Latest Inspection
This is the latest available inspection report for this service, carried out on 13th May 2010. CQC found this care home to be providing an Excellent service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for The Meadows Nursing Home.
What the care home does well People who lived in the home said that staff were very friendly and helpful to them and respected their dignity. People said that the food was very good and there was a choice. There were a number of comments from people about how clean and tidy and odour free the home was, they liked their bedrooms and were able to organise them the way they wanted. People said that there were regular Residents Meetings and that if they showed an interest in other meetings such as the health and safety meeting, staff meetings or interviewing new staff they have the choice of joining those meetings. This shows that management are trying as much as possible to include people`s views in the running of the home. Staff training is detailed and comprehensive. The Manager supports staff to achieve the best standards possible to meet peoples needs. What the care home could do better: Care Plans need to be fully detailed so that all the needs of people are recorded so that staff can follow guidance as how to meet assessed individual needs. Equipment must always be in place as assessed. All staff need to read all the Care Plans so as to be aware of all the care needs of people. Staffing levels need to be assessed and increased, as there was evidence on this visit that people have to wait too long for personal care so have to wait too long for the attention they need. For example, people said that they often have to wait too long to use the toilet. This can cause incontinence and distress and does not respect the dignity of the people concerned. Medication must always be administered as prescribed by the GP. It is recommended that people are talked to on a one-to-one basis to ascertain whether they want any more activities, and that there is a full-time Activities Organiser, who has more time to provide activities, especially to those people who are in their bedrooms all day. Random inspection report
Care homes for older people
Name: Address: The Meadows Nursing Home 94 Loughborough Road Thringstone Coalville Leicestershire LE67 8LR three star excellent 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: Keith Charlton Date: 1 3 0 5 2 0 1 0 Information about the care home
Name of care home: Address: The Meadows Nursing Home 94 Loughborough Road Thringstone Coalville Leicestershire LE67 8LR 01530223800 01530223833 themeadows@craegmoor.co.uk www.craegmoor.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Anne Elizabeth Pyecroft Type of registration: Number of places registered: Conditions of registration: Category(ies) : Parkcare Homes Ltd care home 34 Number of places (if applicable): Under 65 Over 65 34 34 old age, not falling within any other category physical disability Conditions of registration: 0 0 The maximum number of service users that can be accommodated at The Meadows Nursing Home is: 34 The registered person may provide the following category of service only: Care Home with Nursing - Code N To service users of the following gender: Both Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Physical Disability, of the following age range: 65 years and above - Code PD(E) Date of last inspection Care Homes for Older People Page 2 of 10 Brief description of the care home The last key inspection of this service took place on 19/7/2007. The Meadows Residential and Nursing Home is a care home providing accommodation for up to thirty-four service users including people with Nursing needs. It is located in the village of Thringstone near Coalville, Leicestershire. The home can be accessed by car from Loughborough, Coalville and Ashby de la Zouch. Bus services run regularly through the village. Local beauty spots include Charnwood Forest and Bradgate park. The home is within easy access of the M1 and M42 motorways. The building itself is a modern purpose built property set in its own grounds and is located in a residential area. Accommodation is available on ground and first floors. A passenger lift provides access to the first floor. All areas of the home and grounds are accessible for people with limited mobility. A service user pack is given to service users and/or their families. It is clearly written. It contains the terms and conditions of residency and includes the current fees. A copy of the Commission For Social Care Inspection (CSCI) report is available in the hallway for prospective visitors to read. The Employers Liability insurance is also displayed in the hallway. Care Homes for Older People Page 3 of 10 What we found:
We spoke to twelve people who live in the home, on the day of the inspection. Everyone said that staff were very friendly and helpful. We saw this was the case when we looked at how the staff spoke with people. We received ten surveys from people live in the home. These were overwhelmingly positive about the standard of care provided. A number of people said that when asked what the home can do better, they stated: nothing. When they were asked what the home does well, a number of people replied: looks after people, and as far as possible they do very well. There were a number of other comments; There were four comments about people not understanding what the complaints procedure was. A number of people said that when answering a question on staff availability when you need them, they stated sometimes, i.e. not all the time. We looked at a persons Care Plan, which showed us that there was a good amount of detail in terms of this persons care needs though when a person was identified as having a pressure sore and this needed a review every two days, this observation was not recorded in the plan or in the daily notes. The Manager agreed that this should have been done to prove there was proper monitoring in place. We saw that a person was identified as needing a crash mat after having a fall but this was not documented in the care plan. The person subsequently fell again and it was found that the crash mat had not been put in place despite being in her room, and that the sensor mat, which was also needed, was not in use. The Manager said that she had identified that there was a problem in staff recording as to what care had been supplied to people and this was identified as a training need, and was to be the subject of training in the near future. We asked staff if they had read all the care plans and they said they had read most of them, but not all. We had a look at a persons medication sheets. The Manager confirmed that a nurse had taken the decision not to give a medication in April this year due to the illness of this person. However she had not contacted the GP to authorise this. The Manager agreed that this was against the policy of the home as staff did not have the right to change prescribed medication. We looked at accident records, which showed that there was a proper referral to medical services for people who had potentially serious injuries following the fall. People confirmed that if they werent feeling well then staff would get the GP in to see them. There were a number of comments from both the people living at home and the staff that the current staffing levels were not sufficient to meet peoples individual needs. The staffing ratio at present is five care staff plus one nurse from 8.00 am to 8.30 pm. From 8.30 pm there are two care staff and a nurse. The Manager said that this ratio was being reviewed at present with a view to increasing staffing levels. We found that the home was clean and there were no odours and that the people we
Care Homes for Older People Page 4 of 10 spoke to were appreciative that domestic staff kept the home clean. In the seven staff surveys we received there was general satisfaction with the care of the home provided, and there were some comments as to how to improve the service. There is a good atmosphere with our service users which indicates a good well-run home as they are happy. We do get support from the company and management to further our training issues. The home provides a good atmosphere for service users, and in the home meeting standards for individual clients care. I think its a happy home. Everything is good about the home. The Meadows is a friendly and caring home that I enjoyed working in for many years. They provide good health and care. There were comments as to how the service can improve: More carers, to give more one-to-one, caring is needed. More entertainment to keep clients more motivated. More interaction is required with the individual. It would be nice if we could add more staff on each shift so we could spend more time with each resident. We asked people about the activities in the home and all the people we spoke to said that they were a number of activities such as bingo, dominoes, trips out sometimes etc, and while some people said that they were satisfied with the activities the service provides, there were also comments that they would like more activities, and in particular more outings. This picture was also supported by the surveys returned to us. We found that there was an Activities Organiser, though this person was only employed part-time. We spoke with the Manager about the need to employ a full-time Activities Organiser. One of the care staff said that the level of activities was good but more outings were needed and in particular more time was needed with bed bound residents. One of the activities displayed on a lounge door indicated that watching TV was an activity in the activities programme, and whilst this is true, it is fairly normal practice for the TV to be on anyway and does not offer a great deal of communal stimulation. We asked people about the complaints procedure of the service, and some of them were not aware of how to make a complaint. The Manager said that when they were residents meetings this issue was raised (which we found to be the case in minutes of the meetings) and also that people had a complaints procedure in their bedrooms. She agreed to follow this up at the next residents meeting. We saw the staff training programme, which was detailed and comprehensive. The Manager said that all care staff had NVQ qualifications, which is impressive as the National Standard is for only 50 of staff to have these qualifications. Staff also informed us of the many training programs that they had completed. What the care home does well:
People who lived in the home said that staff were very friendly and helpful to them and respected their dignity. People said that the food was very good and there was a choice. There were a number of comments from people about how clean and tidy and odour free
Care Homes for Older People Page 5 of 10 the home was, they liked their bedrooms and were able to organise them the way they wanted. People said that there were regular Residents Meetings and that if they showed an interest in other meetings such as the health and safety meeting, staff meetings or interviewing new staff they have the choice of joining those meetings. This shows that management are trying as much as possible to include peoples views in the running of the home. Staff training is detailed and comprehensive. The Manager supports staff to achieve the best standards possible to meet peoples needs. 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 6 of 10 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 7 of 10 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 6 15 Care Plans need to be fully 13/06/2010 detailed so that all the needs of people are recorded so that staff can follow guidance as how to meet assessed individual needs. Equipment must always be in place as assessed. To ensure peoples needs are always met. 2 9 13 Medication must be given as prescribed. To ensure peoples health needs are always met. 13/06/2010 3 27 18 Staffing needs to be reviewed and increased. To ensure that needed personal care is always available when people need it. 13/06/2010 Care Homes for Older People Page 8 of 10 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 14 The service needs to offer more activities and outings and there needs to be a full time Activities Organiser to be able to offer effective stimulation to all the people living in the home. Care Homes for Older People Page 9 of 10 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 10 of 10 - 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!
