Merle Boddy House

Registration details

The location ID for Merle Boddy House is 1-112580950.

CQC register Merle Boddy House to carry out these legally regulated activities. Contact us if you think Merle Boddy House is operating services not listed here.

Type of service

• Residential homes

Service specialism

• Caring for adults over 65 yrs
• Caring for adults under 65 yrs
• Learning disabilities

Local authority

Norfolk

Monitored services

CQC register Merle Boddy House to carry out the following legally regulated services here:

Accommodation for persons who require nursing or personal care

Mr Simon John Wingfield is responsible for these services.

Terms of this registration relating to carrying out this regulated activity

The Registered Provider must only accommodate a maximum of 10 service users at Merle Boddy House.

The Registered Provider must not provide nursing care under accommodation for persons who require nursing or personal care at Merle Boddy House.

The registered provider must submit a quality assurance audits within seven days of this condition taking effect, and then on the first Monday of every month at Merle Boddy House, 55 Norwich Road, Dereham, Norfolk, NR20 3AX. The report of audits completed, must provide a detailed overview of your findings and include associated timescales for completing action points identified from the audits and indicate who will be responsible for ensuring that the improvements are made in respect of the following:
a) Completion of quality audits of the accuracy of all risk assessments, care and support plans, ensuring where applicable those relating to specific conditions, use of equipment or prescribed medications with associated risks are included.
b) Evidence of detailed welfare checks of service users overnight, including if these are physically completed or via assistive technology, and in adherence with any specific requirements as stipulated within service user’s care records to maintain and respond to individual risks and safety concerns.
c) Evidence of systems in place for the consistent recording and monitoring of service user’s bowel movements and the effectiveness of the use of medication where risks associated with the management of constipation have been identified. This includes use of PRN medication protocols where applicable.
d) Evidence of systems for the reporting, recording, trend analysis and action taken in response to safeguarding, incidents and accidents to demonstrate you are maintaining service user’s safety.
e) Evidence to demonstrate staff performance is regularly reviewed and that staff and volunteers are suitably trained and competent to meet the requirements of their roles and the individual needs of service users. Including provision of updated versions of the service’s matrix of training and competency checks.

The registered provider must submit quality assurance audits within seven days of this condition taking effect, and then on the first Monday of every month at Merle Boddy House, 55 Norwich Road, Dereham, Norfolk, NR20 3AX. The report of audits completed, must provide a detailed overview of your findings and include associated timescales for completing action points identified from the audits and indicate who will be responsible for ensuring that the improvements are made in respect
of the following:
f) Evidence of individualised fire safety risk assessments including details of the different levels of support service users require across a 24-hour period as well as ongoing assessment and reviewing of required numbers of staff on shift to ensure evacuation in the event of an emergency such as a fire.
g) Completion of required checks of service users’ weights, using appropriate assessment tools in
accordance with their assessed needs and analysis and evidence of action taken in response to changes in weight or associated care needs.
h) Evidence of accurate and consistent records of falls, and evidence of actions taken as a result of those falls, such as post falls monitoring, updating risk assessments, and seeking medical advice where applicable.
i)Completion of quality audits and oversight of the governance arrangements in place at the service, including the completion of out of hours spot checks.