Archived: Magnolia House Residential Care Home

Updated 28 June 2016

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 inspection took place on 15 June 2016 and was unannounced.

The inspection team consisted of one inspector and an expert by experience (ExE). An ExE is a person has personal experience of using or caring for someone who uses this type of service.

Before our inspection, we reviewed information we held about the home, which included notifications they had sent us. A notification is information about important events which the provider is required to send us by law.

We also contacted the commissioners of the service and Healthwatch Nottinghamshire to obtain their views about the service provided.

On the day of the inspection we spoke with six people and five visiting relatives. We also spoke with a visiting healthcare professional for their feedback about the service provided. Some of the people who used the service had difficulty communicating with us as they were living with dementia or other mental health conditions. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We spoke with the registered manager, the provider, deputy manager, a senior staff member, three care staff and the cook. We looked at all or parts of the care records of six people along with other records relevant to the running of the service. This included policies and procedures, records of staff training and records of associated quality assurance processes.

After the inspection we spoke with a nurse practitioner who visited the service for their feedback.

Updated 28 June 2016

This inspection took place on 15 June 2016 and was unannounced.

Magnolia House Residential Care Home provides accommodation and personal care for up to 40 older people including people living with dementia. At the time of our inspection there were 40 people living at the service.

Magnolia House Residential Care Home is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. A registered manager was in place.

Staff were aware of the provider’s safeguarding policies and procedures and their role and responsibilities in keeping people safe. Risks to people’s needs had been assessed and plans were in place to inform staff of the action required to reduce and manage known risks. Accidents and incidents were responded to appropriately and analysed for patterns and trends. The premises and equipment were managed to keep people safe.

Sufficient staff were on duty to meet people’s needs and they were recruited through safe recruitment practices. People received their medicines appropriately; where shortfalls were identified immediate action was taken to make the required improvements.

Staff received an appropriate induction when they commenced their employment and ongoing training, support and development opportunities. Where gaps in staff training had been identified training was arranged.

The registered manager had processes in place to apply the principles of the Mental Capacity Act 2005 (MCA) and Deprivations of Liberty Safeguards (DoLS). New documentation was being introduced to ensure mental capacity assessments and best interest decisions made were decision specific. People’s rights were protected and understood by staff.

People received sufficient to eat and drink and choices were offered, drinks and snacks were available throughout the day. People were encouraged to maintain their independence.

The provider worked well with external health professionals and people received support to maintain their health.

Staff communication and interaction with people was good. People described staff as caring and kind. Staff treated people with privacy, dignity and respect. People had information about independent advocacy services should they have required this support. Information about the complaints procedure was available for people.

Staff had information available about people’s individual needs, routines and preferences. Whilst staff knew people’s needs this was not always recorded in detail. People received opportunities to participate in activities that reflected their preferences and interests. People also received opportunities with their cultural, religious and spiritual needs.

There were quality assurance systems in place to monitor quality and safety. People received opportunities if they wished to share their experience about the service they received. The provider visited the service regularly but had not completed audits and checks but this was to be addressed by the provider.