Marcris House

Ratings

• Overall

  Inadequate

• Safe

  Inadequate

• Effective

  Good

• Caring

  Requires improvement

• Responsive

  Good

• Well-led

  Inadequate

Our view of the service

We carried out an assessment of this service between 22 July and 05 August 2024 with an unannounced visit to the service on 22 July 2024. Marcris House provides accommodation and personal care for up to 32 older people, some of who live with dementia. At the time of this assessment, 27 people were living there. This assessment has been completed following the Care Quality Commission’s (CQC) new approach to assessment. This assessment was triggered due to significant risks to peoples safety. We assessed a total of 17 quality statements. All were covered in the Safe and Well Led domain with 1 statement in each of Effective and Caring. The service did not meet the legal requirements of the Health and Social Care Act. We found there were a significant number of breaches of regulations. These were in relation to safe care and treatment, keeping people safe from harm, safe staffing, safe environments, medicines management, consent, overall governance and the overall closed culture of the service. A closed culture is a poor culture in a health or care service that increases the risk of harm. In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/ or appeals have been concluded. This service is being placed in special measures. The purpose of special measures is to ensure that services providing inadequate care make significant improvements. Special measures provide a framework within which we user our enforcement powers in response to inadequate care and provide a timeframe within which providers must improve the quality of the care they provide. We have taken enforcement action and asked the provider to make improvements in these areas. We referred our findings to the local authority commissioning and safeguarding team, fire protection officer and environmental health team.

People's experience of this service

People' s gave minimal feedback about their involvement in planning and agreeing their care. Some people said they felt safe living in Marcris House, whereas other people shared examples of when they did not feel safe. There were risks to people which had not been identified, reported, managed or monitored to ensure people were safe and protected from harm as far as possible. People did not experience a positive culture and were not always listened to. People gave examples where they felt there were not enough staff to support them safely. Whilst people felt their rooms were kept clean we observed significant shortfalls in the environment which put them at potential risk. People told us they were happy with the way staff managed their medicines. However, we found examples where medicines were not given, or not given at the right time.