Meadowbeck

We have made a recommendation about the management of oral health care.

At the height of the COVID 19 pandemic, bathing audits were not always completed making it difficult to identify the support people received with personal care needs. However, during the inspection daily records showed people had support with bathing and showering. The registered manager had also made changes to the documentation staff completed which identified people's preferences.

Many of the residents using the service were affected by COVID 19 and records identified some people had lost weight due to lack of appetite. Staff used an appropriate tool to monitor weight loss and sought professional advice when needed to ensure appropriate diets were in place. Records seen on inspection showed residents were weighed regularly and highlighted weight gains. Relatives commented, "[Name of person] lost weight before they went in, they are now weighed every week and are on supplement drinks." Another said, "[Name of person] has put weight on, they have what they want, the food is nice."

There was a positive culture in the service. People were supported by a consistent group of staff who knew them well and enabled positive relationships to develop. The staff team were appreciative of the support they received and felt confident they could speak up and knew they would be listened to.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.