About the service Magnolia House is a residential care home providing accommodation to persons who require nursing or personal care, to up to 67 people. The service provides support to older people; some whom live with dementia. At the time of our inspection there were 55 people using the service. People are accommodated in one adapted building.
People’s experience of using this service and what we found
People were not always protected from avoidable harm. People’s care plans and associated records were not always current, accurate and did not provide staff with the correct information they required to safely meet people’s needs.
People’s care plans did not detail where people could make a decision and the support they required. Where people were living under restrictions, there was not always a clear record of where decisions had been made in their best interest, or if the person had capacity to consent to the decision.
Infection prevention and control was not always effective. This placed, people, visitors and staff at risks of infection.
Monitoring systems were not always effective as the records supporting the management of the service were not always reliable. These systems had not identified or addressed concerns found during our inspection, including concerns in relation to people’s care records, infection control, recruitment and mental capacity act. The management had a system to monitor staff training, however there was limited evidence of action being taken to address the training needs of staff.
Staff told us that communication was not always effective. Staff told us they did not always have the information, training or support they required.
People told us they felt safe and well looked after. They told us the staff were tolerant, patient and friendly. Although there had been challenges in recruiting staff, there were enough staff to ensure people’s care needs were met.
People’s medicines were managed safely. However there had been times where medicines had not been checked or removed in accordance with the providers medicines policy.
The provider, registered manager and staff had learnt from a situation where an incident was not reported appropriately, and they had adjusted their risk management strategies accordingly.
People and their relatives felt able to approach managers and the staff as needed. People’s complaints had been acted upon.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 9 October 2019).
Why we inspected
This inspection was prompted by a review of the information we held about this service. This included information about the people’s assessed care needs, associated risks and falls management.
As a result, we undertook a focused inspection to review the key questions of safe, effective, responsive and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Magnolia House on our website at www.cqc.org.uk.
Enforcement and Recommendations
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.
We have identified breaches in relation to safe care and treatment, good governance, person centred care and reporting incidents at this inspection.
Please see the action we have told the provider to take at the end of this report.
Full information about CQC's regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.