Latest Inspection
This is the latest available inspection report for this service, carried out on 20th May 2010. CQC found this care home to be providing an Good service.
The inspector found no outstanding requirements from the previous inspection report,
but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.
For extracts, read the latest CQC inspection for Meadowside Residential Home.
What the care home does well The service has complied with the one requirement we issued at the last inspection. The organisation has set up a list of bank staff for the home who can cover shifts at short notice. This means that staffing levels and staff deployment are now more stable. People we spoke with said that generally there were enough staff on duty to meet their needs. People who use the service told us the staff were friendly, kind and treated them with respect and dignity. One resident commented, "The staff are very good". Another person told us, "This is a very good home. I`m very happy here". The home has a relaxed and friendly atmosphere and we saw numerous examples of positive and supportive interactions between staff and residents. From the two examples of recent pre assessments, it was clear that the manager would only offer a residential placement if the home could meet all the assessed needs of the individual. People we spoke with told us that they had been involved in these assessments. Care plans are in the process of being revised so that a more person centred approach to care can be provided. Four care plans were examined. These were detailed and gave staff good information about each resident and how they would like their care to be delivered. It was clear from these documents and from feedback from staff that the home is moving away from task based care to a much more person centred approach. Although there was evidence that residents have initial input into their plan of care, we did not see evidence that people are being consulted when care plans are reviewed each month. We did not see evidence that people were being involved in the development and monitoring of their risk assessments. The kitchen was clean and the cook was aware of residents` special dietary requirements.The cook told us that the menus had been reviewed with residents within the last six months. People told us they liked the food at the home. One resident commented, "I never leave anything". Another person told us, "The food`s good". The lunch on the day of the inspection looked and smelt appetising. Satisfactory records were examined in relation to the receipt, storage and administration of medication in the two units we inspected. Regular internal audits of medication take place to highlight any potential problems. The home has recently employed an activities worker who is yet to start at the home. Staff have been carrying out activities with residents and we observed activities taking place during the inspection. The home has set up a mens` group for the male residents which appears to be going very well. The manager told us that this is having a very positive affect on the well being of male residents in the home. We examined two staffing files. The information contained in the files confirmed that the organisation has robust recruitment procedures in place for the protection of residents. There was evidence that staff have attended safeguarding training and people we spoke to told us they felt safe with the staff at the home. There are no ongoing safeguarding issues at the home. There have been two recent complaints recorded. There was evidence that both these issues have been satisfactorily dealt with according to the home`s policies and procedures. Both staff and residents we spoke with were very positive about the new manager of the home and the improvements she has made to the service. It was evident from discussions with the manager that she has a clear vision of how this service can further improve for the benefit of both residents, relatives and staff. The organisation has very good quality monitoring systems including "Dementia mapping" which is an excellent way to assess the well being of residents with dementia who might not be able to communicate their views about the service as affectively as other residents in the home. What the care home could do better: As already stated residents should, where possible, be able to have more input into reviewing their care needs and should also be more involved in developing their own risk assessments with staff. One new requirement and one new good practice recommendation have been issued as a result of this inspection. Random inspection report
Care homes for older people
Name: Address: Meadowside Residential Home 60 Holden Road Finchley London N12 7DY two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: David Hastings Date: 2 0 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Meadowside Residential Home 60 Holden Road Finchley London N12 7DY 02084926500 02084926603 admin.meadowside@fremantletrust.org www.fremantletrust.org Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Hazel Ann Greenway Miss Hepsie McKenzie Type of registration: Number of places registered: Conditions of registration: Category(ies) : The Fremantle Trust care home 68 Number of places (if applicable): Under 65 Over 65 22 46 dementia old age, not falling within any other category Conditions of registration: 0 0 The maximum number of service users who can be accommodated is: 68 The registered person may provide the following category of service only: Care Home only - Code PC to service users of the following gender: Either, whose primary care needs on admission to the home are within the following categories: Old Age, not falling within any other category - Code OP, Dementia - Code DE Date of last inspection 1 6 1 2 2 0 0 8 Care Homes for Older People Page 2 of 8 Brief description of the care home Meadowside is a large purpose built care home for sixty-eight men and women over the age of sixty-five. Twenty-two of the places are for people with dementia. The home was opened on 15th May 2006 as a result of two care homes Chandos Lodge and Lonsdale, closing. The home is owned by Catalyst Housing Association and is one of fifty-five homes managed by The Fremantle Trust. The home is designed over four levels with six separate units. Access to all floors is via the stairs or two lifts. Two units are dedicated dementia units and the other four are mainstream units. Each bedroom has its own en-suite facilities. The ground floor contains offices, a garden lounge, a laundry room, hairdressers, treatment room, kitchen and a reception area. To the front of the home is a car parking area. To the rear and side of the home is a well maintained landscaped garden and an enclosed patio area. There is also a separately managed day centre at Meadowside run by Fremantle Trust, which is open seven days a week. The home is located in a residential area of North Finchley, near Woodside Park underground station and bus routes to various parts of London. For information about the fees please contact the manager of the home. Care Homes for Older People Page 3 of 8 What we found:
We carried out this unannounced random inspection on Thursday 20th May 2010. We were assisted by the registered manager and registered provider who were open and helpful throughout the inspection. The reason for this visit was to check compliance with the requirement we made at the last inspection in October 2007. We spoke with six residents, two relatives and three staff members on duty during the inspection. Prior to this visit we also received surveys back from both staff and residents and their views were taken into account during this inspection. The home also prepared a self-assessment (AQAA) and this was submitted to the Commission. This information was used as part of the inspection. What the care home does well:
The service has complied with the one requirement we issued at the last inspection. The organisation has set up a list of bank staff for the home who can cover shifts at short notice. This means that staffing levels and staff deployment are now more stable. People we spoke with said that generally there were enough staff on duty to meet their needs. People who use the service told us the staff were friendly, kind and treated them with respect and dignity. One resident commented, The staff are very good. Another person told us, This is a very good home. Im very happy here. The home has a relaxed and friendly atmosphere and we saw numerous examples of positive and supportive interactions between staff and residents. From the two examples of recent pre assessments, it was clear that the manager would only offer a residential placement if the home could meet all the assessed needs of the individual. People we spoke with told us that they had been involved in these assessments. Care plans are in the process of being revised so that a more person centred approach to care can be provided. Four care plans were examined. These were detailed and gave staff good information about each resident and how they would like their care to be delivered. It was clear from these documents and from feedback from staff that the home is moving away from task based care to a much more person centred approach. Although there was evidence that residents have initial input into their plan of care, we did not see evidence that people are being consulted when care plans are reviewed each month. We did not see evidence that people were being involved in the development and monitoring of their risk assessments. The kitchen was clean and the cook was aware of residents special dietary requirements.
Care Homes for Older People Page 4 of 8 The cook told us that the menus had been reviewed with residents within the last six months. People told us they liked the food at the home. One resident commented, I never leave anything. Another person told us, The foods good. The lunch on the day of the inspection looked and smelt appetising. Satisfactory records were examined in relation to the receipt, storage and administration of medication in the two units we inspected. Regular internal audits of medication take place to highlight any potential problems. The home has recently employed an activities worker who is yet to start at the home. Staff have been carrying out activities with residents and we observed activities taking place during the inspection. The home has set up a mens group for the male residents which appears to be going very well. The manager told us that this is having a very positive affect on the well being of male residents in the home. We examined two staffing files. The information contained in the files confirmed that the organisation has robust recruitment procedures in place for the protection of residents. There was evidence that staff have attended safeguarding training and people we spoke to told us they felt safe with the staff at the home. There are no ongoing safeguarding issues at the home. There have been two recent complaints recorded. There was evidence that both these issues have been satisfactorily dealt with according to the homes policies and procedures. Both staff and residents we spoke with were very positive about the new manager of the home and the improvements she has made to the service. It was evident from discussions with the manager that she has a clear vision of how this service can further improve for the benefit of both residents, relatives and staff. The organisation has very good quality monitoring systems including Dementia mapping which is an excellent way to assess the well being of residents with dementia who might not be able to communicate their views about the service as affectively as other residents in the home. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 8 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 7 15 The registered person must ensure that, where appropriate, individual service users are consulted about their care plan during monthly reviews. This should ensure that people have a say in how their care is to be delivered 15/07/2010 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 38 The registered person should ensure that, where possible, individual service users are involved in the development and monitoring of their own risk assessments. This should ensure that both staff and individual residents are aware of any potential risks to their safety and how these potential risks can be reduced. Care Homes for Older People Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 8 of 8 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
