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CQC report explained · a residential care home, run by SCL Care

Meadowcroft Residential Care Home

197-199 Bushbury Lane, Wolverhampton, WV10 9TY

Requires improvementpublished 9 February 2024, 2 years ago

Rated Requires improvement: inspectors found the service was not performing as well as it should and told it what to change.

The five questions inspectors ask
Safe?
Requires improvement
Medicines were not always stored safely and stock records were inaccurate. Inspectors also found enough staff, safe recruitment, risk assessments and infection control arrangements.
Effective?
Good
This question was not assessed or rated in this inspection.
Caring?
Good
This question was not assessed or rated in this inspection.
Responsive?
Good
This question was not assessed or rated in this inspection.
Well-led?
Requires improvement
The home's systems had not identified unsafe medicines storage or inaccurate stock records. Other audits were effective, and people, relatives and staff said they were listened to and supported.
The latest report, explained

What inspectors found, February 2024

Rated Requires Improvement; inspectors found kind and safe support overall, but medicines were not always stored or recorded safely.

The inspection was unannounced and took place on 18 January 2024. One inspector and an Expert by Experience spoke with 7 people, 3 relatives and 5 staff. They observed care and checked care plans, medicines records, recruitment files, training records and quality audits.

The home was rated Requires Improvement for Safe and Well-led. Medicines stock records did not always match the medicines held, and some medicines were stored in unlocked rooms. The home acted immediately to move medicines to locked storage and said it would investigate and improve its procedures.

Inspectors found enough staff, safe recruitment, suitable risk assessments and a clean home. People were supported to make choices, relatives and staff were involved, and the atmosphere was calm. The overall rating had fallen from Good at the previous inspection, published in December 2018.

What inspectors praised
  • Enough staff

    Inspectors found enough staff to support people safely. People did not have to wait for support, and staff had been recruited using safety checks.

    Staff told us there were enough staff to support people safely and our observations supported this, people did not have to wait for support.from the report
  • Risk planning

    Risks such as moving and handling, nutrition and skin integrity had been assessed. Staff followed the plans they had been given.

    People had risks to their safety assessed and plans put in place to meet these.from the report
  • Calm atmosphere

    People and relatives said they were happy with the home. Inspectors saw a calm and relaxed atmosphere and a positive culture among staff.

    We saw the atmosphere at the service was calm and relaxed and there was a positive culture amongst staff.from the report
  • Involvement

    People, relatives and staff were involved in the service. The home used surveys and meetings to gather views and discuss improvements.

    People and their relatives were engaged and involved in the service.from the report
What inspectors were concerned about
  • Medicine records

    serious

    Medicine stock records did not always match the amount held at the home. This created a risk that people might not have their medicines in stock.

    Medicines stock counts were not accurate. Medicines stock checks showed records did not match the amount of stock of people's medicines at the home.from the report
  • Medicine storage

    serious

    Some medicines were found in unlocked rooms, including bedrooms and bathrooms. This meant people could potentially access medicines not prescribed for them.

    Some medicines were found stored in unlocked rooms for example, people's bedrooms and bathrooms.from the report
  • Incomplete medicine guidance

    needs fixing

    Instructions for staff about some topical patches did not include all the manufacturer's directions. Inspectors said the patches had nevertheless been applied correctly.

    Medicines administration guidance for staff did not consistently include all the manufacturer's instructions to guide staff in safe administration of topical patches applied to people's skin.from the report
Questions to ask them, based on this report
  1. 01What changes have you made to medicine stock counts since the inspection, and how do you check that records match the medicines held?
  2. 02How are all medicines now kept locked, including medicines previously found in bedrooms and bathrooms?
  3. 03How have you updated the guidance for staff applying topical patches?
  4. 04What evidence can you show that the new medicines checks are working?
  5. 05When will families be updated about progress on the action plan?

This inspection assessed and rated Safe and Well-led only; the other three key-question ratings were not given in this report. This explanation was written from the published report of 9 February 2024 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 Meadowcroft Residential Care Home

3 rated inspections over 8 years: the service has slipped, from Good to Requires improvement.

  1. February 2024Requires improvementcurrent rating
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read what inspectors found at Meadowcroft Residential Care Home

  2. February 2021Inspected but not rated
    Safe: Inspected but not rated

    We are reading this report · the original is on cqc.org.uk

  3. December 2018Goodstayed Good
    Safe: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. June 2016Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. October 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. January 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. August 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. January 2011

    Registered with the Care Quality Commission on 19 January 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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