Marvels House

Updated 13 June 2018

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.

This is the first comprehensive inspection of the service since registration with the Care Quality Commission on 19 March 2017.

This inspection took place on 17 April 2018 and was unannounced. The inspection was carried out by one inspector.

Before our inspection, we reviewed the information we held about the service including notifications. Statutory notifications include information about important events, which the provider is required to send us by law. We reviewed the Provider Information Return (PIR) form sent to us. A PIR is a document that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We used this information to plan the inspection.

During our inspection, we spoke with two people who used the service, one visitor and a project artist. We also spoke with three members of care staff, a deputy manager, registered manager and chief executive officer.

We undertook general observations and formal observations of how staff treated and supported people throughout the service. 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 looked at four people’s care records and reviewed service management records, quality assurance reports and five staff files including recruitment.

After the inspection, we received feedback from two health and social care professionals.

Updated 13 June 2018

This inspection took place on 17 April 2018 and was unannounced.

Marvels House 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.

Marvels House is registered to provide care and accommodation to up to six people. At the time of our inspection, four people were using the service, some of whom had mental health conditions or a learning disability.

Bedrooms are single occupancy rooms with en-suite facilities. The service has a garden.

There was a registered manager. 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.

Staff understood their responsibility to protect people from the risk of abuse. People received support in a manner that managed identified risks to their health and well-being.

People were supported by experienced staff who had undergone appropriate recruitment procedures. Staff delivered people’s care in line with the procedures necessary to prevent and control the risk of infection. People lived in a well-maintained environment.

People consented to care and treatment and those unable to do so had support delivered in line with best interests’ decisions made by health and social care professionals. People were supported to eat healthily and to maintain good health. People enjoyed the meals provided and had their nutrition and hydration needs met.

Staff were encouraged to learn from their mistakes. The registered manager monitored accidents and incidents to identify any trends. Staff received guidance on how to minimise a recurrence.

People had their care planned and delivered in line with evidenced based guidance provided by health and social care professionals. Staff underwent induction, training and supervision of their practice to enable them to deliver effective care.

People had their care and support delivered in a kind and caring manner. People’s privacy and dignity were respected. Staff knew people well and had developed positive caring relationships with them. People had access to information in a format they understood.

People enjoyed taking part in a variety of activities at the home and in the community. Staff encouraged people to pursue their hobbies and develop new interests. People received the support their required to achieve their goals and to develop independent living skills.

People received care that met their individual needs. Staff understood people’s needs and knew how to respond to changes in their health.

People were aware of the complaints procedure and knew how to raise any concerns about their care. The provider obtained the views of people using the service and their relatives about care delivery.

People and staff knew the registered manager and described her as visible at the service and approachable. There was a person-centred culture at the service. Staff were open and honest about how they delivered care. Staff understood their responsibilities and received the support they required to undertake their roles.

Audits and monitoring checks showed that the registered manager identified and resolved shortfalls in care delivery.

People’s care planning and delivery benefitted from the close working partnership between the registered manager and external agencies.