We carried out a review of the data available to us about Marigold Nursing Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Marigold Nursing Home, you can give feedback on this service.
We found the following examples of good practice:
• Appropriate measures were in place at the entrance and inside the home to prevent visitors from spreading infection. All visitors had to wear appropriate personal protective equipment (PPE) and complete a health declaration.
• The environment was very clean. Additional cleaning was taking place including of frequently touched surfaces.
• National guidance was followed on the use of PPE. There was clear signage on the correct use of PPE and handwashing techniques. Staff had received appropriate infection prevention and control training and regular audits were carried out.
• Local restrictions on visiting were in place at the time of the inspection and alternative measures such as video calls were being used. Visits were arranged for people who were receiving end of life care and carefully managed to ensure risks were kept to a minimum. The registered manager communicated regularly with family members about their relative’s health and to keep them up to date on the latest visiting guidance.
• The provider and registered manager ensured staff were fully supported to maintain their wellbeing. The registered manager kept up to date with the latest guidance and ensured this was communicated to staff.
Further information is in the detailed findings below.
Marigold Nursing Home provides accommodation for up to 49 people with residential and nursing care needs in a purpose-built building. At the time of the inspection, 47 people were using the service. Some of the people were living with dementia.
People’s experience of using this service and what we found
There was a strong, visible, person-centred culture at the service. Without exception people and family members were extremely positive about the caring nature of the registered manager and staff. They told us it was like people were “being looked after by family” and the registered manager was “wonderful”. There were numerous examples of staff consistently going above and beyond their role. Staff demonstrated empathy and a real understanding of people’s needs.
All decision making centred around people. Equality and diversity was embedded in the service and people were supported to practice their religious or spiritual needs. Respect for privacy and dignity was at the heart of the service and staff promoted independence. The patient, person-centred approach staff took to get to know and understand people meant they excelled at ensuring people's anxieties were reduced.
The service was extremely responsive to people’s individual needs and staff developed extremely positive relationships with people. The registered manager had implemented a holistic approach to end of life care.
The service has taken innovative steps to meet people’s information and communication needs. Staff had gone the extra mile to find out about people’s past, what was important to them and what they enjoyed doing.
Staff were highly motivated and told us the leadership of the service was exceptional. There were consistently high levels of constructive engagement with people, family members and staff, who were empowered to make decisions and contribute to the running of the home.
The provider and registered manager were highly motivated and passionate about making sure people received person-centred and high-quality care. There was a strong emphasis on continuous improvement and the service incorporated best practice guidance. The service had forged and maintained excellent links with health and social care professionals.
Appropriate safeguarding procedures were in place and staff had been trained in how to protect people from abuse. Risks were well managed and the provider learned from accidents and incidents.
The provider carried out appropriate security and identification checks when they employed new staff. There were plenty of staff on duty to meet the needs of people and they were suitably skilled, experienced and supported in their role.
Systems were in place for the safe storage, administration and recording of medicines. The premises were clean and appropriate health and safety checks had been carried out. The home incorporated environmental aspects that were dementia friendly.
Regular assessments and reviews took place to ensure people’s needs were being met. People were supported with their healthcare needs and had access to healthcare professionals when required.
People were supported to have maximum choice and control of their lives, and staff supported them in the least restrictive way possible. 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
This service was registered with us on 18 December 2017 and this is the first inspection. There was an inspection on 26-28 November 2018 however the report following that inspection was withdrawn as there was an issue with some of the information that we gathered.
Why we inspected
This is a planned re-inspection because of the issue highlighted above.
Follow up
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.