High Meadows

What inspectors found

From the Care Quality Commission's assessment published 14 December 2024 (assessment visit 1 September 2024). Quoted under the Open Government Licence.

1. Safe

   GGood Good

   The service was safe. People received their medicines in a safe way, although improvements were needed to some of the medicines risk assessments and protocols to make these clearer. We discussed this with the registered manager who agreed to address this following our visit.

   Whilst there were times when some people felt staff were not deployed well enough to meet all their needs, most people felt there were enough staff, and they did not have to wait for care. The registered manager agreed to look into the instances where people had raised concerns. For example, identifying whether there were any trends, specific parts of the building or time of day when this was an issue. There were appropriate systems to ensure suitable staff were recruited and that staff underwent a range of training, supervision and assessment.

   The risks to people’s safety and wellbeing had been assessed and planned for. Staff understood about providing safe care and had received relevant training. The environment was clean, well-maintained and safe. There were systems to assess, monitor and improve safety following accidents, incidents and safeguarding concerns.

   We did not assess all the quality statements within this key question. We did not identify concerns relating to those areas which we judged as being met at our last inspection.

2. Effective

   GGood Good

   The service was effective. People’s needs and choices were assessed and planned for. Care plans were personalised and regularly reviewed. People told us they were able to contribute their views about their care. People’s mental capacity had been assessed and the provider had obtained their consent, or followed a best interests process, when making decisions about their care and support. People were supported to stay healthy and access the healthcare services they needed.

   We did not assess all the quality statements within this key question. We did not identify concerns relating to those areas which we judged as being met at our last inspection.

3. Caring

   GGood Good

   The service was caring. People wanted more opportunities for social and leisure activities. The provider was aware of this and was making improvements in this area. People told us they were able to make choices. Although some people felt staff did not always act on these and needed clearer guidance, for example around food choices. People and their relatives told us they were involved in planning and reviewing their care, but their involvement was not always clearly recorded.

   People were treated with kindness and respect. They had good relationships with staff. Their privacy was respected. People were supported to do things for themselves and be independent when they wanted and needed. Staff were well treated and felt they had the support they needed.

   We did not assess all the quality statements within this key question. We did not identify concerns relating to those areas which we judged as being met at our last inspection.

4. Responsive

   GGood Good

   The service was responsive. People received personalised care and support which met their needs and reflected their preferences. People had opportunities to speak up and contribute their views and the service. Complaints were investigated and acted upon. People were treated fairly and in line with Equality and Human Rights legislation.

   We did not assess all the quality statements within this key question. We did not identify concerns relating to those areas which we judged as being met at our last inspection.

5. Well-led

   GGood Good

   The service was well-led. The service was suitably managed. The leadership team had a good knowledge of the service and worked with staff and other stakeholders to make improvements when needed. There were effective systems for monitoring and improving the quality of the service, such as audits and obtaining feedback from people living at the service, as well as other stakeholders.

   We did not assess all the quality statements within this key question. We did not identify concerns relating to those areas which we judged as being met at our last inspection.