The Magnolia Care Home

We identified one breach of the legal regulations.

We assessed a limited number of quality statements in the safe key question and found areas of concern. The scores of these areas have been combined with scores based on the rating from the last inspection, which was requires improvement. Though the assessment of these areas indicates area of concern since the last inspection, our rating for the key question remains requires improvement.

Systems and process to monitor the quality and safety of people’s care and their living environment were not always effective or sufficiently robust, which placed people at risk of avoidable harm. The provider took action to improve the safety and welfare of people living with diabetes, which included seeking guidance from external professionals, and through the improvement of records documenting people’s care needs and treatment. Staff were not always confident in the effective use of the electronic medicine recording system in monitoring and supporting them to manage people’s medicines and treatment safely.

Areas within the environment and some equipment was found not to be clean.

The provider had identified some gaps in staff training in key areas, which were being monitored to ensure improvements were made.

Audits were in place to monitor safeguarding concerns and to ensure Deprivation of Liberty Safeguards (DoLS) conditions were met. Systems and equipment were maintained to promote people’s safety, including gas, electrical and fire systems.

We assessed a limited number of quality statements in the effective key question and found areas of concern. The scores of these areas have been combined with scores based on the rating from the last inspection, which was requires improvement. Though the assessment of these areas indicates area of concern since the last inspection, our rating for the key question remains requires improvement.

Systems and processes to assess people’s needs, care and treatment were not consistently effective, as assessments were not always completed in full. Managers told us they involved people and others in the assessment and care planning process.

We identified one breach of the legal regulations.

We assessed a limited number of quality statements in the well-led key question and found areas of concern. The scores of these areas have been combined with scores based on the rating from the last inspection, which was requires improvement. Though the assessment of these areas indicates area of concern since the last inspection, our rating for the key question remains requires improvement.

Systems and processes to assess the quality and safety of the care were in place and had identified areas for improvements which had been actioned. However, monitoring and auditing of some aspects of the service had failed to identify the concerns we raised with the provider, which included care, treatment and risk management, environmental concerns regarding cleanliness.