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We carried out this unannounced inspection on 15 & 16 March 2016. The service provides care and support for up to 20 people with mental health problems and learning disabilities. On the day of our inspection 11 people were using the service. People had personalised care plans and were supported to engage in meaningful activities.
Although we did not observe anything to suggest people’s basic care needs were not met, staff told us that people often had to wait for support. Opportunities to access the local community or take part in in-house activities were limited. We saw that care plans were in place however some staff told us that they did not know what information was contained within them. They told us that in order to know how to support a person they watched other staff. We saw that one person was not getting appropriate support to have their lunch.
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The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements as a result of this inspection. Although we had planned to inspect Dovetail House, we bought the visit forward after we received concerns about the service. People felt they could report any concerns to the management team which they felt would be taken seriously and acted upon.
The lack of cleaning schedules meant robust monitoring was not in place and as a result there were issues relating to cleanliness in some areas of the service. The Registered Provider must only accommodate a maximum of 20 service users at Dovetail House. The home was in need of redecoration and required some additional equipment to meet people's needs. If you have concerns about Dovetail House, you can give feedback on this service. You will want to follow the link below to get details on the inspections on this home.
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The care home is specifically aimed at young adults aged both male and female with ABI. Also registered for people with Learning Disabilities, Mental Health conditions, Stroke, Epilepsy, Huntington's Disease, and Neuropathic conditions. It is situated in a private residential area of Mansfield, within easy walking distance of the town centre and local public amenities.
People also felt they could report any concerns to the management team and felt they would be taken seriously. People were supported to receive their medicine as they required them. People who used the service were safe as the provider had systems and processes in place to protect them from risk to their safety. They were supported by suitably trained staff who had an understanding of their responsibility to protect people from abuse. This included four people’s care records and three medication records.
Background to this inspection
People and their relatives told us staff had a caring attitude and they knew them well. Mum and I were so frightened by the prospect of residential care but Magnolia House has alleviated all those fears. I visit every day, at various times, and I have only ever seen staff show care, empathy and love to all the residents.
There’s guidance on types of care in the home, different sorts of care homes, and council payments towards the cost of care. In claiming this listing, you are confirming that this service belongs to you and you agree to only upload true and accurate information. Overwhelmingly relatives told us that staff knew their loved ones really well and were aware about their likes and dislikes for example food and drink preferences. One relative told us, "Staff know my is more a pudding person than a dinner person. likes hot chocolate at night, so staff got hot chocolate for them. Haigh Healthcare is a family run business who operate the purpose built Magnolia House care home in Nottinghamshire. We pride ourselves on providing the best elderly care available and all of our staff reflect this.
This showed that this informal approach was ineffective as people were not getting the right support. As part of this inspection we spoke with the registered manager and three staff. We also looked at people’s care plans records and service information.
We looked at surveys the provider had sent to people who used the service and their relatives and representatives in October 2012. This information told us what some people’s experiences and views were about the service they received. Inadequate staff on duty meant that people’s needs could not be met in a timely manner or in ways that people preferred.
Dovetail House is a care home for up to 20 men and women with an acquired brain injury or Huntingdon’s Disease. On the day of our inspection 13 people were using the service. The service is provided across two floors with a passenger lift connecting the floors. The Registered Provider must not provide nursing care under accommodation for persons who require nursing or personal care at Dovetail House. People’s need’s and choices were assessed on admission and were met by staff who had been appropriately trained. People’s eating and drinking requirements were met and they were assisted to access appropriate healthcare.
We also spoke with the newly appointed manager and the person responsible for overseeing the management of the home . Staffing levels were sufficient to support people’s holistic needs and they received care and support when it was required. People’s nutritional needs were well managed and people received the support they required. There was good collaboration between the staff and health professionals to ensure people’s health needs were met.
People who used the service were protected from the risk of abuse and staff had a good understanding of their roles and responsibilities if they suspected abuse was happening. The unregistered manager shared information with the local authority when needed. Action was taken following any incidents to try and reduce the risks of incidents happening again. People received their medicines as prescribed and the management of medicines was safe. Prior to our inspection we reviewed all the information we had received from the provider.
We saw that care plans and assessments of risk did not always match. Some areas of risk were identified and there was no record of how to reduce the risk. On other occasions interventions were recorded that staff were unaware of.
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