CQC report explained · a residential care home
What the CQC found at Magna
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, January 2021
Inspected but not rated; inspectors found good infection-control arrangements during a targeted visit.
Inspectors visited the home without notice on 09 December 2020. This was a targeted inspection focused only on infection prevention and control during the coronavirus pandemic.
They found clear checks for visitors, correct use of protective equipment, improved cleaning of frequently touched surfaces and enough space for social distancing. They were assured that people and staff could access testing and that the home had plans for managing an outbreak.
The home was inspected but not rated. This means the visit did not give an overall quality rating or assess all five areas of care.
Visitor safety
Visitors had to follow checks designed to reduce infection risks, including symptom and temperature checks and using protective equipment.
“There was a clear process for visitors to follow to reduce the risk of infection.” from the report
Family contact
People were supported to keep in touch with family and friends by phone, video calls and suitable outdoor visits.
“People using the service were supported to maintain contact with family members and friends via phone, video calling, and socially-distanced out door visits when appropriate.” from the report
Cleaning
Cleaning arrangements had been improved, with regular cleaning of surfaces that people touched often.
“Cleaning schedules had been updated and improved to ensure high-touch surfaces were cleaned regularly.” from the report
Outbreak planning
The home had considered the individual support people might need if there was a coronavirus outbreak.
“The service had considered the individual support people would need if there was a Covid-19 outbreak at the service.” from the report
Further development suggested
minorAlthough inspectors were assured that social distancing rules were being met, they signposted the provider to resources to develop its approach.
“We have also signposted the provider to resources to develop their approach.” from the report
- 01How are visitor symptom checks, temperature checks and protective equipment managed now?
- 02How do you continue to support contact between residents and their families?
- 03What cleaning schedule is used for high-touch surfaces, and how is it checked?
- 04What individual support would each resident receive if there were a coronavirus outbreak?
- 05What changes were made after inspectors signposted resources to develop the approach to social distancing?
This was an unannounced targeted inspection of infection prevention and control only; it did not assess the other areas of care or provide an overall rating. This explanation was written from the published report of 27 January 2021 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, October 2020
Magna was rated Requires Improvement overall, although inspectors found Good safe, effective and well-led care after earlier breaches were addressed.
This was an unannounced focused inspection. Inspectors visited on 18 August 2020, spoke with people, relatives and staff, and checked care, medicine and management records. They also looked at infection control during the COVID-19 pandemic.
The home was supporting six people with learning disabilities and autism. Inspectors found that people were protected from abuse, supported to take positive risks and helped to make choices. Staff were trained, worked with health professionals and supported people to be independent.
The overall rating stayed at Requires Improvement because this was a focused inspection. The Caring and Responsive areas were not inspected this time, so their earlier ratings were used. Safe, Effective and Well-led all improved from Requires Improvement to Good, and the home was no longer in breach of the regulations identified at the previous inspection.
Protection from harm
Staff had safeguarding training, understood how to report concerns and reviewed incidents to identify learning. People were supported to take positive risks while remaining safe.
“People were safeguarded from harm and abuse. Staff supported people to be as independent as possible and took steps to minimise risk.” from the report
Choice and communication
Staff involved people in decisions and used communication methods such as Makaton. The home was also developing talking tiles to help people communicate needs without speaking.
“People were supported to make choices. Staff involved people in decision making and used communication techniques such as Makaton to enable people who were non-verbal to express their wishes.” from the report
Relevant staff training
Staff received training in autism and behaviour support, completed induction and shadowing, and received supervision. Recruitment checks had been completed before staff started work.
“Staff received training in areas such as Autism and NAPPI that were relevant and necessary to their roles.” from the report
Management and teamwork
Staff described the management as supportive and said their views were listened to. Audits, incident reviews and action plans were used to improve the service.
“Staff told us the registered manager "listens and acts" upon information and ideas to improve the service.” from the report
Community involvement
People were supported to use local amenities and attend social activities. During lockdown, staff created activities in the home, including coffee mornings and discos.
“People were part of the local community. Staff told us people attended a variety of local amenities and social gatherings (for example discos) which promoted their independence and quality of life.” from the report
Medicine fridge temperature
needs fixingRecords showed the medicine fridge was several degrees too warm for several days in August 2020. There was no recorded evidence that action had been taken before inspectors raised it.
“Daily room and fridge temperatures were taken, but records showed the fridge temperature was several degrees higher than it should be for several days in August 2020.” from the report
Staffing pressure
needs fixingMost staff said there were enough people on shift, but some said they would sometimes benefit from an extra person. Families should check how staffing is planned for changing needs.
“Some staff told us sometimes they could do with an extra person, but mostly there were enough staff on shift.” from the report
One person did not always feel safe
needs fixingOne person told inspectors they did not always feel safe. The registered manager responded by arranging a weekly opportunity for the person to discuss their concerns.
“One person told us they "didn't always feel safe.” from the report
Planned improvements delayed
minorSome redecoration and garden improvements had not yet happened. The report says the pandemic had delayed the redecoration and that the manager was still planning garden changes.
“The regional manager and registered manager advised some areas of the service was due to be redecorated but due to the pandemic this had not occurred.” from the report
- 01What action was taken when the medicine fridge temperature was too high, and how are temperatures checked now?
- 02How many staff are normally on each shift, and how do you add staff when someone's needs change?
- 03What happened after a person said they did not always feel safe, and how is their wellbeing checked now?
- 04What were the previous ratings for Caring and Responsive, and what has changed in those areas since the last comprehensive inspection?
- 05Have the planned redecoration and garden improvements been completed, and how were people involved in deciding them?
This was a focused inspection of Safe, Effective and Well-led only; Caring and Responsive were not inspected and their previous ratings were carried forward. This explanation was written from the published report of 27 October 2020 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Magna
4 rated inspections over 4 years: the service has held its Requires improvement rating throughout.
- January 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- October 2020Requires improvementstayed Requires improvementSafe: GoodEffective: GoodCaring: Requires improvementResponsive: Requires improvementWell-led: Good
- August 2019Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementWell-led: Requires improvement
- July 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2016Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- November 2014
Registered with the Care Quality Commission on 28 November 2014.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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