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Care Home: Magnolia House Residential Care Home

  • Chesterfield Road North Pleasley Nottingham NG19 7RA
  • Tel: 08009173288
  • Fax: 01623819732
  • Planned feature Advertise here!

  • Latitude: 53.166000366211
    Longitude: -1.2369999885559
  • Manager: Manager post vacant
  • Price p/w: ~
  • UK
  • Total Capacity: 40
  • Type: Care home only
  • Provider: Haigh Healthcare LLP
  • Ownership: Private
  • Care Home ID: 19684
Residents Needs:
Old age, not falling within any other category, Dementia

Latest Inspection

This is the latest available inspection report for this service, carried out on 15th April 2010. CQC found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

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

What the care home does well Magnolia House has been purpose built and it encorporates many additional facilities. Each bedroom has a large and easily accessible en-suite shower room and people are assisted to shower whenever they wish. There are also large and well equipped bathrooms for people who prefer to have a bath. Bedrooms are large and furnished with comfortable, modern furniture. Each room has a telephone point, a television and a `cooler` for drinks. The gardens are landscaped and are well maintained providing people with a safe and enjoyable outdoor area. Staff interact well with people and treat people with respect and dignity. People are supported in their preferred manner and care plans reflect that people have been involved in the process and their wishes and preferences have been included. The service provides people with good links to the local community and actively involves peoples friends and relatives in many aspects of the care provided. One relative told us "Magnolia House is an oasis in a sea of care homes." What has improved since the last inspection? This was the first Key Inspection that has taken place since the service opened in November 2009. What the care home could do better: This first key inspection has not identified any areas that would benefit from improvement at this stage. As occupancy increases the manager should monitor the impact this has on the people who already live at the service in order to maintain the standards that have been achieved to date. We asked people what they felt could be improved and replies included "I really can`t think of anything at present. It`s very good and I am very happy with everything." Key inspection report Care homes for older people Name: Address: Magnolia House Residential Care Home Chesterfield Road North Pleasley Nottingham NG19 7RA     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: Angela Starr     Date: 1 5 0 4 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 27 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 27 Information about the care home Name of care home: Address: Magnolia House Residential Care Home Chesterfield Road North Pleasley Nottingham NG19 7RA 08009173288 01623819732 magnoliahouse@haighhealthcare.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Haigh Healthcare LLP Name of registered manager (if applicable) Type of registration: Number of places registered: care home 40 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is 40 The registered person may provide the following category of service only Care Home only PC To service users of the following gender Both Whose primary care needs on admission to the home are within the following categories Dementia Code DE Old age, not falling within any other category Code OP Date of last inspection Brief description of the care home Magnolia House is a purpose built care home providing 40 beds for older people with a range of care needs. It is a family run business which opened in November 2009. All the bedrooms are spacious and are designed to meet the needs of people with a disability, whether physical, mental or sensory. All rooms are single and have a large Care Homes for Older People Page 4 of 27 Over 65 0 40 20 0 Brief description of the care home en-suite shower room. The rooms are large enough for a couple to share if they wish and the second bedroom could be used as a sitting room if required. Some rooms have direct access to the garden area through patio doors. The gardens are landscaped and are secure to ensure the safety of vulnerable people who live at the home. There are four lounge areas (Two on each floor) and two dining areas. We also provide bathing facilities in four well equipped and spacious bathrooms where people can be assisted to have a bath if they prefer. Fees currently range from £381.00 per week to £475.00 Care Homes for Older People Page 5 of 27 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: The quality rating for this service is 2 star. This means that the people who use this service experience Good quality outcomes. The focus of Inspections undertaken by the Care Quality Commission is upon outcomes for people who use the services and their views on the service provided. This process considers the providers capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provision that need further development. We ask managers to fill in a questionnaire called an Annual Quality Assurance Assessment, which tells us about how well their service provides for the needs of the people who use it and how they intend to improve their service. We received this back from the manager within the required timescale and the form was completed in a satisfactory manner, providing us with information to assist in planning our visit and deciding what areas to look at. Care Homes for Older People Page 6 of 27 We also reviewed all the information we have received about the service since it opened and we considered this in planning the visit and deciding what areas to look at. The main method of Inspection we use is called case tracking which involves us selecting a number of people who use the service and looking at the quality of the care they receive by speaking with them, observation, reading their records and asking staff about their needs. We also sent Have Your Say questionnaires to a random selection of people who use the service and some staff members. The information provided in the replies we received, was also a contributory factor in the focus of our inspection visit. We spoke with four members of staff, three people who use the service and three relatives to form an opinion about the quality of the service being provided. We read documents as part of this visit and medication was inspected to form an opinion about the health and safety of people who use the service. Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? What they could do better: 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 8 of 27 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 9 of 27 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. People who wish to live at the home have their needs fully assessed to ensure their needs can be met. People are given accurate and up to date information about the service to assist them in making a decision about their choice of home. Evidence: The written information provided to us by the manager tells us A Service User Guide is available in every room providing clear information regarding what the service user can expect from our service, with a detailed account of the quality of the accommodation, and how to make a complaint. The Home Manager spends time with enquirers, offering reassurance,guidance and support. The homes Statement of Purpose is on display in the reception area to provide any visitor with clear information about the home, including the range of needs the home is intending to meet, criteria used for admission to the home and the arrangements made for respecting privacy and dignity of our service users, and how to make a complaint. A full assessment is carried out prior to admission by a trained and Care Homes for Older People Page 10 of 27 Evidence: competent member of staff (Usually the Home Manager) to demonstrate that the home is able to meet the needs of the prospective service user. A letter confirming that we are able to meet the assessed needs of the prospective service user is sent out. We saw the service user guide, statement of purpose and complaints procedure on display in the reception area of the service. As this is the first Inspection that has taken place, they do not have a previous inspection report to share with people. People we spoke with who live at the service told us that they were given all the relevant information they needed and they visited the service to look round. One person said I came to view the home and liked it straight away. A relative we spoke with told us We had looked at a lot of homes for our relative but this one stood out as an oasis. Its the only one we liked. We asked a random selection of people to complete questionnaires for us and where we asked Did you receive enough information about this home before you moved in? all eleven replied Yes. As part of the case tracking process, we looked at the files of three people who live at the service. All three files contained pre-admission assessments completed by the manager or proprietor and a copy of the letter that was sent confirming that the persons assessed needs could be met. These assessments were detailed and informative and had been used to contribute to the care plan that was completed following the admission. There is no Intermediate Care provision at the service and therefore, this standard cannot be assessed. Care Homes for Older People Page 11 of 27 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. Personal and healthcare needs are assessed and provided for in a way which shows respect for the privacy and dignity of people who live at the service whilst meeting their identified needs. Evidence: The manager provided us with information that tells us Each resident has an individual care plan which is monitored and reviewed monthly. Residents and their families are involved as much as possible in the planning of their care, and are encouraged to review the care plans regularly. The service user care plan is generated from a comprehensive assessment, and we use an assessment tool to identify areas of risk, and look at holistic support to ensure the service users health care needs are fully met. As part of our case tracking process we looked at the care plans for three people living at the service. All three contained thorough and person centered plans of care. These had all been reviewed on a monthly basis and any changes had been entered into the Care Homes for Older People Page 12 of 27 Evidence: plans. There were also comprehensive risk assessments in place where an associated risk had been identified. We observed a medication round and looked at the Medication Administration Records for the people we case tracked. These were completed correctly and signed. The medications are stored in a suitable trolley which is secured in a locked room. The room temperatures are recorded daily and are within the correct perameters. The facilities and records for controlled drugs were seen and were suitable. One person we spoke to told us There are no problems with my medication. I get my tablets at the right time. People we spoke with who live at the service told us that they have access to medical services whenever they are required. Optical, Dental and Chiropody sevices are available to everyone at the service and District Nurses visit when required. The files we saw had records of these visits. The questionnaires given to a random selection of people asked Do you receive the care and support that you need? All eleven that were returned to us said Always and comments included Residents personal needs are met in a caring and sensitive manner. People we spoke with who live at the service told us Nothing is too much trouble for the staff. Staff told us that they are always provided with up to date information about people living at the service and care plans and files are in the office for them to consult. A key worker system is in place. Staff we spoke with confirmed that they are key workers for certain people and take the lead in ensuring that the person is happy and has all that they need. We observed staff knocking on peoples doors before entering and speaking with people in a polite and respectful manner. We asked people if they felt they were treated with dignity and respect and they said yes. They are very good. This is home from home. Care Homes for Older People Page 13 of 27 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. People living at the service experience a flexible lifestyle which is in accordance with their needs, abilities and preferences. Evidence: The manager told us All staff seek the views of all residents when planning activities within the Home, this encompasses residents who may wish to remain in their own rooms. On a daily basis residents can make a choice where they would like to sit in the lounge and dining room. We have a quiet lounge that visitors can use or the residents own bedroom to encourage privacy. We provide a varied, nutritious and balanced menu, and assistance is given to all residents who require it. We cater for residents requiring specific dietary needs, which is suited to individual assessed and recorded requirements. Snacks and drinks are available whenever requested, and a kitchenette is available for residents to freely use with the support of staff should this be required. Hospitality trays are available in bedrooms on request. On the day of this inspection visit we observed people to be engaged in a variety of activities, including a craft session which was led by the newly appointed activities coordinator. Care Homes for Older People Page 14 of 27 Evidence: People we spoke with told us that they enjoy the activities that are organised within the home but also enjoy visiting the local community centre to play bingo and take part in other events in the local community. A relative we spoke with told us that their relative had been enabled to pursue their love of gardening because the home provided a potting area suitable for people to access and enjoy. One person living at the service told us that they had initially been a bit bored but there is now plenty to do that I enjoy. People told us that they have Lovely bedrooms and we saw that all the bedrooms have a telephone point to enable people to have a telephone installed if they wish. Bedrooms are also equipped with a cooler suitable for the storage of drinks. There is a hairdressing salon within the home and people told us they enjoy this facility. Throughout our visit we observed people to be occupied in meaningful activities of their choosing. We spoke with friends and relatives who were visiting and they told us there appears to be things happening every day to keep people busy. Staff seem to be very attentive to peoples needs and spend time with them. One relative told us of the The wonderful party they had at Christmas. Everyone seemed to enjoy themselves. The manager told us People are encouraged to celebrate birthdays and any other events. Relatives and friends are welcomed and can have meals at the home if they wish. Visiting is encouraged at any time of the day. We observed people having lunch and saw that those who required assistance were supported by staff in a discreet and respectful manner. There is a varied and nutirious menu provided and people are offered choices. The main meal is served in the evening at the request of the people living at the home and there is a cook and a kitchen assistant on duty every day from 8.00a.m. until 5.30p.m. People told us The food is wonderful. I have all the things I enjoy. Care Homes for Older People Page 15 of 27 Evidence: Care Homes for Older People Page 16 of 27 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. People know how to complain and are confident that any concerns would be acted upon and responded to. The people living at the service are safeguarded from harm and abuse by the services robust policies and procedures. Evidence: The written information provided to us by the manager tells us Magnolia House has a complaints procedure that is clear and concise, up to date, easy to understand and visible within the Home. The outcomes of complaints are managed effectively. Staff receive regular supervision and training and the manager conducts regular audits to evidence quality assurance and to ensure staff comply with company policies and all procedures. We looked at the records of complaints and saw that six had been recorded since the service opened. The recording was clear and concise and the outcomes were satisfactory. We saw the complaints procedure on display in the entrance of the home and the people we spoke with all said that they knew they could complain and how to do this. In the questionnaires completed by people living at Magnolia House we asked Do you know how to make a complaint and all replied Yes. Care Homes for Older People Page 17 of 27 Evidence: We asked people living at the home Do you know who to speak to if you are not happy?. One person told us I would speak to the manager. Another person said I could tell any of the staff. The four questionnaires completed by staff told us I am aware of the correct procedures to follow. I would take any concerns raised with me to my manager. The manager told us that all the staff understand the Whistle Blowing policy and would respond appropriately if they witnessed something of concern. (Whistle Blowing is a means for staff to feel supported to report anything of concern that they may witness.) The three staff we spoke with all demonstrated a clear understanding of both Safeguarding Adults and Whistle Blowing and confirmed that they had attended training. (Safeguarding Adults is a process of identifying and reporting suspected or potential abuse of vulnerable people and provides a framework of consistency to protect those individuals who are at risk.) The training records that we saw confirmed that the training had taken place and that further training is planned. We looked at the system for managing peoples finances and saw that the monies and the records were all correct with two signatures for each transaction. Peoples money is kept in a secure facility. Care Homes for Older People Page 18 of 27 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a clean, safe and comfortable home which is well maintained and designed to meet their needs. Evidence: The manager tells us We have a pleasant, clean, and welcoming home. There are two lounges, one used primarily as a communal lounge, the other a smaller lounge can also be utilised as an activities room, but is mainly used as a quiet relaxing area. Infection control measures in the Home include the involvement of external specialists to ensure infections are minimised. The Home Manager plans to hold three monthly Health & Safety meetings with members staff forming the Health & Safety committee. Minutes will then be recorded and analysed centrally along with all outstanding maintenance issues. In this way, the Home manager addresses any issues and staff feel that their opinions are listened to and addressed. The Proprietor visits the home on a daily basis and she offers support and guidance to the staff and talks to residents and visitors to the the Home. As part of our inspection process we conducted a partial tour of the service where we looked at some bedrooms, bathrooms, communal areas, the laundry and kitchen. All areas of the home were clean, tidy and hygenic. The atmosphere was light and airy and there were no unpleasant odours. People we spoke with told us that the home is always clean and fresh. Care Homes for Older People Page 19 of 27 Evidence: The communal areas are furnished in a modern, comfortable manner, as are peoples bedrooms. Each bedroom has a large en-suite shower room and a flat screen television is provided for everyone. There is a cooler in each room, suitable for storing drinks. All the rooms have a telephone point meaning that people can choose to install a private telephone if they wish. We saw that people are encouraged to have their personal possessions in their rooms and some people have brought furniture, including their own bed. We observed people using a quiet lounge to talk to their visitors and we also saw visitors in the main lounge. People we spoke with told us that they can always find somewhere quiet to talk to their visitors if they wish. The outside areas are landscaped and provide a safe and useful area for people to enjoy. One person told us that they enjoy doing a few jobs in the garden. We saw the maintenance log book that told us all the necessary Health & Safety checks on services and equipment are up to date. A maintenance person is employed and the staff we spoke with told us that they know how to report anything that is broken or in need of attention. If people require any specific equipment to assist them in maintaining their independence, the proprietor would consider purchasing this on their behalf. All the requirements for a new building have been met and exceeded. Care Homes for Older People Page 20 of 27 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. People are supported and protected from harm by well trained staff in sufficient numbers to meet their needs. Evidence: The written evidence provided to us by the manager tells us Magnolia House takes training and supervision of their staff very seriously, and believe in a well trained competent workforce. The Home Manager operates an open door policy and encourages staff to discuss any concerns that they may have. Staff meetings are held at regular intervals, and the importance of attendance highlighted to staff. Minutes of all meetings are held on file in the managers office. A training matrix of staff training undertaken is maintained by the home. All staff are issued with accurate job descriptions which clearly define their roles within the Home. As part of our case tracking processes we looked at files for three members of staff. All three files contained evidence that thorough checks had been carried out before staff were offered employment. These include Criminal Record Bureau and Protection of Vulnerable Adults checks. All staff hed provided a minimum of two written references and proof of identity. Staff we spoke with confirmed that they had been recruited through a robust and thorough process. All had completed an application form and had been interviewed. Care Homes for Older People Page 21 of 27 Evidence: Staff told us that they had signed contracts and had been given a thorough induction. People living at the home told us in the questionnaires that the staff are always available when they are needed and that they are all very good. We observed staff interacting with people and treating people with dignity and respect. Staff we spoke with demonstrated their knowledge of the likes, dislikes and preferences of the people they support. Staff we spoke with told us that there are enough of them to provide the required support and they do get some time to spend with people on an individual basis. We saw that staff are provided with regular supervision and staff we spoke with told us that they found this useful, both to identify areas of further training and to discuss anything they felt relevant to their work. Regular staff meetings are held and staff told us that We feel included in the decisions that are made and the communication with us is good. We asked staff about their knowledge of Safeguarding Adults and Whistle Blowing and their responses told us that they do understand and work by these policies and procedures. People we spoke with who live at the home told us There are plenty of staff. They are very good and kind. Care Homes for Older People Page 22 of 27 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 is being run in the best interests of the people who live there. Evidence: The manager completed the Annual Quality Assurance Assessment and returned it to us within the required timescale. It tells us All documentation is easily accessible. The manager is approachable, and operates an open door policy. The home manager has completed the Registered Managers Award. The Manager conducts regular audits of the home and its environment, looking at care plans, medications, the kitchen and talking to the residents individually. Resident and relatives meetings are informal, and allow people to speak freely in the knowledge that their views are valued. We looked at the outcomes of some of the quality audits that have been completed by the manager and at the copies of the regulation 26 visits made by the proprietor. This told us that people are given a number of opportunities to make their opinions known and that this information is used to make improvements to the service. Care Homes for Older People Page 23 of 27 Evidence: We looked at the arrangements for managing peoples finances and found that the people who did need assistance in this area were properly supported and accurate records kept. We received four completed questionnaires from staff and these told us that staff feel supported by the manager and the proprietor, who are always available when needed. They told us that the communication is very good and they are kept up to date about the residents and also about available training. One staff member said The home provides a very good service and the standard of care is excellent. Another said Staff interaction with residents is encouraged and we are encouraged to attend training. A relative told us The home should keep up their first class provision. This is due to the attention of the manager and the proprietor who always support staff to provide the best for people. People living at the service told us The manager is excellent. She always listens and acts on what we want. The ethos of the home is to provide us with high quality care and both the manager and the owner are passionate about that. We found that the Health and Safety testing and servicing has been undertaken as required and staff told us that their Health and Safety is well protected as well as the people who live at the service. They told us that they are up to date with all statutory courses and this was confirmed by training records. We looked at the accident book and saw that all accidents and incidents are documented and relatives are informed. Regulation 37 notices are completed where appropriate and sent to the Care Quality Commission. (This is a regulatory process which informs us of any reportable incidents that occur at the service.) Meetings are held two monthly with the people living at Magnolia House and their friends and relatives. Feedback is sought and recorded to enable the manager to respond to any issues that may be raised. Suggestions made by people are listened to and acted upon wherever possible. Care Homes for Older People Page 24 of 27 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 25 of 27 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 Care Homes for Older People Page 26 of 27 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. © 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. Care Homes for Older People Page 27 of 27 - 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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