Marshview

Updated 25 January 2020

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 two inspectors.

Service and service type

Marshview 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.

Notice of inspection

The first day of the inspection was unannounced.

What we did before 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 of this information to plan our inspection.

During the inspection

We spoke with five people who used the service and one visitor about their experience of the care provided. We spoke with eight members of staff including the provider and registered manager. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We reviewed a range of records. This included two people’s care records and multiple 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. We spent time observing people in areas throughout the home and could see the interaction between people and staff. We watched how people were being cared for by staff in communal areas. This included the lunchtime meals.

After the inspection

The provider contacted us after the inspection and told us they recognised improvements were needed in some areas. They told us work had already started to address this.

Updated 25 January 2020

About the service

Marshview is a residential care home providing personal care to 13 older people in one adapted building. The service can support up to 23 people who were living with a range of needs associated with the frailties of old age.

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

We found improvements were needed to people’s care plans and the providers quality assurance system. The audit system had not identified the shortfalls we found in relation to people’s records. We made a recommendation about this.

People received care and support that was person-centred and met their individual needs. This was because staff knew them well. People were supported to engage in a range of activities that they enjoyed and were meaningful to them.

People were supported to receive safe care. Staff understood the risks associated with the people they supported, and they did this safely. People were supported to receive their medicines when they needed them.

People were protected from the risks of harm, abuse or discrimination because staff knew what actions they should take if they identified concerns. There were enough staff working to provide the support people needed, at times of their choice.

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.

Staff received training and supervision to help them meet the needs of people living at the home. Staff told us they felt supported by the registered manager and their colleagues.

People were supported to receive healthcare services when they needed them. People were provided with a wide choice of healthy, freshly cooked meals, drinks and snacks each day.

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 21 February 2017).

Why we inspected

This was a planned inspection based on the previous rating.

We have identified improvements were needed in relation to record keeping and the quality assurance system at this inspection.

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.