Meadow House Residential Home

We found the following examples of good practice. ● At the time of the inspection relatives were not permitted to visit due to a Covid -19 outbreak, though the provider had previously arranged visits for relatives and had facilitated garden visits with social distancing in place. The provider hoped to restore these visits when deemed safe to do so. People were able to communicate with family through alternative means such as video calls. ● Where people were in receipt of End of Life care, the provider had implemented visiting guidelines. These guidelines included visiting by appointment only, provision of personal protective equipment (PPE) and was for one nominated person for a period of 30 mins. All visitors were escorted directly to people's rooms and were requested to use the call bell for an escort at the end of the visit. ● All admissions to the home were carefully considered and planned to ensure people were admitted safely. The head of care confirmed people had tested negative for COVID-19 before they were discharged from hospital. New admissions and people returning from hospital were supported to isolate in their room for 14 days, in line with guidance. Due to the current outbreak of Covid 19 admissions to the home had been suspended. ● Staff used (PPE) in line with guidance, implementing training provided by the clinical commissioning group (CCG), to safeguard people using the service and staff. Arrangements were in place to refresh infection control and PPE training with the CCG ● Staff consistently engaged in conversation with people, to reiterate the reason for masks being worn. This provided reassurance to people when they were disorientated and confused. ● There were detailed risk assessments to manage and minimise the risks Covid-19 presented to people who used the service, staff and visitors. ● The registered manager had systems to ensure there was clear oversight in relation to infection prevention and control. There were comprehensive infection control audits and cleaning schedules in place.

Further information is in the detailed findings below.

The five questions we ask about services and what we found