The Meadows

Our observations of the care provided were positive, overall people and their relatives told us they were satisfied with the service. Health professionals told us they had good communication and positive working relationships with the service. Staff spoke positively of their work and felt supported by the management team. The home was clean and tidy, and people were protected against the risk of infection by safe systems and good standards.

Medicines were managed safely. People were protected from abuse and avoidable harm. Systems for safeguarding, risk management, infection control were effective. Staff were well-trained and knew people well, which built trust with the people they supported. Effective systems were in place to ensure necessary recruitment checks were carried out. Staff told us they received induction and supervision; however, records showed some supervisions were not always taking place in line with policy and procedure. This had been identified in the registered managers audit, and a plan was in place to address this.

Leadership was strong, inclusive and focused on continuous improvement. There was a positive culture of openness and learning, supported by clear governance systems and effective partnership working. However, although safeguarding referrals were submitted to the local authority, they were not reported to the Care Quality Commission. The registered manager and nominated individual acknowledged this oversight and took prompt action to address it. Staff felt supported, able to speak up, and valued within an inclusive culture.