Background to this inspection
Updated
6 July 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection was carried out by one inspector.
Service and service type:
Care Management Group - Magnolia is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The care home accommodated up to four people in a bungalow. Each resident has their own bedroom and there is a shared living room and kitchen/dining area. There is a ramp from the kitchen to enable access into a small garden.
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 24 hours’ notice of the inspection because the service is small, and we needed to make sure that people would be in.
What we did:
Before the inspection we looked at all the information we had about the service. This included information from statutory notifications. Statutory notifications include information about important events which the provider is required to send us by law. We used the information in the Provider Information Return (PIR). This is information we require providers to send us at least once annually to give some key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We also contacted professionals working with the service for their views.
During the inspection we spoke to the registered manager, the regional manager, and two support staff. We spoke to one person using the service and one relative. We reviewed three people’s care records and looked at the medicine administration records (MAR) and supporting documents for one person. We looked at records relating to governance and management of the service. After the inspection we asked the registered manager to send us further documents which we received and reviewed.
Updated
6 July 2019
About the service: Care Management Group - Magnolia is a residential care home providing accommodation and personal care to people with learning disabilities. At the time of the inspection there were three people living in the home. The building design fitted into the residential area and was similar to other domestic homes of a similar size. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home.
People’s experience of using this service:
The outcomes for people using the service reflected the principles and values of Registering the Right Support in the following ways, promotion of choice and control, independence, inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
Staff understood how to safeguard and protect people from abuse.
Individual risk assessments were in place with guidance for staff on how to manage risks when supporting people.
People received their medicines as they were prescribed. There were safe protocols for the receipt, storage, administration and disposal of medicines.
The service had systems in place to enable the service to learn when things went wrong to prevent incidents happening in the future.
People’s needs were holistically assessed and detailed in care plans. Care plans enabled staff to provide person-centred support and respond to people’s needs.
Staff received the training they needed to support people and were competent to carry out their role.
Staff understood people’s needs around eating and drinking and supported them in a way that also encouraged independence.
Staff worked well with healthcare professionals to make sure that people received the specialist support they needed.
The premises were adapted appropriately to people’s needs and people were consulted on the decoration.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.
Staff were kind and caring and treated people with compassion.
People were encouraged to be involved in the service through regular resident meetings.
Staff promoted people’s independence, often by encouraging them to do small parts of a more complex tasks if people could not manage the whole of a task.
Peoples preferences, likes and dislikes were clearly documented, and staff used pictures to enable people to communicate their preferences in order to respond to their needs.
Relatives and staff were positive about the management of the service.
There was an open and supportive culture that promoted learning and improvement.
People using the service were engaged in a way that was appropriate to their communication needs.
The service made links to support people to be involved in their local community.
Rating at last inspection: At the last inspection the service was rated good (report published 15 December 2016).
Why we inspected: This was a planned comprehensive inspection based on the rating at the last inspection.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.