Marchwood Close

Updated 8 March 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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection was carried out by one inspector.

Service and service type:

The registered provider was also registered with the Care Quality Commission as the registered manager. This means they 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 48 hours’ notice of the inspection visit because it is a small service and the registered manager is often out of the office supporting staff or providing care. We needed to be sure that they would be available.

The inspection started on 13 February and ended on 14 February 2019.

What we did:

Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We reviewed the previous report, information we held about the service and notifications we had been sent. Notifications are changes, events or incidents that providers must tell us about. We also requested feedback from commissioners involved with the service.

We visited the office location on 13 February 2019 to meet the registered manager / provider and to review records in relation to people’s care, staffing, and the overall management of the service. We also reviewed three people’s care plans and met with three people using the service and three staff. On 14 February we contacted one relative by telephone to seek feedback on their experience of their relative using the service.

Updated 8 March 2019

About the service:

• Marchwood House is a domiciliary care and supported living service. It provides personal care to people living in their own houses and flats in the community and within supported living accommodation. It provides a service to adults with a learning disability and mental health needs.

• The Care Quality Commission (CQC) only inspects the service being received by people provided with personal care; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided. At the time of the inspection four people were receiving personal care.

People’s experience of using this service:

• The outcomes for people using the service reflected the principles and values of Registering the Right Support in the following ways: Promotion of choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

• People using the service told us they felt safe with the staff that supported them. Risks associated with people’s care needs were managed safely and reviewed regularly. Where the service took on the responsibility for administering medicines, they were managed safely.

• Staffing arrangements ensured people received person centred support from a consistent team of staff.

• People received care and support from staff that treated them with kindness and respect. Staff received appropriate training and support to enable them to perform their roles effectively.

• People were involved in developing their care plans. They were personalised to meet people’s individual needs and updated regularly.

• Staff demonstrated their understanding of the Mental Capacity Act, 2005. They gained people’s consent before providing personal care and support.

• Systems were in place to monitor the quality of service and action was taken where areas for improvement had been found.

More information is in the full report.

Rating at last inspection:

Good - Report published 5 September 2019.

Why we inspected:

This was a planned inspection based on the rating at the last inspection.

Follow up:

Going forward we will continue to monitor this service and plan to inspect in line with our reinspection schedule for those services rated Good.