Meadows House Residential and Nursing Home

We have also made a recommendation for the provider to review how feedback from people is gathered on the experiences of their care.

People told us they felt safe. Staff understood their roles in safeguarding people from harm. Risks to people had been assessed and staff knew how to manage these risks safely. There was a process to identify learning from accidents, incidents and safeguarding concerns. Appropriate recruitment checks took place before staff started working at the home. Medicines were safely managed. Staff worked in ways to reduce the risk of infection. There were enough staff to meet people's needs.

People's needs were assessed before they started using the service. Staff asked for people's consent before they provided care. 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. People's nutritional needs were assessed and met.

Staff treated people with care and kindness. People were consulted about the support they received. Staff treated people with dignity, respected their privacy and encouraged their independence. People's needs in respect of their protected characteristics were assessed and supported.

People had a personalised plan for their care. These were up to date and reflected their needs. People's wishes relating to their end of life care needs had been discussed with them or their relatives, where appropriate.

Relatives knew how to complain and expressed confidence that any issues they raised would be addressed. The registered manager understood the responsibilities of their role. Staff spoke positively about the support they received from the registered manager and management team. The provider gathered feedback from staff and people about the service.There was an effective system to monitor the quality and safety of the service.