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Magdalen Park Care Home Outstanding

Inspection Summary


Overall summary & rating

Outstanding

Updated 2 June 2017

We undertook an unannounced inspection of Magdalen Park Nursing Home on 30 March 2017. At the last inspection in December 2014, the service was found to be meeting all of the regulations we inspected.

The service provides nursing and personal care for up to 70 adults of all ages who may be living with dementia and/or physical disability. Accommodation is provided over three floors. The ground floor has 24 bedrooms which are split into two separate units (Haven North and South), for people living with dementia. On the first and second floors there are 40 bedrooms in total for people with nursing and residential care needs. Some of the rooms at Magdalen Park are used for double occupancy. The service has an extensive variety of communal areas including lounges, dining rooms, an in house pub, hairdressing/beauty salon and a shop. There is also a library, rooftop garden, and conservatory and entertainment room. There were 62 people using the service when we visited.

There was a registered manager employed when we visited. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The registered provider demonstrated how they had achieved outstanding practice, development and improvement at the service. The leadership sought out creative ways to provide a personalised service and had achieved excellent results through exploring best practice and implementing this at Magdalen Park. The staff team were highly motivated and were actively involved in and contributed to continuous improvements in care and running of the service.

The registered provider and manager were dedicated to providing care which met the highest of standards. They strived for excellence through consultation and continually reflecting on how to improve the service further for people who lived at Magdalen Park. They registered manager demonstrated a strong and supportive leadership style, seeking feedback in order to further improve what was offered.

People received a consistently high standard of care because the service used evidence of what works best to continually review and improve their practice. For example, by using The National Institute for Health and Care Excellence (NICE) guidelines. In pursuit of excellence, the registered provider regularly read the 'outstanding' rated CQC inspection reports for other services and visited other services that had achieved this rating. They used them as a way to benchmark the quality of care provided at Magdalen Park and as a source of best practice ideas they could adopt.

Communication at all levels was clear and encouraged mutual respect. The service was recognised by schemes which reward quality, for example, achieving a Healthcare Design Award. The management team respected, supported and listened to staff at all levels to improve the quality of service. Staff members had lead roles for promoting best practice in chosen areas to improve the quality of the service. This showed that the registered provider placed a high value on meeting the needs of people and their relatives.

People received exceptionally effective care. The service demonstrated person centred ways of meeting people's hydration and nutritional needs and were proactive in ensuring these needs were met. Staff worked creatively to meet people’s needs and practices were actively followed by staff which had resulted in positive outcomes for people living at Magdalen Park.

There was a truly friendly and open atmosphere on entering the premises. A positive and inclusive practice for managing risk at the service had been adopted. All areas of Magdalen Park had been designed for the needs of people who used the service and there were specific areas to promote the independence

Inspection areas

Safe

Good

Updated 2 June 2017

The service was safe.

There was a positive and inclusive practice in managing risk at the service. People had the opportunity to live a full life without undue constraint because of the way risk was approached and managed at Magdalen Park.

The registered manager and provider were proactive in addressing issues of safety so that people were supported to live fulfilling lives. This included reviewing sessions which actively empowered people, their relatives and staff to raise any concerns about risk at the service.

Staff had a clear understanding of the role they had in safeguarding people from abuse. They reported to management any concerns they had and they told us who they would report outside the organisation where needed.

The premises were safely maintained, staffing numbers were sufficient to meet people’s need and recruitment practices were carefully followed. People’s medication was safely managed.

Effective

Outstanding

Updated 2 June 2017

The service was extremely effective.

The service worked proactively to promote people’s health and wellbeing. There was a strong emphasis on ensuring people's hydration and nutritional needs were met and this had contributed to positive outcomes for people.

Staff were skilled in meeting people’s needs and received on-going support from the registered manager and senior care staff through regular supervision and training. Mandatory and specialist training was based on current best practice and guidance, so staff had the most up to date information to support them in their work.

We found the location to be meeting the requirements of the Deprivation of Liberty Safeguards. Staff had received appropriate training, and had a good understanding of, the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards.

Caring

Outstanding

Updated 2 June 2017

The service was extremely caring.

Without exception, people and relatives praised the staff for their caring and professional approach.

We saw evidence that staff and managers were going the extra mile to provide compassionate and enabling care to people living at Magdalen Park.

People were supported by the registered manager, provider and staff who were committed to a strong person centred culture which put people at the centre of the care provided at the service.

Responsive

Good

Updated 2 June 2017

The service was responsive.

People and their relatives consistently told us the service people received was responsive to their needs.

People’s care was tailored and based on their needs and preferences. This was kept under review and staff responded quickly when people's needs changed.

People were fully supported by staff to engage in activities to stimulate and promote their overall wellbeing.

The service had a complaints system which ensured all complaints were addressed and investigated in line with the service policy.

Well-led

Outstanding

Updated 2 June 2017

The service was extremely well led.

The registered manager and provider proactively looked at ways in which the service could be continually improved for the benefit of people living and working there. Effective quality assurance systems were used to ensure shortfalls were highlighted, and that an outstanding quality service was provided.

The culture of the service was positive and person centred. People lived in a home where they were sure their views were valued. People living at the service, their relatives, staff and other professionals were all asked for their views and these were listened too.

The management were described as approachable by people, relatives and staff without exception. The service was creative in its approach to support.