• Care Home
  • Care home

Mahogany Care Home

Overall: Good read more about inspection ratings

Marsden Street, Newtown, Wigan, Lancashire, WN5 0TS (01942) 820800

Provided and run by:
Mahogany House (Newtown) Limited

Latest inspection summary

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Background to this inspection

Updated 17 June 2022

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 Health and Social Care Act 2008.

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 an inspector, a member of the medicines team 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.

Service and service type

Mahogany Care Home is a care home with nursing care. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of our inspection a new manager had recently been appointed to the service and registered with the CQC.

Notice of inspection

We gave the service 48 hours’ notice of the inspection so that we could check the service was free from any COVID-19 infection.

What we did before the inspection

We reviewed information we had received about the service since the last inspection, which included feedback from the local authority. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

During the inspection we looked at a variety of records, including multiple electronic care records and risk assessments and three staff recruitment files. We also looked at records relating to the management of the service, including quality assurance tools, policies and minutes of staff meetings. We reviewed the management of medicines. We talked to the manager, deputy manager, regional manager, head chef, three care assistants, and the care home assistant practitioner (CHAP). This role has recently been introduced at the home and is for a senior carer who has undertaken more advanced training which enables them to support the nursing staff.

The Expert by Experience spoke with three people who use the service and six family members. They also observed the lunchtime meal and undertook general observations of how staff interacted with people.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at several other documents, including some policies and supervision records.

Overall inspection

Good

Updated 17 June 2022

About the service

Mahogany Care Home provides residential and nursing care for up to 51 people, some of whom are living with dementia. The accommodation is on the ground floor and consists of en-suite bedrooms, two large communal lounges and a dining room. There is a large internal courtyard/garden. At the time of this inspection there were 49 people living at the home.

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

Leadership at the home had been inconsistent due to the lack of a stable management team. This had led to a shortfall in the oversight of a number of areas, such as staff supervision. However, the recent appointment of a new registered manager had increased staff morale and they had already put plans in place to address areas where issues had been noted and had started to make the required improvements. Quality assurance systems to monitor the service were in place. There were procedures to ensure any accidents, incidents or complaints were fully investigated and people and relatives involved and informed of the outcome. Staff understood how to manage risks to people’s health and wellbeing.

Staffing levels were allocated based on people's needs, with regular agency staff used to cover staff absences. An activities coordinator had recently been recruited. Pre-employment checks ensured staff were suitable to work in the care service. Staff had completed training in safeguarding and knew how to recognise and report abuse or neglect. Relatives we spoke with were happy with the home and its staff.

We found medicines were managed safely across the home. However, we recommend reviewing and updating all people’s medicines information and care plans to ensure they are up to date and accurate.

The home was clean and well maintained. Staff followed good infection control practices.

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 (report published 23 December 2019).

Why we inspected

This inspection was prompted by a review of the information we held about the service. This report only covers our findings in relation to the key questions of Safe and Well led. We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained the same This is based on the findings at this inspection.

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

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.