Marley Grove

Updated 17 December 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection was carried out by one inspector.

Service and service type

Marley Grove is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

We gave the service 24 hours’ notice of the inspection. This was because the service is small, and people are often out, and we wanted to be sure the registered manager, staff and people using the service would be available to speak with us.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all this information to plan our inspection.

During the inspection

We spoke with one person who used the service about their experience of the care provided. We spoke with two members of staff including the registered manager, and a senior care worker. We reviewed a range of records. This included two people’s care records and a sample of medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of other records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We conducted telephone interviews with four relatives of people using the service.

Updated 17 December 2019

Marley Grove is a care home service without nursing. The service provides accommodation for persons who require nursing or personal care. The service can accommodate up to nine older adults with learning disabilities in three adapted buildings.

People's experience of using this service and what we found

People were supported by staff that knew how to keep them safe. Staff knew how to raise safeguarding concerns with the provider, the relevant safeguarding body and the Care Quality Commission (CQC). People had risk assessments in place associated with their care. Staff followed the guidance within the assessments to ensure people received safe care.

People were supported by enough numbers of staff that were safely recruited to meet their needs. Staff supported people to take their prescribed medicines safely and followed good practice infection control guidelines to prevent the spread of infection.

People were supported by a caring and compassionate staff team. Staff ensured people’s dignity and respect was always promoted and protected. They supported people to maintain relationships with friends and family and develop new relationships.

The training staff received ensured they had the right skills and knowledge to meet people's needs. Staff were alert and responsive to any changes in people's needs and promptly liaised with the appropriate health professionals. People were supported to attend routine health checks and medical appointments.

People were supported to have maximum choice and control of their lives, in the least restrictive way possible and in their best interests. The policies and systems in the service supported this practice.

The registered manager monitored the quality of care and support people experienced and acted on people's feedback to drive continual improvements in the service. Policies, procedures and other information was made available to people in formats that met their communication needs, such as easy read and picture styles.

Rating at last inspection

The last rating for this service was Good (Published 20 May 2017).

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

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 inspection programme. If we receive any concerning information we may inspect sooner.