# The Meadway

*Operated by Tonna Care Services Limited.*

The Meadway is a CQC-regulated home-care agency in Reading.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Requires improvement |
| Safe | Good |
| Effective | Good |
| Caring | Good |
| Responsive | Good |
| Well-led | Requires improvement |

Rating published: 02/06/2022

## Practical info

- Postcode: RG30 4AA
- Registered manager: Tonna, Shana
- Local authority: Reading
- Region: South East
- City: Reading
- Last CQC check: 02/Jun/2022 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: Professionals reported positive relationships and good communication with the service
  - Published: 2023-10-06
- Finding
  - Evidence: Staff described the registered manager as brilliant, supportive, accessible and approachable
  - Published: 2023-10-06
- Finding
  - Evidence: Safe recruitment procedures were in place with all necessary evidence in staff files
  - Published: 2023-10-06
- Finding
  - Evidence: All staff had completed medicines management training and signed MARs appropriately
  - Published: 2023-10-06
- Finding
  - Evidence: Individual risk assessments were in place and care plans were informative and written from the person's perspective
  - Published: 2023-10-06
- Finding
  - Evidence: Safeguarding concerns were dealt with appropriately and referred to local authority safeguarding teams
  - Published: 2023-10-06
- **supervision_appraisal** _(minor)_
  - Evidence: Not all staff had completed an appraisal within the last year however supervisions had taken place.
  - Published: 2023-10-06
- **medication_management** _(minor)_
  - Evidence: One MAR did not include information such as specific instructions for giving a medicine, any known drug allergies and the name of the person's GP practice.
  - Published: 2023-10-06
- **incident_learning** _(moderate)_
  - Evidence: There was no evidence the service analysed themes and trends in the accident and incident reports and ensured measures were in place to reduce the likelihood of repeat events.
  - Published: 2023-10-06
- **record_keeping** _(moderate)_
  - Evidence: Spot checks and medicines competencies completed to ensure staff were safe to provide care to people had not been documented.
  - Published: 2023-10-06
- **governance** _(critical)_
  - Evidence: The provider had not operated an effective system to assess, monitor and improve the quality and safety of the service provided.
  - Published: 2023-10-06
- Finding
  - Evidence: People supported to engage in community activities with spontaneous outings facilitated by supported living model
  - Published: 2020-01-29
- Finding
  - Evidence: Care plans respected religious, cultural and lifestyle diversity with people supported to attend places of worship
  - Published: 2020-01-29
- Finding
  - Evidence: Effective quality assurance processes including care reviews, spot checks, surveys and complaints monitoring
  - Published: 2020-01-29
- Finding
  - Evidence: Open and positive culture with staff feeling valued and management being approachable and transparent
  - Published: 2020-01-29
- Finding
  - Evidence: Strong staff induction combining e-learning and face-to-face training with shadowing of experienced staff
  - Published: 2020-01-29
- Finding
  - Evidence: Highly personalised care and support plans developed with individuals, including easy-read versions
  - Published: 2020-01-29
- Finding
  - Evidence: Medicines managed safely with all staff trained and competency-assessed before administering medicines
  - Published: 2020-01-29
- Finding
  - Evidence: Robust recruitment procedures including regular third-party audits of staff files, achieving 98% compliance score
  - Published: 2020-01-29

### safe

- Finding
  - Learning lessons when things go wrong
  - Published: 2023-10-06
- Finding
  - Preventing and controlling infection
  - Published: 2023-10-06
- Finding
  - Staffing and recruitment
  - Published: 2023-10-06
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2023-10-06
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2023-10-06
- Finding
  - Using medicines safely
  - Published: 2023-10-06

### well_led

- Finding
  - Working in partnership with others
  - Published: 2023-10-06
- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2023-10-06
- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2023-10-06
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2023-10-06
- Finding
  - Managers and staff being clear about their roles, quality performance, risks and regulatory requirements; Continuous learning and improving care
  - Published: 2023-10-06

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-2172586973

HomeCare Compass is an independent guide and is not affiliated with the CQC.