London SW11 4NN
Telephone: (0207) 8016 000
OverallRead overall summary
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This comprehensive inspection was carried out in response to a high volume of safeguarding concerns about the quality of the service provided to people that the CQC had received from Meadbank (in accordance with their regulatory responsibility to inform us), the London Borough of Wandsworth and Wandsworth Clinical Commissioning Group. Several of these safeguarding concerns are subject to a criminal investigation and as a result this inspection did not examine the circumstances of these incidents. CQC also received a number of complaints from relatives of people who use the service. Meadbank was also subject of an âall homeâ safeguarding concern where the local authority had placed an embargo on any new admissions to the home from 19 December 2017.
CQC was aware of injuries sustained at Meadbank which is why we explored particular aspects of current care and treatment during the inspection. The overall concerns from the safeguarding alerts and the complaints we received were around falls, hydration, nursing practice, infection control and neglect. This inspection examined those risks.
This inspection took place on 16, 17 and 22 January 2018 and was unannounced on the first day and first evening. We told the provider we would be returning on the second and third day.
The inspection was carried out by four CQC inspectors, five experts by experience and two specialist advisors who were both senior registered nurses. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service for example elderly, dementia and palliative care.
We reviewed the information we had about the service prior to our visit and we looked at notifications that the provider is legally required to send us about certain events such as serious injuries and deaths.
During the inspection we gathered information by speaking with 60 people living at Meadbank and 17 relatives and friends who were visiting the home. We spoke with the registered manager, the deputy manager and a total of 49 staff, including registered nursing staff, healthcare assistants, domestic and maintenance staff and the activity co-ordinators. We spoke with three people from the registered provider company BUPA; these were the managing director for BUPA, the regional clinical lead support and a regional director. We also spoke with a visiting GP, the community dietitian, a visiting Best Interests Assessor and the physiotherapist.
We observed care and support in communal areas in an informal manner. We looked at 31 care records and seven staff records and reviewed records related to the management of the service.
Last updated 11:25:11 12th Jun 2018 - Update Now
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