Magnolia House Residential Care Home

Updated 25 December 2021

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by two inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service. The inspectors visited the service on 7 December 2021. An Expert by Experience spoke with eight relatives on the telephone on 10 December 2021.

Service and service type

Magnolia House Residential Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with three people who used the service and four relatives about their experience of the care provided. We spoke with eight members of staff including the registered manager, deputy managers, senior care worker, care workers, domestic staff and the chef. We also spoke with one visiting professional. We reviewed a variety of records relating to the management of the service, including governance and auditing systems. We looked at five staff files in relation to recruitment and staff supervision.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We reviewed a range of records. This included five people’s care records. Our Expert by Experience spoke with eight relatives of people living at the home about their experience of the service.

Updated 25 December 2021

About the service

Magnolia House Residential Care Home is a residential care home providing personal care to up to 62 people aged 65 and over at the time of the inspection. Some people were living with dementia. There were 60 people living there at the time of our inspection.

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

People were safe and protected from avoidable harm and abuse. Risk’s to people were assessed and measures were in place to reduce known risks. People received their medicines safely. The home was clean and hygienic, and risk of infections was managed safely. There were enough staff to meet people’s care and support needs.

People’s individual needs were assessed. Staff were well trained. People and their relatives told us staff were kind, caring and compassionate. Arrangements were made for people to see a GP and other healthcare professionals when they needed to do so. People told us they were supported to enjoy a healthy, nutritious and balanced diet.

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

People and their relatives told us they felt well cared for by staff. People and their relatives told us they were happy with the standard of care and felt supported with their care needs. Overall, there was a positive and relaxed atmosphere in the home. Staff had a good knowledge of people they supported, respected their privacy and dignity and promoted people’s independence.

People received personalised care that was responsive to their needs and preferences. People and their relatives told us they were involved in decision making regarding their care. Staff knew people's needs well. Activities co-ordinator had worked hard to provide meaningful social activities to reduce the risk of isolation.

People and relatives felt the service was well managed. The home has had consistent management team. There was a positive culture and ethos at the home. Staff were aware of their roles and responsibilities and felt supported by the management team. The management team had systems in place to ensure there was effective oversight of the home.

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

Rating at last inspection and update

The last rating for this service was good (published 24 January 2019). We also carried out a focused inspection to look at the infection prevention and control processes, however the service was not rated at that time (published 27 November 2020).

Why we inspected

We undertook this inspection as part of a random selection of services rated good and outstanding to test the reliability of our new monitoring approach.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Magnolia House Residential Care Home on our website at www.cqc.org.uk.

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.