Meera House Nursing Home improved from Requires Improvement to Good across all inspected key questions (Safe, Effective, Well-Led), resolving previous breaches of Regulations 9, 12 and 17. The service demonstrated personalised care, safe medicines management, robust governance and an open leadership culture under a new home manager pending registration.
Strengths
· Medicines managed safely with monthly audits; previous breach of Regulation 12 resolved
· Personalised, up-to-date care plans with detailed risk assessments covering mobility, nutrition, skin integrity and mental health
· Strong safeguarding culture with regular agenda items at handovers, team meetings and supervisions
· Robust incident-learning system including post-incident debriefs and sharing of lessons with staff team
· Good governance with comprehensive audit programme covering medicines, wounds, fire safety and health and safety
Quality-Statement breakdown (17)
safe: Using medicines safelyGood
safe: Learning lessons when things go wrongGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Preventing and controlling infectionGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Adapting service, design, decoration to meet people's needsGood
effective: Supporting people to live healthier lives and access healthcare servicesGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Managers and staff being clear about their roles and understanding quality performance, risks and regulatory requirementsGood
well-led: How the provider understands and acts on the duty of candourGood
well-led: Engaging and involving people using the service, the public and staffGood