Marigold Nursing Home

Updated 21 November 2020

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.

As part of CQC’s response to the coronavirus pandemic we are conducting a thematic review of infection control and prevention measures in care homes.

The service was selected to take part in this thematic review which is seeking to identify examples of good practice in infection prevention and control.

This inspection took place on 10 November 2020 and was announced.

Updated 21 November 2020

About the service

Marigold Nursing Home provides accommodation for up to 49 people with residential and nursing care needs in a purpose-built building. At the time of the inspection, 47 people were using the service. Some of the people were living with dementia.

People’s experience of using this service and what we found

There was a strong, visible, person-centred culture at the service. Without exception people and family members were extremely positive about the caring nature of the registered manager and staff. They told us it was like people were “being looked after by family” and the registered manager was “wonderful”. There were numerous examples of staff consistently going above and beyond their role. Staff demonstrated empathy and a real understanding of people’s needs.

All decision making centred around people. Equality and diversity was embedded in the service and people were supported to practice their religious or spiritual needs. Respect for privacy and dignity was at the heart of the service and staff promoted independence. The patient, person-centred approach staff took to get to know and understand people meant they excelled at ensuring people's anxieties were reduced.

The service was extremely responsive to people’s individual needs and staff developed extremely positive relationships with people. The registered manager had implemented a holistic approach to end of life care.

The service has taken innovative steps to meet people’s information and communication needs. Staff had gone the extra mile to find out about people’s past, what was important to them and what they enjoyed doing.

Staff were highly motivated and told us the leadership of the service was exceptional. There were consistently high levels of constructive engagement with people, family members and staff, who were empowered to make decisions and contribute to the running of the home.

The provider and registered manager were highly motivated and passionate about making sure people received person-centred and high-quality care. There was a strong emphasis on continuous improvement and the service incorporated best practice guidance. The service had forged and maintained excellent links with health and social care professionals.

Appropriate safeguarding procedures were in place and staff had been trained in how to protect people from abuse. Risks were well managed and the provider learned from accidents and incidents.

The provider carried out appropriate security and identification checks when they employed new staff. There were plenty of staff on duty to meet the needs of people and they were suitably skilled, experienced and supported in their role.

Systems were in place for the safe storage, administration and recording of medicines. The premises were clean and appropriate health and safety checks had been carried out. The home incorporated environmental aspects that were dementia friendly.

Regular assessments and reviews took place to ensure people’s needs were being met. People were supported with their healthcare needs and had access to healthcare professionals when required.

People were supported to have maximum choice and control of their lives, and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 18 December 2017 and this is the first inspection. There was an inspection on 26-28 November 2018 however the report following that inspection was withdrawn as there was an issue with some of the information that we gathered.

Why we inspected

This is a planned re-inspection because of the issue highlighted above.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.