Archived: Mariana House

Updated 9 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. 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 team consisted of one inspector.

Mariana House 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 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. At this inspection, the registered manager, who was also the provider had decided to relinquish their role of registered manager and had recruited a new manager with the appropriate skills and competencies to manage the home. The new manager’s registration was currently in progress. Throughout the report, we will refer to the new manager as ‘the manager’.

This inspection was unannounced.

What we did before the inspection

Before the inspection, we looked at notifications the provider had sent us and spoke with the local authority who did not provide any concerning information.

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.

We used all of this information to plan our inspection.

During the inspection

During the inspection we spoke with the manager, the deputy manager and the provider. We spoke with three staff members, two people living at the home and five family members. We also spoke to a visiting health professional.

We looked at two care plans and associated records, three people’s medicines records and medicines. We looked at information in relation to the health and safety of the home, the meal time experience and activities. We also looked at audits to monitor and improve the home. We reviewed two staff recruitment files and supervision and training records.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

Updated 9 July 2019

About the service

Mariana House is a care home providing personal care to for up to 23 older people. At the time of inspection, there were 19 people living at the home. There were 15 single rooms and four shared rooms at the home.

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

People felt safe living at the home. Risk assessments to keep people safe were completed and reviewed. Staff were able to describe what actions they would take to report any safeguarding concerns and relatives felt their relative was safe while being supported by the staff team. Staff were recruited safely. The safety of the home was regularly monitored.

People were appropriately assessed to ensure the home could meet their needs. People had access to health and medical support and were promptly seen by a medical professional when required. Support with eating and drinking was person centred and people were able to choose what they ate each day. Staff received a thorough induction into their job role and training. The home worked in line with the Mental Capacity Act 2005.

People and their relatives felt well cared for. The staff team were described as kind, caring and friendly. People were supported to make their own decisions and staff could describe people’s personal preferences. Relatives told us their relative was treated with dignity and respect at all times.

Care plans to support people were thorough and staff were able to describe how best to support people. People and relatives were involved in the care planning and plans were regularly reviewed to ensure they remained accurate. People were able to join in a range of activities and reminiscence sessions. Karaoke and bingo were firm favourites. Complaints were listened and responded to. Any outcomes were shared. People were supported to remain at the home for end of life support. End of life care was planned carefully taking into account the person’s wishes.

The manager and the provider were actively involved in the running of the home. Staff told us they were well supported by both and received regular supervision and appraisal. The manager and provider were aware of their responsibilities of being registered with the Care Quality Commission (CQC). Audits to monitor and improve the service were in place. 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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 15 June 2018) and there were breaches of regulations. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

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.