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Margaret's Rest Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 16 October 2020

About the service

Margaret’s Rest Home provides nursing and residential care for up to 27 older people, including people living with dementia. There were 24 people receiving care at the time of the inspection.

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

Systems and processes in place to maintain oversight of the service required improvement. Although audits were completed these did not always pick up issues or gaps in records.

People’s risks were assessed, and strategies were documented to mitigate the known risks. However, not all records evidenced these strategies were completed. Referrals to external professional were made when appropriate.

Medicine management required improvement. Not all documentation had been put into place. However, staff understood people’s medicine needs.

People were supported by staff who knew them well. Staff had received training to meet people’s needs and understood safeguarding processes to keep people safe.

Staff had been safely recruited and received support from the registered manager and provider. Staff were positive about working at Margaret’s Rest Home.

Infection control processes and procedures were in place and followed by staff. Staff wore appropriate personal protective equipment and supported people to reduce the transmission of COVID 19.

Staff and people were supported to feedback on the service delivered. We received mixed experiences from relatives regarding the sharing of information.

The registered manager was visible within the service and interacted with staff and people using the service regularly.

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 25 May 2018).

Why we inspected

We received concerns in relation to cleanliness, oversight and information sharing. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

We have found evidence that the provider needs to make improvement.

You can see what action we have asked the provider to take at the end of this report.

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

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 16 October 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 16 October 2020

Caring

Good

Updated 16 October 2020

Responsive

Good

Updated 16 October 2020

Well-led

Requires improvement

Updated 16 October 2020

The service was not always well-led.

Details are in our well-led findings below.