Magnolia House

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

This is the first assessment for this service since registration under the new provider. This key question has been rated good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

Detailed pre assessments of people’s needs were completed before moving to the home. These were completed by a member of the management team to help ensure they were able to meet the persons needs prior to them moving in. Assessments included details of people’s health, mobility and social needs and identified any risks that people needed support to manage. Where required the management team would contact external health and social care professionals who knew the person, to support with the assessment process and allow continued and individualised care to be provided.

Assessment reviews were completed regularly, and care plans reflected people’s individual preferences, health conditions, and communication needs.

People and relatives told us they were asked about their needs and wishes and felt staff knew them well and treated them with respect.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

People’s care needs were detailed in their care plans, including guidance on how their specific needs were to be met. The provider used nationally recognised tools to assess people’s needs, and policies aligned with national guidance. Care plans were regularly updated to reflect changes in people’s needs and any professional advice received.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

Staff shared information with each other through handover meetings between shifts where people’s changing needs were discussed. Staff had access to the care plan and risk assessment information they needed to appropriately assess, plan and deliver people’s care, treatment and support. People’s care plans were available for care staff to access using the provider’s electronic care records system and handheld electronic devices.

Referrals to community agencies were made when people needed additional support to meet their needs and ongoing communication took place with any professionals involved in people’s care.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

Collaboration with healthcare professionals was evident, with timely interventions supporting people’s wellbeing. The management team and staff were aware of how to access health, and social care professionals when needed.

Staff supported people to access a range of support around nutrition, hydration, lifestyle choices and emotional well-being. Staff recognised the importance of good oral health to people’s overall wellbeing, and care plans clearly detailed how people were supported with their oral health needs. A relative told us, “When [person] was in hospital they deteriorated but since coming here, they have improved and are getting back to their old self, joining in activities and chatting with people."

Consideration had been given to menu planning to help ensure healthy and nutritious meals and snacks were provided. Most people and relatives were satisfied with the food provided. Comments included, "He seems to like the food and eats it all”, "The food is ok” and "I eat everything. Food is first class.”

People were encouraged and supported to partake in a range of activities including, physical activities such as exercise-based sessions as well as activities to promote positive emotional and psychological wellbeing.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

People and relatives talked of improvements in people’s wellbeing since being at the home, with 1 relative commenting on improvements in [person’s] mental health and reduced levels of confusion.

People’s health and wellbeing was monitored, and staff were updated regarding any changes during handovers, to ensure they continued to provide people with appropriate care.

Care plans contained information on diagnoses, specific health needs and past medical history. Care plans and risk assessments had good level of detail about actions staff should take should a person’s health deteriorate. Staff monitored and acted on deterioration and escalated appropriately, where required.

The management team monitored people’s electronic care records and ensured staff had supported people with agreed tasks. They monitored this throughout the day to ensure people's needs were met.

Weekly GP reviews took place, allowing any health concerns to be identified and appropriate treatment or investigations arranged.

People and relatives were regularly asked their views on the service. This was done through informal 1 to 1 conversations with staff and the management team and during planned reviews of care and treatment.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

The provider had systems and processes that ensured the Mental Capacity Act 2005 (MCA) was followed effectively, to support people who lacked capacity to make specific decisions about their care. Mental capacity assessments and best interest decisions were completed following the principles of the MCA, to ensure decisions made on behalf of people were made lawfully.

We observed staff seeking consent and respecting people's choices during interactions.