We undertook an unannounced inspection of Magdalen Park Nursing Home on 30 March 2017. At the last inspection in December 2014, the service was found to be meeting all of the regulations we inspected.

The service provides nursing and personal care for up to 70 adults of all ages who may be living with dementia and/or physical disability. Accommodation is provided over three floors. The ground floor has 24 bedrooms which are split into two separate units (Haven North and South), for people living with dementia. On the first and second floors there are 40 bedrooms in total for people with nursing and residential care needs. Some of the rooms at Magdalen Park are used for double occupancy. The service has an extensive variety of communal areas including lounges, dining rooms, an in house pub, hairdressing/beauty salon and a shop. There is also a library, rooftop garden, and conservatory and entertainment room. There were 62 people using the service when we visited.

There was a registered manager employed when we visited. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The registered provider demonstrated how they had achieved outstanding practice, development and improvement at the service. The leadership sought out creative ways to provide a personalised service and had achieved excellent results through exploring best practice and implementing this at Magdalen Park. The staff team were highly motivated and were actively involved in and contributed to continuous improvements in care and running of the service.

The registered provider and manager were dedicated to providing care which met the highest of standards. They strived for excellence through consultation and continually reflecting on how to improve the service further for people who lived at Magdalen Park. They registered manager demonstrated a strong and supportive leadership style, seeking feedback in order to further improve what was offered.

People received a consistently high standard of care because the service used evidence of what works best to continually review and improve their practice. For example, by using The National Institute for Health and Care Excellence (NICE) guidelines. In pursuit of excellence, the registered provider regularly read the 'outstanding' rated CQC inspection reports for other services and visited other services that had achieved this rating. They used them as a way to benchmark the quality of care provided at Magdalen Park and as a source of best practice ideas they could adopt.

Communication at all levels was clear and encouraged mutual respect. The service was recognised by schemes which reward quality, for example, achieving a Healthcare Design Award. The management team respected, supported and listened to staff at all levels to improve the quality of service. Staff members had lead roles for promoting best practice in chosen areas to improve the quality of the service. This showed that the registered provider placed a high value on meeting the needs of people and their relatives.

People received exceptionally effective care. The service demonstrated person centred ways of meeting people's hydration and nutritional needs and were proactive in ensuring these needs were met. Staff worked creatively to meet people’s needs and practices were actively followed by staff which had resulted in positive outcomes for people living at Magdalen Park.

There was a truly friendly and open atmosphere on entering the premises. A positive and inclusive practice for managing risk at the service had been adopted. All areas of Magdalen Park had been designed for the needs of people who used the service and there were specific areas to promote the independence

Magdalen Park Nursing Home is a purpose built home that provides accommodation for up to 64 people who require nursing or personal care. The home provides support for adults over the age of 18 including older people, people living with dementia and people with a physical disability.

Magdalen Park Nursing Home has 61 single en-suite bedrooms all with a shower facility within their own wet room. There are two premier suites with their own kitchenettes and living areas specifically designed for couples, siblings or friends who wish to share. The ground floor consists of 24 bedrooms split into two separate 12-bed units for people living with dementia and the first and second floor provides nursing and residential care for people.

The home features a ‘street scene’ on the ground floor including an in-house pub, hairdressers and beauty spa, and a shop. There is also an entertainments room, conservatory, rooftop garden including an artificial bowls green, library area and smoking room. In each unit there is a main lounge and dining room. Outside there are three different garden areas including two sensory gardens solely for people living in the dementia units including live and model animals and allotments.

This inspection was unannounced and took place on 18 December 2014. At the time of our inspection there was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Magdalen Park is a new service which registered with the Commission in September 2014. This is the first inspection since registration.

People told us that they felt safe living in the service. We found that staff had a good knowledge of how to keep people safe from harm and there were enough staff employed to meet people’s needs. Staff we spoke with told us they knew about, the action to take if they were concerned that someone was at risk of harm and abuse and we saw there were procedures in place to support this.

Care records contained assessments, which identified risks and described the measures in place to ensure the risk of harm to people was minimised. The care records we viewed also showed us that people’s health and wellbeing was monitored and referrals were made to other health professionals as appropriate.

Staff received a range of training opportunities and told us they were supported so they could deliver effective care; this included staff supervision, appraisals and staff meetings.

People had their health and social care needs assessed and plans of care were developed to guide staff in how to support people. The plans of care were individualised to include preferences, likes and dislikes. People who used the service received additional care and treatment from health professionals based in the community.

People’s nutritional needs had been assessed and people told us they were satisfied with the meals provided by the service. People had been included in planning menus and their feedback about the meals in the service had been listened to and acted on.

People and relatives were satisfied with the activities taking place within the service, although we found these did not fully meet the needs of people with dementia. Work was in progress to develop these further to include a wider range of interests and topics.

The registered manager monitored the quality of the service, supported the staff team and ensured that people who used the service were able to make suggestions and raise concerns. We saw from recent audits that the service was meeting their internal quality standards.