Meridian Health and Social Care - Nottingham

We assessed 4 quality statements in the safe key question and found areas of good practice. The scores for these areas have been combined with scores based on the rating from the last inspection, which was good. People and those important to them were supported to raise concerns when they did not feel safe. Staff assessed and reviewed safety risks to people and made sure people, and those important to them, participated in making decisions about how they wished to be supported to stay safe. The provider ensured any mistakes were acted on quickly and provided staff with the ability to reflect on their practice to improve outcomes for people. Staff received relevant training to meet the range of people’s needs at the service. Staff received support through supervision and appraisal to support their continuous learning and improve their working practice. Managers checked the suitability of staff to ensure they were suitable and fit to provide care. People’s medicines were well managed. Staff attended most calls on time.

We assessed 2 quality statements in the effective key question and found areas of good practice. The scores for these areas have been combined with scores based on the rating from the last inspection, which was good. People’s care and treatment was effective due to their health, care, well-being, and communication needs being assessed with them. People’s care plans were kept up to date with any assessments completed in a timely manner. Staff were aware of people’s preferences and respected these in a person-centred way. People were aware of their rights around care and treatment. People were supported to lead healthy lives. Any decline in people’s health was acted on quickly. External health and social care professionals were consulted where required.

We assessed 1 quality statement in the caring key question and found areas of good practice. The score for this has been combined with scores based on the rating from the last inspection, which was good. People received good quality care and support that promoted and encouraged their independence. People had control over how their care was provided and were fully included in all decisions relating to their care. This included if any changes to care were needed. Staff spoke positively about their roles. They enjoyed caring for and supporting people and they had a clear focus on improving people’s lives.

We assessed 3 quality statements in the responsive key question and found areas of good practice. The scores for these areas have been combined with scores based on the rating from the last inspection, which was good. People were supported to receive care in their preferred way. People were listened to, and concerns or complaints were responded to quickly. People were supported to maintain good quality health. They had access to external health care agencies. People were not discriminated against. They received an equal opportunity to receive the care and support they needed both from the provider’s staff and accessing external health and social care services.

We assessed 1 quality statement in the well-led key question and found areas of good practice. The score for this has been combined with scores based on the rating from the last inspection, which was good. The rating for the key question remains good. There were governance and management procedures in place. The service was well managed, and staff felt supported and valued. Managers accounted for the actions, behaviours, and performance of staff. There were robust arrangements for the availability, integrity and confidentiality of data, records, and data management systems. Information was used effectively to monitor and improve the quality of care.