Background to this inspection
Updated
5 March 2022
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
As part of CQC’s response to the COVID-19 pandemic we are looking at how services manage infection control and visiting arrangements. This was a targeted inspection looking at the infection prevention and control measures the provider had in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.
This inspection took place on 28 February 2022 and was announced. We gave the service 48 hours’ notice of the inspection.
Updated
5 March 2022
About the service
Mavern House is a Nursing home providing personal and nursing care to 47 people, aged 65 and over, at the time of the inspection. Care was provided in one adapted building across two floors. One area of the building specialised in providing care for people living with dementia. The service can support up to 50 people.
People’s experience of using this service and what we found
There were systems in place to identify and protect people from abuse. Staff were knowledgeable about identifying and reporting signs of abuse. Medicines were managed safely. Personal and environmental risks were assessed and mitigated as much as possible. People were cared for by staff who had been recruited safely and received ongoing training relevant to their role.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible, and in their best interests; the policies and systems in the service supported this practice.
People were supported to maintain good nutrition and hydration. People’s rooms were personalised, and the building was adapted to meet people's needs. The service worked effectively with other health and social care professionals.
People were treated kindly and with respect. People told us staff were caring and knew them well. People were supported to express their views and choices about their care and were supported to be as independent as possible.
Care was personalised to individuals and staff knew people they cared for well. People had detailed end of life care plans in place and staff told us they felt supported to deliver effective end of life care.
The service was well led, the management team were supportive of staff and modelled person-centred values. The registered manager was knowledgeable about their regulatory responsibilities and kept up to date with best practice guidance.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection (and update)
The last rating for this service was requires improvement (published 3 July 2019) and there was one breach of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This was a planned inspection based on the previous rating.
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.