15 November 2016
During a routine inspection
Marian House is a registered care home providing accommodation and personal care for up to 20 people with learning disabilities. At the time of our inspection there were 19 people living at the home.
There was a registered manager in post at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People were kept safe. Staff had received training and understood the different types of abuse and knew what action they would take if they thought a person was at risk of harm. Staff were able to recognise the signs of abuse and raise concerns if needed. Staff were provided with sufficient guidance on how to support people’s medical care and support needs. People’s medicines were managed and administered safely and as prescribed.
People were supported by enough staff that had been safely recruited. People and relatives felt that staff demonstrated the appropriate skills and knowledge to provide good care and support. Staff were trained and supported so that they had the knowledge and skills they required to enable them to care for people in a way that met their individual needs and preferences.
People were encouraged to make choices and were involved in the care and support they received. Staff had an awareness of the Mental Capacity Act and Deprivation of Liberty Safeguarding (DoLS) and how to support people within their best interests. Staff were respectful of people’s diverse needs and the importance of promoting equality.
Staff were caring and treated people with dignity and respect. People’s independence was respected and promoted and staff responded to people’s support needs in a timely manner. People and their relatives felt they could speak with the provider about their worries or concerns and were confident that they would be listened to and have their concerns addressed.
Staff spoke positively about the provider and the supportive culture they had established at the home. The provider had quality assurance and audit systems in place to monitor the care and support people received, ensuring that the quality of service provided remained consistent and effective.