Background to this inspection
Updated
11 September 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
This inspection was carried out by one inspector.
Service and service type
Marrow House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as 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
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. 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 three people who used the service and two relatives about their experience of the care provided. We spoke with eight members of staff including the strategic manager, deputy manager, assistant managers, care workers and the cook and one health and social care professional.
We reviewed a range of records. This included three people’s care records and multiple medication records. We looked at four staff files in relation to recruitment and a variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.
Updated
11 September 2019
About the service
Marrow House is registered to provide personal care to up to 21 people aged 65 and over at the time of the inspection. There are 16 assessment and therapy beds and an additional five places have the facility to offer residential support beds, whilst a permanent placement is identified. There were 17 people using the service at the time of the inspection.
People’s experience of using this service and what we found
People told us they felt safe within the service and received their medicines. We found the provider assessed and planned for risks and protected people from the risk of potential abuse. Medicines were managed safely. There were enough staff to support people and they were safely recruited. The service was clean, and people were protected from the risk of cross infection as staff wore personal protective equipment.
People’s needs were assessed before using the service, so the provider could ensure they could meet their needs. People told us they liked the food and we found the service was maintaining people’s nutritional and hydration needs. Staff told us they felt supported in their role and received training. People had access to health care when they needed it and staff worked with other agencies to provide effective care.
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 told us they were supported by caring staff who promoted their independence. People were encouraged to express their views about their care and had their privacy respected.
People received personalised care from staff that knew them well and enjoyed the activities on offer at the service. The service supported people’s communication needs. There had been no recent complaints, however there was a policy in place and people felt able to complain if necessary. We have made a recommendation about recording of end of life wishes.
The service promoted a positive, person-centred culture for people and looked to improve the care it provided to people. Systems were in place to monitor the quality of the service and it worked in partnership with others.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 17 February 2017).
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.