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CQC report explained · a residential care home

What the CQC found at Marlborough House

Goodpublished 10 March 2018, 8 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People said they felt safe. Inspectors found that risks, medicines, infection control and equipment safety were managed appropriately, although work to cover hot water pipes and radiators was still under way.
Effective?
Good
Staff had suitable training, supervision and appraisals. People were supported with nutrition, health appointments, communication and decisions under the Mental Capacity Act.
Caring?
Good
Staff were kind, friendly and respectful. People were involved in planning their care, and staff encouraged privacy and independence.
Responsive?
Good
Care was personalised around people's interests, needs and preferences. People were supported to take part in activities, access the community and choose different holidays.
Well-led?
Good
The manager promoted an open and inclusive culture and was visible in the home. Audits identified shortfalls and records showed that these were acted on promptly.
The latest report, explained

What inspectors found, March 2018

Marlborough House was rated Good; inspectors found safe, kind and personalised care, with some improvements still under way.

This was an unannounced, comprehensive inspection on 18 January 2018. One inspector spoke with people using the service, staff and managers, and reviewed care records, staff files and management records.

The home supported 12 people with a learning disability. Inspectors found that people felt safe, medicines were managed safely, risks were assessed, and the home was clean. Staff were trained and supported, and people were helped with food, health appointments and daily living skills.

People were treated kindly and involved in their care. They received support based on their preferences, including activities, holidays and personal interests. The manager was visible and approachable, and the home had systems for checking quality and acting on shortfalls.

The home was rated Good in all five areas and Good overall. This was unchanged from the previous inspection on 17 July 2015.

What inspectors praised
  • Safe care

    Inspectors found that risks were assessed for each person and that staff understood how to support people safely while building independence.

    “Risk assessments set out control measures to reduce the risk.” from the report
  • Kind and respectful staff

    Staff knew people well and supported them in a friendly, thoughtful way. People's privacy and independence were respected.

    “We observed that staff continued to engage with people in a friendly and thoughtful manner.” from the report
  • Personalised support

    Care records included people's hobbies, interests and preferences. People could choose activities and were supported to follow their own interests.

    “This demonstrated that people were supported to engage in activities based on their preferences.” from the report
  • Strong oversight

    The home had regular quality checks. Inspectors found that identified shortfalls were acted on promptly.

    “There was a robust quality assurance system in place and shortfalls identified were promptly acted on to improve the service.” from the report
What inspectors were concerned about
  • Weekend staffing

    minor

    The manager said the home had enough staff, but more staff were being recruited for weekends. Families should check whether this recruitment has been completed and whether staffing matches people's needs.

    “they were currently recruiting more staff to work at weekends.” from the report
  • Building safety work

    needs fixing

    Work was still under way to cover hot water pipes and radiators. This was intended to reduce the risk of burns.

    “Improvements were underway to cover hot water pipes and radiators to reduce the risk of people burning themselves.” from the report
Questions to ask them, based on this report
  1. 01Has recruitment for weekend staff been completed, and how do you make sure there are enough staff for people's needs at weekends?
  2. 02Have all hot water pipes and radiators been covered to reduce the risk of burns?
  3. 03What changes have been made to care plans to make them more personal and clearer for staff?
  4. 04How are people involved in choosing activities, trips and holidays?
  5. 05How do you check that people are supported to develop independent living skills without being over-supported?

This was an unannounced comprehensive inspection covering all five CQC questions, and the home was rated Good in each area. This explanation was written from the published report of 10 March 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Marlborough House

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. March 2018Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Marlborough House →

  2. December 2016

    Registered with the Care Quality Commission on 5 December 2016.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

Next steps

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