Marsh House

Updated 17 April 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

Two inspectors conducted the inspection.

Service and service type

Marsh House is a care home which is registered to provide accommodation and personal care for up to six older people. People in care homes receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection. At the time of inspection, six people were living in the service

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 and took place on 01 April 2019.

What we did:

Before the inspection, we reviewed information we had received about the service since the last inspection. This included details about incidents the provider must let us know about, such as abuse; and we sought feedback from the local authority and other professionals involved with the service. We assessed the information that providers send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During our inspection visit, we spoke with three people using the service, three relatives and five staff including the registered manager, senior and care staff. In addition, we spoke to three professionals about their experience of the service. We observed the support provided throughout the service. We looked at records in relation to people who used the service including two care plans and six medication records. We looked at records relating to recruitment, training and systems for monitoring quality

After the inspection, the registered manager provided us with further evidence of good practice.

Updated 17 April 2019

About the service: Marsh 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 been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

People’s experience of using this service:

¿ People and their relatives made positive comments about the care provided at Marsh House.

¿ Personal and environmental risks in the service had been identified and mitigated by the provider, registered manager and staff. Positive risks were encouraged and supported by the service.

¿ Staff were competent and had the training required to support people.

¿ Staff were recruited safely, were visible in the service and responded to people quickly.

¿ People were given choice and supported to be independent. They were treated with dignity and respect.

¿ Staff knew people well and had developed meaningful relationships with them.

¿ People could take part in a range of activities internally and externally to the service and were actively encouraged to do so.

¿ People's health was well managed. They were supported to maintain healthy and make choices about what they ate and drank. Individual health and nutritional needs were met.

¿ People received their medicines when they needed them.

¿ End of life planning was in place to support people at the end of their life.

¿ People, their relatives and professionals made positive comments about the management team at Marsh House.

Rating at last inspection: Good (report published (2 November 2016)

Why we inspected: This was a planned inspection based on the rating at the last inspection. The service remained good overall.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If we receive any information of concern, we may inspect sooner.

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