Meridian Health and Social Care - Nottingham

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• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

We assessed 2 quality statements in the effective key question and found areas of good practice. The scores for these areas have been combined with scores based on the rating from the last inspection, which was good.

People’s care and treatment was effective due to their health, care, well-being, and communication needs being assessed with them. People’s care plans were kept up to date with any assessments completed in a timely manner. Staff were aware of people’s preferences and respected these in a person-centred way. People were aware of their rights around care and treatment.

People were supported to lead healthy lives. Any decline in people’s health was acted on quickly. External health and social care professionals were consulted where required.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

People and relatives told us they were involved with planning their or their family members’ care. People were confident that their needs were understood by the staff team.

A person said, “A staff member did come out and do a review, they phoned and then came out to re-assess (care needs). A relative said, “They did a thorough assessment and gave us all the information in a folder.”

Staff told us that they had time to review care planning documents, so they could keep up to date with people’s changing needs. They told us they knew how to provide the most up to date care that met each person’s individual needs.

Staff had good knowledge of how to support people’s needs, and what action to take if the person’s needs appeared to have changed.

A staff member said, “All care staff have the information needed to provide care such as medical conditions, allergies, food to be given, GP and Pharmacy details and what kind of care to be provided i.e. wash or shower.”

The registered manager was confident that staff had the guidance and information needed to provide effective care for all people.

A range of national assessment tools were used, to understand people’s needs and how best to support them. For example, monitoring pressure care, nutritional health, and continence.

Staff had access to documents on how to support people. Where people’s needs changed, these care planning documents were updated so staff had access to the most up to date information.

People’s communication needs were recorded and understood by staff. This allowed staff to communicate with people in the most appropriate and effective way.

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

People told us they were able to see a GP when they needed to. Another person told us they had been supported to see a dentist.

People told us staff supported them to do things for themselves and encouraged them to live healthy lives. A person said, “The staff are very competent and very caring. I am listened to – I have my own way of doing things and I can always say what I want. I am in control, but staff know what they are doing.”

Staff told us they were able to provide care in a way that supported people to lead healthy lives. This included supporting people with specialised diets designed to increase or decrease a person’s weight and prevent them from choking.

Staff told us they supported people to attend appointments such as visiting the dentist and arranging GP appointments. Referrals were made to external health professionals when people required a more in-depth review of their health. This included supporting people with screenings for cancer and monitoring diabetes.

The provider ensured assessments considered people’s health, care, wellbeing, and communication needs, to enable them to receive care and support that had the best possible outcomes. External agencies were referred to should people require more in-depth treatment. This included referrals to tissue viability nurses, dietitians , and GPs.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Consent to care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.