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Care Home: Magnolia House Care Home

  • Lyme Road Axminster Devon EX13 5BH
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Magnolia House is a large detached house on a main road on the outskirts of Axminster town centre. It provides accommodation and personal care for up to 20 people over retirement age who may also have a physical disability. It cannot offer nursing care other than that which local community nursing services can provide. The car park and entrance to the home (with ramp access available) are at the rear of the building. There are well-tended gardens here, with seating provided for people to sit and enjoy the views. The majority of bedrooms are on the ground floor, with some on the first floors. Most are for single occupancy, with two available for double occupancy. A stair lift is provided for access to most but not all first floor rooms. Three bedrooms have en suite bath and toilet facilities. A dining room and lounge are also on the ground floor. The second floor is used for staff accommodation. At the time of this inspection fees were up to £500 weekly. General information about fees and fair terms of contracts can be accessed from the Office of Fair Trading web site at www.oft.gov.uk. A copy of the most recent inspection report is available upon request from the home`s office.

  • Latitude: 50.778999328613
    Longitude: -2.9900000095367
  • Manager: Ms Melissa Salter
  • Price p/w: £500
  • UK
  • Total Capacity: 20
  • Type: Care home only
  • Provider: Magnolia House Care Home Limited
  • Ownership: Private
  • Care Home ID: 19683
Residents Needs:
Old age, not falling within any other category, Physical disability

Previous Inspections

This may not be the latest inspection for this service as we are having techinical problems updating from CQC - please check directly on the regulators website for the most recent report; bestcarehome hopes to be back to regular updates shortly.

For extracts, read the latest CQC inspection for Magnolia House Care Home.

Key inspection report Care homes for older people Name: Address: Magnolia House Care Home Lyme Road Axminster Devon EX13 5BH     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Sue Dewis     Date: 0 3 0 3 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 28 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Magnolia House Care Home Lyme Road Axminster Devon EX13 5BH Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Melissa Salter Type of registration: Number of places registered: care home 20 Magnolia House Care Home Limited Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability Additional conditions: The maximum number of service users who can be accommodated is 20 The Registered Person may provide the following category of service only Care Home only Code PC to service users of either gender whose primary care needs on admission to the home are within the following category Old Age not falling in any other category Code OP Date of last inspection Brief description of the care home Magnolia House is a large detached house on a main road on the outskirts of Axminster town centre. It provides accommodation and personal care for up to 20 people over retirement age who may also have a physical disability. Care Homes for Older People Page 4 of 28 Over 65 20 0 0 0 Brief description of the care home It cannot offer nursing care other than that which local community nursing services can provide. The car park and entrance to the home (with ramp access available) are at the rear of the building. There are well-tended gardens here, with seating provided for people to sit and enjoy the views. The majority of bedrooms are on the ground floor, with some on the first floors. Most are for single occupancy, with two available for double occupancy. A stair lift is provided for access to most but not all first floor rooms. Three bedrooms have en suite bath and toilet facilities. A dining room and lounge are also on the ground floor. The second floor is used for staff accommodation. At the time of this inspection fees were up to £500 weekly. General information about fees and fair terms of contracts can be accessed from the Office of Fair Trading web site at www.oft.gov.uk. A copy of the most recent inspection report is available upon request from the homes office. Care Homes for Older People Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This unannounced visit took place over 8 hours, one day at the beginning of March 2010, as part of our usual inspection programme. This was our first visit to the home since the change in providers in September 2009. The home had been notified that a review of the home was due and had been asked to complete and return an AQAA (Annual Quality Assurance Assessment). This shows us how the home has managed the quality of the service provided over the previous year. It also confirms the dates of maintenance of equipment and what policies and procedures are in place. Information from this document was used to write this report. Although only one inspector undertook this inspection, throughout the report there will be reference to what we found and what we were told. This is because the report is written on behalf of the Care Quality Commission (CQC). Care Homes for Older People Page 6 of 28 During the inspection 3 people were case tracked. This involves looking at peoples individual plans of care, and, where possible speaking with the person and staff who care for them. This enables the Commission to better understand the experience of everyone living at the home. As part of the inspection process CQC likes to ask as many people as possible for their opinion on how the home is run. We sent questionnaires out to some people living at the home, some healthcare professionals and some staff. At the time of writing the report, responses had been received from 8 people living at the home, 3 of which had been completed with help from relatives, 3 GPs and 10 staff. Their comments and views have been included in this report and helped us to make a judgement about the service provided. During the inspection 2 people living at the home were spoken with individually, 3 in a group setting, 2 staff, 2 relatives the owner and the manager. We also observed the interaction between the people living at the home and those who care for them throughout the day. A tour of the communal areas of the building was made and a sample of records was looked at, including medications, care plans and staff files. All key standards were inspected. Two concerns had been raised with the Commission prior to this Key Inspection Visit and these were discussed with the provider and the manager. The provider and manager further investigated these issues following this visit and the results were forwarded to the Commission. The concerns related to staffing issues, the time taken to answer call bells and the care of one individual. No evidence was found to support any of these concerns. Concerns were also raised over the quality of the fabric of the environment. The provider has only recently taken over the home and is aware of the refurbishment needed and is implementing a programme to address this. This report is based on a sample of the evidence available during our inspection process. It does not provide a comprehensive risk assessment of the home. Registered persons are reminded that it is their responsibility to assess and manage risks in accordance with the Care Homes Regulations 2001 ( Health and Social Care Act 2008 (Regulated Activities) Regulations 2009) and other relevant legislation. Care Homes for Older People Page 7 of 28 What the care home does well: What has improved since the last inspection? What they could do better: No requirements were made at this visit and only minor recommendations have been made. These were discussed with the manager during the visit and were: ensuring care plans are more person centred, focusing on what people can do rather than what they cant; ensuring that evaluation sheets provide evidence where care needs are being met; ensuring moving and handling plans contain an assessment of the ability of the Care Homes for Older People Page 8 of 28 individual to understand and follow instructions; ensuring the social history document My Life Story is fully completed for everyone. Also the programme of refurbishment needs to continue and include the fitting of appropriate window restraints, thermostatic valves to hot water taps and redecoration of the communal areas of the home. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 9 of 28 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Information about the home is available to help people make an informed choice about whether to move in. The admission procedure ensures that there is a proper assessment prior to people moving into the home, and that they can be assured that their care needs can be met. Evidence: There is a Statement of Purpose, Service User Guide and Brochure available to people thinking of moving into the home. Seven of the eight people who returned surveys to us, indicated that they felt they had enough information before moving into the home to help them decide if the home was the right place for them. The eighth person didnt know. The AQAA (Annual Quality Assurance Assessment) submitted prior to the visit indicates that the home will be producing a brochure and that they hope to make the Service User Guide and the Statement of Purpose for the home available in differing formats. Care Homes for Older People Page 11 of 28 Evidence: Seven of the eight people who returned survey forms to us indicated that they had received a contract, the eighth person didnt know. The files of three people living in the home were looked at. The manager told us the procedure that she follows when people are referred to her for possible admission to the home. We were told that this included giving people information about the home, inviting the person to visit the home and possibly stay at the home, as well as visiting them to complete a pre-admission assessment. Only one of the three files we looked at showed a detailed assessment that had been completed prior to the person moving into the home, and this was for the most recent admission. This detailed assessment enables staff to determine whether the needs of the individual can be successfully met by the home. The other files were for individuals that had been admitted prior to the new providers taking over the home and they showed very little evidence that detailed pre-admission assessments had been carried out. The home does not provide intermediate care. Care Homes for Older People Page 12 of 28 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Everyone who lives at the home has a care plan which provides staff with information to enable them to meet peoples health and personal care needs on a day to day basis. The management of medication is good and helps ensure people are protected from the risk of not receiving their prescribed medication. Evidence: All people living at the home have an individual plan of care. We looked at the care files for three people during this visit. The care files were comprehensive and sections included an initial assessment and a full care plan. The files also contained detailed risk assessments covering a range of topics including falls, leaving the building unescorted, tissue viability and moving and handling. However, the moving and handling plans that were seen say that a client handling assessment form should be completed prior to the plan being drawn up, but none of these forms had been completed. The moving and handling plans need to Care Homes for Older People Page 13 of 28 Evidence: contain more detailed assessment of the individual and should assess issues such as the persons ability to understand and follow any instructions given to them by the staff. There was good evidence to show that care plans are reviewed monthly and some signatures to show that people were involved in reviewing their plans. Care plans set out the persons problems (needs), the goal to be achieved, and the action staff need to take to ensure the needs are met. The directions to staff were very general and the same for several people. This gives the impression that the behaviour rather than the individual has been focused on, and that everyone will be dealt with in the same manner. There was some discussion with the manager about making the care plans more person centered and moving the focus of care plans away from problems towards peoples strengths, for example looking at what people can do rather than what they cant. However, we did see one pen picture, written in the persons own words, about how they like to receive personal care and how they like to spend their day. This provides good individualised information for staff and are being kept in the persons bedroom. The manager told us that they hope to get a pen picture written for everyone. Evaluations (recordings) were non-judgemental and showed that people are thought of as individuals. However,while there were some good recordings seen, the information does not always evidence that needs identified on the care plan have been met. For example, we saw a lot of no problems recorded giving the impression that only peoples problems were looked at. However, we did see some good recordings that detailed how people had spent their day. Information about visits from chiropodists, district nurses and doctors are recorded in individual care plans, showing clear evidence that people are supported to maintain access to specialist medical services. Surveys were received from 3 GPs and all indicated that the home sought advice about improving peoples well-being and monitored peoples health needs appropriately. One GP commented that they seem to care for my patients very well. Medication administration was well managed and policies and procedures relating to this area were in place. We were told and records show that staff who administer medications have received training that tested their competency. Staff were seen administering medication appropriately. Records show that medicines are counted when received into the home. MAR Care Homes for Older People Page 14 of 28 Evidence: (Medication Administration Record) sheets show that where people had been prescribed creams and ointments there is a record kept in their bedrooms of the application of these topical creams. Containers are marked with the date of opening, which reduces the risk of people having creams applied that are past their expiry date and therefore ineffective. All of the people seen during this visit were treated with respect by the staff, their right to privacy was upheld and personal care was offered in a discreet manner. All bedroom doors have recently been replaced and are now fitted with locks. Staff were seen knocking on doors before entering and we heard staff speaking with people in a kindly, friendly way. People we spoke with were very happy with the care they receive and were especially happy with the staff saying that everyone was very good. The AQAA (Annual Quality Assurance Assessment) submitted prior to the visit indicates that in order to improve the service the home intends to provide a ground floor shower room and to invite Representatives to be present at care plan reviews. Care Homes for Older People Page 15 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A good range of social outings and activities are available, and there is good daily variation for people living in the home. Menus are well balanced and alternatives are always on offer. Evidence: Each of the three care files we looked at also contained a document called My Life Story which gave information on the persons social history and likes and dislikes. Not all areas were completed on the three files we looked at so their value was limited by the information in each one. Each My Life Story also contained an evaluation sheet which detailed what activity the individual had participated in and how much they had enjoyed it. We saw that people had enjoyed playing dominoes, watching movies, doing exercises and attending Holy Communion. On the day of the visit there was an activity session taking place in the lounge. People enjoyed gentle exercises followed by a quiz. Those we spoke with after the session told us how much they looked forward to the sessions and how there was always something different for them to do. Care Homes for Older People Page 16 of 28 Evidence: Information on activities and entertainment on offer through the week is displayed on the noticeboard as well as being given to people individually to keep in their room. We saw evidence that people had been on outings to pantos and that there were plans for trips on a canal boat, and to Dartmoor and Longleat. There are regular clothes shows where people can buy new clothes and a weekly shop, where people can buy sweets. The manager told us that a world cruise was being planned for the following week, when the home would visit a different country each day and the home would be decorated and food would be cooked relating to the place they were visiting. A monthly newsletter and regular meetings helps keep people informed of things going on in the home and encourages them to talk about any issues they wish to raise. The manager told us that she has had contact with the Axminster Senior Forum and is trying to encourage them to get involved with the home, she is also making links with Age Concern. We spoke with two visitors to the home who were both very pleased with the care their relative receives. They also told us that the staff were very approachable and that they are always made welcome when they visit. One person said that they thought it was lovely that the manager knew her name and always spoke with her. They also said that the home keeps them informed about any concerns with their relatives health. We looked at how people are offered choices during the day. The manager told us that staff were encouraged to offer people choices as much as possible and especially in relation to meals. People are told what is on offer for the main meal and then given options if they dont want the main meal. Menus are normally drawn up on a four weekly rota with input through the residents meetings. The manager said that she is planning to put weekly menus on the dining tables. The AQAA (Annual Quality Assurance Assessment) submitted prior to the visit indicates that in order to improve the service the home intends to provide activities training for staff, to encourage people living at the home to form a forum and hold regular meetings and to encourage people to use the local hydrotherapy pool. Care Homes for Older People Page 17 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is a good complaints procedure and people can be confident that their concerns will be listened to. Robust procedures are in place to ensure that people are protected from abuse. Evidence: There is a clear and simple complaints procedure displayed in the hallway. There is no formal complaints file kept at the moment as no complaints have been raised with the home. Any moans and groans are dealt with as they arise and no record is kept. Everyone we spoke with was clear about who they would speak with if they were unhappy about anything and felt sure that their concerns would be dealt with. Although one person who returned a survey form said they didnt know how to make a formal complaint, everyone said that there was someone at the home who they could speak with. Visitors that we spoke with were confident that any concerns would be dealt with right away. The Commission has recently received two concerns about the home and these were discussed with the provider and the manager. The concerns related to staffing issues, the time taken to answer call bells and the care of one individual. The provider and manager further investigated these issues following this visit and the results were forwarded to the Commission. No evidence was found to support any of these concerns. Concerns were also raised over the quality of the fabric of the environment. Care Homes for Older People Page 18 of 28 Evidence: The provider has only recently taken over the home and is aware of the refurbishment needed and is implementing a programme to address this. The home has a range of policies and procedures in place relating to the recognition and prevention of abuse of people living at the home. Records show, and staff told us that they had received training in Safeguarding Adults issues. Both staff that we spoke with were able to discuss different forms of abuse and said that they would report any suspicions they had to the manager. They were also able to tell us who they would report any concerns to, outside of the home, if necessary. The AQAA (Annual Quality Assurance Assessment) submitted prior to the visit indicates that in order to improve the service the home intends to provide the complaints procedure in a variety of formats. Care Homes for Older People Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a comfortable and safe environment for those living in, working at and visiting the home. Evidence: A full tour of all the communal areas of the home and some of the individual bedrooms were looked at. The home is comfortably furnished and has a homely atmosphere. However, the home is looking very tired at the moment and the new providers have a refurbishment plan in place to address several areas, including decorations, new furnishings, adding an extension and putting in a passenger lift. There is level access to the outside of the premises and the pleasant well maintained garden. At present there are no thermostatic control valves fitted to hot water taps. However, there is a programme in place to ensure these are fitted to all taps. Currently there are some restrictors fitted to windows but the provider has identified that they are inadequate and plans to replace them all within a month. All areas of the home were clean, well ventilated and there were no unpleasant odours. There is a range of aids and adaptations available to help people living in the home be as mobile and independent as possible. These include grab rails, raised toilet seats, hoists and an assisted bath. Care Homes for Older People Page 20 of 28 Evidence: All bedrooms are of a good size and have been personalised to suit the taste of the individual. The laundry area has suitable and functional equipment installed and has an impervious floor covering to minimise the risk of cross contamination. One person indicated on their survey form that they were unhappy with the way laundry is managed at the home commenting that the home could do better by Returning laundry marked with owners name and to follow up missing articles. Staff confirmed that disposable gloves and aprons were available to them in order to minimise the risk of cross infection and we saw them being used and disposed of appropriately. Staff also confirmed and records show that they have received training in this area. The AQAA (Annual Quality Assurance Assessment) submitted prior to the visit indicates that in order to improve the service the home intends to upgrade the environment of the home and to provide a sensory garden area. Care Homes for Older People Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A wide range of training is provided and the numbers and skill mix of staff on duty are sufficient to meet the needs of people currently living at the home. Recruitment procedures are robust and ensure that people who may be unsuitable to work with vulnerable people are not employed at the home. Evidence: On the day of the visit there were 16 people living at the home. On duty during this time were the manager, 4 care staff, and 2 ancillary staff (kitchen staff and a maintenance person). People that were spoken with felt that there were enough staff at the home to meet their needs. Visitors told us that there always seemed to be plenty of staff around. Staff were praised by people living at the home and their visitors telling us that staff were always lovely and helpful and couldnt wish for things to be nicer. Others commented via survey forms that the home employs good staff and care is good. Staff that we spoke with told us about how they care for people living at the home and were able to describe the individual needs of people and how they are met on a day to day basis. Staff spoke with warmth about the people they care for and told us how much they enjoyed working at the home and how much things had improved since the new provider took over. Care Homes for Older People Page 22 of 28 Evidence: Three staff files were looked at. All files contained all the required information including satisfactory CRB (Criminal Records Bureau) checks, two written references and proof of identity. This ensures that people are protected from the risk of harm by staff who may be unsuitable to work with vulnerable adults. Staff receive training in a variety of ways, including distance learning and in-house. Records show and staff confirmed that they have received a variety of training including, Care and Administration of Medicines, Caring for People with Dementia, Infection Control and Diet and Nutrition. We were told that training in Food Hygiene and First Aid is to be arranged. The AQAA (Annual Quality Assurance Assessment) submitted by the manager shows that 10 staff currently have an NVQ (National Vocational Qualification) level 2 or above. One staff member commented (via a survey form) that There has been a lot of training since the new manager came, both in-house and external and even e-learning on the computer!!!. Care Homes for Older People Page 23 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and has robust management systems in place to check the quality of the services and facilities provided. This results in practices that promote and safeguard the health, safety and welfare of people who live and work in the home. Evidence: The home is managed by Melissa Salter who has many years of relevant experience of working with the elderly and has been a registered manager of another home. She holds an NVQ level 4 (National Vocational Qualification) and has also obtained the Registered Managers Award (both of these are recommended qualifications for managers of care services). The Responsible Individual and Director of Care for the home also hold these qualifications. Staff, people living at the home and visitors that we spoke with all complimented the manager saying that she was approachable and dealt quickly with any issues that arose. During the visit we saw many staff and people living at the home come to the office to speak with Melissa and they were dealt with in a polite, efficient and Care Homes for Older People Page 24 of 28 Evidence: respectful manner. The manager told us that there was no-one living at the home that is subject to a deprivation of liberty authorisation and we saw no evidence to show that anyone living at the home is having their liberty deprived without an authorisation. The home has a good range of methods for checking the quality of the care provided by the home. Regular meetings are held, and questionnaires have recently been sent to people living at the home and their relatives in order to obtain their views on the home. We were told that a report will be prepared following the return of questionnaires that will detail any areas for improvement and show how they will be addressed. The procedure for dealing with individuals finances is robust, records were well maintained with 2 signatures being obtained for all transactions. The AQAA (Annual Quality Assurance Assessment) submitted prior to the visit, provided evidence that Magnolia House complies with health and safety legislation in relation to the maintenance of equipment, storage of hazardous substances, health and safety checks and risk assessments. Policies and procedures are not always inspected during the visit but the information provided on the AQAA helps us form a judgement as to whether the home has the correct policies to keep people living and working at the home safe. Information provided by the home, evidenced that policies and procedures are in place and along with risk assessments are reviewed regularly and updated where necessary, to ensure they remain appropriate and reduce risks to people living and working at the home. So that the risk of burning from hot surfaces is minimised all radiators within the home are covered. All windows above ground floor level are to be fitted with suitable restrictors, in order to minimise the risk of anyone falling from these windows and all hot water taps will be fitted with thermostats to minimise the risk of people being scalded. Care Homes for Older People Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 2 7 7 You are recommended to provide more evidence that identified care needs are being met. You are recommended to ensure moving and handling plans contain sufficient detail about the individuals ability to understand and follow any instructions. You are recommended to look at ways to make care plans more person centred and for them to focus on what people can do rather than what they cant. You are recommended to ensure the document My Life Story is fully completed for all individuals. You are recommended to continue with the refurbishment programme for the home. 3 7 4 5 12 19 Care Homes for Older People Page 27 of 28 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!

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Magnolia House Care Home 03/03/10

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