CQC report explained · a nursing home, run by Welltower

Meadow Bank House

Green Lane, Great Lever, Bolton, BL3 2EF

Goodpublished 15 December 2023, 2 years ago

Rated Good: inspectors found the service performing well and meeting their expectations.

The five questions inspectors ask

Safe?: Good; Inspectors found people were protected from abuse and avoidable harm. Medicines, risk assessments, staffing, recruitment and infection control were managed safely.
Effective?: Good; This question was not inspected during this focused visit. Its previous rating was used to calculate the overall rating.
Caring?: Good; This question was not inspected during this focused visit. Its previous rating was used to calculate the overall rating.
Responsive?: Good; This question was not inspected during this focused visit. Its previous rating was used to calculate the overall rating.
Well-led?: Good; Inspectors found an open culture, regular quality checks and a management system that tracked improvements. Earlier issues had been included in the home improvement plan and were reported as resolved.

The latest report, explained

What inspectors found, December 2023

Rated Good after a focused inspection found safe care and stronger management, with earlier pressure-care concerns addressed.

This was an unannounced focused inspection on 16 and 17 November 2023. One inspector and one Expert by Experience spoke with people, relatives, staff and managers. They observed care and reviewed care records, risk assessments, medicines records, staff files and quality checks.

The home was rated Good for Safe and Well-led. Inspectors found medicines were managed safely, risks were assessed, staffing was sufficient, recruitment was safe and infection-control practices were followed. People and relatives spoke positively about the care and staff.

The inspection followed concerns about pressure-care needs. Inspectors found that actions from the previous inspection had been completed, including better records and monitoring. The overall rating improved from Requires Improvement to Good, but the other three quality areas were not inspected during this visit.

What inspectors praised

Safe medicines support
Inspectors found that medicines records and staff checks supported safe administration. Records for fluid thickeners and creams had been reviewed and improved.
“People were supported to receive their medicines safely.” from the report
Kind and respectful care
People and relatives said staff were kind, respectful and attentive. Inspectors also saw staff showing a caring attitude and understanding people's needs.
“People told us they were well treated, and their equality and diversity respected.” from the report
Clean home
The home was clean during the visit, with staff seen cleaning. Inspectors found effective infection-control processes and training.
“The home was clean throughout, and we observed staff actively cleaning the premises during the inspection.” from the report
Improvement tracking
Managers used a home improvement plan to track actions from audits. Inspectors said issues found at the previous inspection had been addressed and resolved.
“A home improvement plan (HIP) helped to identify and track actions from audits, in order to improve the quality of care provided.” from the report

What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report

01How do you now assess and record each person's pressure-care needs?
02How often are pressure-relief and continence charts checked, and what happens if a record is missed?
03How will you keep the improvements from the home improvement plan under review?
04What were the previous ratings for Caring, Effective and Responsive, which were not reassessed in this inspection?
05How are relatives involved when risks or changes in care needs are reviewed?

This was a focused inspection of Safe and Well-led only; the ratings for Effective, Caring and Responsive carried over from the previous inspection. This explanation was written from the published report of 15 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.

The story over the years

Every inspection of Meadow Bank House

5 rated inspections over 8 years: the service has held its Good rating throughout.

December 2023Goodcurrent ratingup from Requires improvement
Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Meadow Bank House →
October 2022Requires improvement
Safe: Requires improvementWell-led: Requires improvement
We are reading this report · the original is on cqc.org.uk
March 2021Inspected but not rated
Safe: Inspected but not rated
Read this report on cqc.org.uk
December 2018Goodup from Requires improvement
Safe: GoodEffective: GoodWell-led: Good
Read this report on cqc.org.uk
May 2018Requires improvementdown from Good
Safe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
Read this report on cqc.org.uk
December 2015Good
Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read this report on cqc.org.uk
December 2013
Report published without a new overall rating.
Read this report on cqc.org.uk
March 2013
Report published without a new overall rating.
Read this report on cqc.org.uk
July 2012
Report published without a new overall rating.
Read this report on cqc.org.uk
October 2011
Registered with the Care Quality Commission on 31 October 2011.

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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