there are insufficient actions being taken to ensure they can do this safely and within fire precautions. The recruitment process is in need of review to ensure the required information is obtained for new staff and is fully considered to safeguard residents. Staffing arrangements for the home remain in need of review to ensure the staffing of the home fully supports the needs of the residents. Training information needs to be kept readily available to confirm those staff who have completed training and those who need to attend training to show that the home have sufficiently trained staff on duty at all times.Meadow View Care CentreDS0000043254.V322845.R01.S.docVersion 5.2Page 8Records relating to quality monitoring need to show that sufficient actions have been taken to address issues raised to demonstrate these have been taken seriously and have been acted upon effectively.