CQC report explained · a residential care home, run by Salutem Bid Co
Meade Close
1-2 Meade Close, Urmston, Manchester, M41 5BL
Rated Requires improvement: inspectors found the service was not performing as well as it should and told it what to change.
What inspectors found, December 2023
Rated Good overall; inspectors found safe, kind care, but leadership and person-centred care needed improvement.
This was a focused inspection after concerns about leadership, safeguarding, medicines, staffing, and the safety of equipment and premises. Inspectors visited the home, spoke with a person, relatives and staff, observed care, and checked care, medicines, recruitment and management records.
The home was rated Good for Safe and Effective. There were enough staff at the time of the inspection. People received kind care, medicines were generally managed safely, the home was clean, and staff understood safeguarding. However, some care records were not accurate or up to date, and thickener added to drinks was not always recorded.
The home was rated Requires Improvement for Well-led. Leadership and staffing arrangements were changing, and this affected the consistency and quality of care. The overall rating remained Good because the other two questions were not inspected at this visit and their previous ratings were carried forward.
Enough staff at inspection
Inspectors found enough staff to meet people's needs during the visit. The home had processes for managing sickness and was recruiting additional senior staff.
“There were enough staff to meet people's needs at the time of the inspection.” from the report
Kind and respectful care
People received compassionate support, and inspectors saw warm, respectful interactions between staff and people. Staff protected privacy and dignity.
“People received kind and compassionate care. Staff protected and respected people's privacy and dignity.” from the report
Safe medicines systems
Medicines were administered by competent staff, recorded appropriately and checked. Information went with people when they moved between care settings.
“The home ensured people received their medicines as prescribed. Medicines were recorded appropriately, and stock monitored and checked regularly.” from the report
Clean and adapted home
The home was clean and hygienic, with adaptations to support people's physical needs. People could personalise their rooms.
“The service gave people care and support in a safe and clean environment that had been adapted to meet their physical needs.” from the report
Care records were incomplete
needs fixingStaff were not always keeping care records accurate, complete and up to date. The home had an action plan to address this.
“Staff were not always keeping accurate, complete and up-to-date records.” from the report
Personalised support needed more work
needs fixingCare plans did not always focus clearly enough on people's independence, strengths, goals and aspirations. Not all staff had completed Positive Behaviour Support training.
“Care plans needed to focus more on promoting people's independence, their strengths and to reflect their goals and aspirations more clearly.” from the report
Leadership was still in transition
needs fixingThe management and senior staff team was being restructured. Inspectors said this had affected the quality and consistency of care, although people were not at risk of harm.
“These changes were still in transition and needed to be fully established and sustained.” from the report
Thickener was not always recorded
needs fixingStaff did not always record when thickener powder was added to drinks for people at risk of choking. The manager took immediate action.
“Staff were not always recording when thickener powder was added to drinks for people who were at risk of choking.” from the report
- 01What has changed in the management and senior staff team since the inspection, and how are you checking that these changes are now established?
- 02How do you make sure every person's care plan reflects their independence, strengths, goals and aspirations?
- 03Have all staff now completed Positive Behaviour Support training, and how is their competence checked?
- 04How do you check that care records are accurate, complete and up to date?
- 05How do you ensure staff record thickener added to drinks for people at risk of choking?
This was a focused inspection of Safe, Effective and Well-led; Caring and Responsive were not inspected and their previous ratings were carried forward. This explanation was written from the published report of 23 December 2023 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Meade Close
3 rated inspections over 5 years: the service has held its Good rating throughout.
- December 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- May 2023GoodSafe: Requires improvementWell-led: Good
- February 2022Inspected but not ratedSafe: Inspected but not rated
- March 2019GoodSafe: GoodEffective: GoodWell-led: Good
- April 2018
Registered with the Care Quality Commission on 30 April 2018.
Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.
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Other services run by Salutem LD BidCo IV Limited
18 other services on the CQC register. A pattern across a group tells you more than one report.