Background to this inspection
Updated
23 October 2021
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.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by two inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Marske Hall 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.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service. We sought feedback from the local authority. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection-
We spoke with four people who used the service about their experience of the care provided. We spoke with two nurses, two activities co-ordinators, the chef, and the registered manager.
We reviewed a range of records. This included four people’s care records and medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We spoke with six residents, four care staff, four relatives, two volunteers and the quality, compliance and governance director. We looked at records associated with the safety of the home, and policies and procedures.
Updated
23 October 2021
About the service
Marske Hall is a residential care home providing personal and nursing care for up to 30 older people, people living with physical disabilities, and younger adults. At the time of the inspection 26 people were using the service.
People’s experience of using this service and what we found
People were supported safely by enough suitably trained and recruited staff. Staff received supervision and appraisal. The provider was reviewing this process to ensure supervision remained a suitable and effective process for staff to utilise.
People were supported to have maximum choice and control of their lives by staff who supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People's care plans and risk assessments reflected their needs and preferences and staff were knowledgeable about the level of support people required.
People were supported to maintain hobbies, try new interests and to access the community. Rooms were personalised and decorated to reflect people’s choices.
People were appropriately supported at mealtimes as assessed. Menus were available to ensure any personal preferences and dietary requirements were catered for.
Medicines were stored and administered safely. People were supported to take their medicines where needed.
People were supported to access to health and social care professionals when needed.
Quality monitoring processes were in place to check people received high quality care.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
Based on our review of all of the key questions the service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. People were supported in the least restrictive way possible to make choices and received care and support that was person centred and promoted independence and dignity.
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 the service under the previous provider was good, published on 18 October 2017.
Why we inspected
This was a planned inspection based on the time since it was first registered. We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.