CQC report explained · a nursing home
What the CQC found at Marigold Nursing Home
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
What inspectors found, November 2020
Inspected but not rated; inspectors were assured about infection prevention and control.
This was an announced inspection on 10 November 2020. It was part of a national review of infection prevention and control in care homes during the coronavirus pandemic.
Inspectors found good infection control arrangements. The home was clean, visitors used personal protective equipment and completed health declarations, and staff had training in infection prevention and control.
Visiting restrictions were in place locally. Video calls were offered, and visits for people receiving end-of-life care were carefully managed. The home also kept families updated about health and visiting guidance.
The service was inspected but not rated. This means the report does not give an overall quality rating or ratings for most areas of care.
Clean environment
The home was very clean and additional cleaning was taking place, including on frequently touched surfaces.
“The environment was very clean. Additional cleaning was taking place including of frequently touched surfaces.” from the report
PPE and staff training
The home followed national guidance on personal protective equipment. Staff had training and regular audits were carried out.
“Staff had received appropriate infection prevention and control training and regular audits were carried out.” from the report
Managed visiting
Visitors had to use personal protective equipment and complete a health declaration. End-of-life visits were arranged and managed to reduce risks.
“Visits were arranged for people who were receiving end of life care and carefully managed to ensure risks were kept to a minimum.” from the report
Communication with families
The registered manager communicated regularly with families about their relative's health and visiting guidance.
“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.” from the report
Inspectors raised no specific concerns in this report.
- 01How are you continuing to check visitors' health declarations and use of personal protective equipment?
- 02How often are frequently touched surfaces cleaned, and how do you check that this is being done?
- 03How do you make sure staff remain up to date with infection prevention and control guidance and training?
- 04How are residents and families supported with visits, video calls and updates about changing visiting guidance?
- 05How are people admitted safely and how do you manage any infection outbreaks?
This was an announced thematic inspection of infection prevention and control during the coronavirus pandemic; the service was inspected but not rated and the report does not assess the wider areas of care. This explanation was written from the published report of 21 November 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.
What inspectors found, February 2020
Rated Outstanding; inspectors found exceptionally caring, responsive and well-led care, with safe and effective care rated Good.
This was an unannounced planned re-inspection on 22 and 23 January 2020. Inspectors spoke with people using the service, visitors, staff, healthcare professionals and the provider. They also observed care and checked care records, medicines records, staff files and management records.
The home was rated Outstanding overall. Caring, Responsive and Well-led were rated Outstanding. Safe and Effective were rated Good. Inspectors found enough staff, suitable recruitment checks, well-managed risks, safe medicines systems, clean premises and good support for health, nutrition and communication needs.
People and families described staff as exceptionally kind and understanding. Inspectors found care was strongly based on each person's life, wishes, faith, relationships and interests. The home also showed a strong focus on learning, improvement and working with health and social care professionals.
This was the first published inspection rating for the newly registered service. An inspection in November 2018 had taken place, but its report was withdrawn because of an issue with some information gathered.
Kind and personal care
People and families consistently described staff as exceptionally caring. Staff took time to understand each person's life, feelings and preferences.
“There was a strong, visible, person-centred culture at the service.” from the report
Personalised care records
Care records were kept up to date and tailored to each person. Staff used them to support individual choices, communication and needs.
“Care records were exceptionally person-centred and tailored to meet the needs of each individual person.” from the report
Enough suitable staff
The home used a dependency tool to calculate staffing needs. Inspectors found staffing levels exceeded the number required and staff had suitable skills and experience.
“There were enough staff on duty to meet the needs of people.” from the report
Activities and relationships
Staff matched people through their hobbies and interests, arranged group and one-to-one activities, and supported trips into the local community.
“This enabled staff to match people based on their hobbies and interests and arrange small group activities.” from the report
Improving the service
The provider used guidance, feedback and links with health and social care professionals to improve care, training and safety.
“There was a strong emphasis on continuous improvement.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you use the dependency tool to decide how many staff are needed for my relative?
- 02How often will my relative's care records and risks be reviewed, and how will the family be involved?
- 03How will you support my relative's specific communication needs, including any need for picture cards, sign language or an interpreter?
- 04What activities and community visits would match my relative's interests and past life?
- 05How would you involve us in planning and reviewing end of life care if this becomes relevant?
This was an unannounced planned re-inspection that considered all five CQC questions, including both the premises and the care provided. This explanation was written from the published report of 8 February 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 Marigold Nursing Home
Each visit the CQC has published, newest first, back to the day the home was registered.
- November 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- February 2020OutstandingSafe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Outstanding
- December 2017
Registered with the Care Quality Commission on 18 December 2017.
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.
Weigh the report against the rest
Fees, photos and reviews from families
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46 live-in carers within about an hour of Sunderland
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £950 to £1,210 a week. 42 can care for a couple. 10 years' experience on average.
“Petty introduced herself to Mum every time she was caring for her and responded very quickly to Mum if she was distressed in the night.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.