Background to this inspection
Updated
1 April 2020
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.
Inspection team
The inspection was carried out by two inspectors.
Service and service type
Magnolia Court 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
We gave the service 24 hours’ notice of the inspection. This was because the service is small and people are often out and we wanted to be sure there would be people at home to speak with us.
What we did before the inspection
We reviewed information we held about the service since their last inspection. 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.
During the inspection
During the inspection we spoke with two people and five staff members. These included care workers, the deputy manager and the registered manager. We reviewed two care plans, medicines administration records, policies and procedures and other records relating to the records management.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at monthly log sheets and preadmission assessments.
Updated
1 April 2020
About the service
Magnolia Court is a residential care home providing personal care to two people with autistic spectrum disorders and learning disabilities in a purpose-built building, comprising of two flats.
Services for people with learning disabilities and or autism are supported
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
The service had comprehensive risk management plans in place to keep people safe from avoidable harm. People continued to be protected against abuse as staff received ongoing safeguarding training. Medicines were managed safely and in line with good practice. Sufficient numbers of suitably vetted staff were deployed. Infection control measures in place, minimised the risk of cross contamination. The registered manager was keen to ensure lessons were learned when things went wrong.
Staff continued to receive training that enhanced their skills. People were supported to have access to healthcare services to monitor and maintain their health and well-being. People were encouraged to maintain a healthy diet, where people had specific dietary requirements, these were catered for.
People spoke positively about the care provided. Staff were observed being respectful and supportive of their diverse needs. People’s independence was regularly monitored to ensure care provided met their needs. People continued to be encouraged to make decisions about the care they received.
People continued to receive care and support that was personalised and reflected their needs and preferences. The provider had a complaints policy that was in pictorial format. People’s communication needs were clearly documented in their care plans. People continued to be encouraged to participate in activities both in-house and in the local community. The registered manager was developing further ways to document people’s end of life care wishes.
People and staff spoke positively about the management of the service. Staff continued to receive guidance and support from management readily. Audits undertaken ensured issues identified were acted on swiftly. People’s views were regularly sought to drive improvements. Records confirmed the registered manager worked in partnership with stakeholders.
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.
The service placed an emphasis on supporting and encouraging people to remain independent. People had their privacy respected and were treated equally. Staff were compassionate towards the people they supported and treated them with respect. People continued to be supported to make decisions about the care they received and had their decisions respected.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (published 13 September 2017).
Why we inspected
This was a planned inspection based on the previous rating.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Magnolia Court 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.