# Meadow Home Care Services Ltd

*Operated by Meadow Home Care Services Limited.*

Meadow Home Care Services Ltd is a CQC-regulated home-care agency in Solihull.

## CQC Ratings

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

Rating published: 07/09/2022

## Practical info

- Postcode: B92 8BG
- Registered manager: Anderson, Noel
- Local authority: Solihull
- Region: West Midlands
- City: Solihull
- Last CQC check: 07/Sep/2022 - 00:00

## Inspection findings

### effective

- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2022-09-07
- Finding
  - Staff working with other agencies to provide consistent, effective, timely care
  - Published: 2022-09-07
- Finding
  - Supporting people to eat and drink enough to maintain a balanced diet
  - Published: 2022-09-07
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2022-09-07
- Finding
  - Assessing people's needs and choices; delivering care in line with standards, guidance and the law
  - Published: 2022-09-07

### Other

- Finding
  - Evidence: People supported in line with Mental Capacity Act; consent sought before care was delivered
  - Published: 2022-09-07
- Finding
  - Evidence: Recruitment processes were safe, including DBS checks and references from previous employers
  - Published: 2022-09-07
- Finding
  - Evidence: Provider responded quickly during and after inspection to update records and address concerns
  - Published: 2022-09-07
- Finding
  - Evidence: Provider worked collaboratively with GPs, district nurses and other professionals
  - Published: 2022-09-07
- Finding
  - Evidence: Staff were experienced, mandatory training recently renewed, and found managers supportive
  - Published: 2022-09-07
- Finding
  - Evidence: Staff wore PPE correctly and people/relatives had no concerns about infection control
  - Published: 2022-09-07
- Finding
  - Evidence: Established staff team who knew people well, mitigating gaps in written risk assessments
  - Published: 2022-09-07
- **communication_with_families** _(minor)_
  - Evidence: I have spoken to Meadows home care. I've had problems with them not calling back. I will leave a message, when they do finally get back, they are helpful.
  - Published: 2022-09-07
- **leadership** _(critical)_
  - Evidence: This was a breach of Regulation 19 (Fit and Proper Persons Employed) — provider did not have a suitable disciplinary policy in place and decisions were inconsistent.
  - Published: 2022-09-07
- **incident_learning** _(moderate)_
  - Evidence: Audits were in place but we found actions were not always taken, for example the call times audit identified some staff always made use of the 5 minute leeway to leave calls early
  - Published: 2022-09-07
- **supervision_appraisal** _(moderate)_
  - Evidence: Staff supervisions and training had also lapsed but this had been addressed by the time we carried out the site visit on 03 August 2022
  - Published: 2022-09-07
- **medication_management** _(moderate)_
  - Evidence: medicines audits are not monitored in 'real time' so they were unable to respond quickly to missed medicines unless they are alerted to this by staff at the next call.
  - Published: 2022-09-07
- **safeguarding** _(critical)_
  - Evidence: incidents that related to care of people identified during the disciplinary process had not been referred to the local authority safeguarding team or CQC
  - Published: 2022-09-07
- **governance** _(critical)_
  - Evidence: This was a breach of regulation 17(1)(2)(a)(b)(c)(d)(f) — provider did not fully use governance systems and processes to record information needed to keep people and staff safe.
  - Published: 2022-09-07
- **record_keeping** _(critical)_
  - Evidence: Risks to people were not always fully assessed and mitigated. For example, falls risk assessments did not always give enough detail for staff to know how to mitigate the risks
  - Published: 2022-09-07

### safe

- Finding
  - Preventing and controlling infection
  - Published: 2022-09-07
- Finding
  - Staffing and recruitment
  - Published: 2022-09-07
- Finding
  - Using medicines safely
  - Published: 2022-09-07
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2022-09-07
- Finding
  - Assessing risk, safety monitoring and management; Learning lessons when things go wrong
  - Published: 2022-09-07

### well_led

- Finding
  - Working in partnership with others
  - Published: 2022-09-07
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2022-09-07
- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2022-09-07
- Finding
  - Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirements
  - Published: 2022-09-07
- Finding
  - Leadership culture and registered manager oversight
  - Published: 2021-10-30

## 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/1-2489094527

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