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Inspection Summary


Overall summary & rating

Good

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.

Inspection areas

Safe

Good

Updated 9 July 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 9 July 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 9 July 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 9 July 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 9 July 2019

The service was well-led.

Details are in our well-Led findings below.