CQC report explained · a nursing home
What the CQC found at Marriott House & Lodge
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People said they felt safe and inspectors found suitable safeguarding, staffing, medicines, risk management and infection control arrangements. Records showed that staff recruitment checks had been completed.
- Effective?
- Good
- This area was not inspected during this visit. The previous rating was used when calculating the overall rating.
- Caring?
- Good
- This area was not inspected during this visit. The previous rating was used when calculating the overall rating, although inspectors observed friendly relationships between people and staff.
- Responsive?
- Good
- This area was not inspected during this visit. The previous rating was used when calculating the overall rating.
- Well-led?
- Good
- The provider used audits and feedback to monitor quality and make improvements. People, relatives and staff described the home as well run, and staff understood their roles.
What inspectors found, April 2022
Marriott House & Lodge was rated Good; inspectors found kind, safe care and strong management, but there was no registered manager in post.
This was an unannounced focused inspection on 17 March, 24 March and 6 April 2022. One inspector observed care, spoke with people, relatives, staff and a volunteer, and reviewed care records, policies and management checks.
Inspectors found that people felt safe and were treated kindly. Staffing was considered sufficient, medicines were managed safely, risks were reviewed, and infection control arrangements were in place. People, relatives and staff also said the home was well run.
The home was rated Good overall. Safe and Well-led were rated Good. Effective, Caring and Responsive were not inspected during this visit, so their previous ratings were used in the overall rating. The overall rating stayed Good, as it was at the previous inspection.
Kind relationships
People said staff treated them kindly and inspectors saw friendly relationships between people and staff. Relatives also gave positive feedback about the care.
“Our own observations supported this, and we saw friendly relationships had developed between people and staff.” from the report
Safe staffing
Inspectors found that staffing arrangements met people’s needs and kept them safe. Staffing levels were reviewed daily and when people’s needs changed.
“The deployment of staff met people's needs and kept them safe.” from the report
Safe medicines
Medicine records were accurate, medicines were stored securely and regular audits checked the arrangements. Staff had been trained to administer medicines.
“Regular auditing of medicine procedures had taken place, including checks on accurately recording administered medicines as well as temperature checks of medicines storage areas.” from the report
Quality monitoring
The provider used audits covering medicines, infection control and health and safety. The results were analysed for trends and preventative action.
“The provider undertook a range of quality assurance audits to ensure a good level of quality was maintained.” from the report
Involvement in decisions
People and staff were involved in developing the service. Their feedback had influenced activities and food choices.
“We saw examples of how feedback from people had influenced activities and food choices.” from the report
No registered manager in post
minorThere was no registered manager at the time of the inspection. The general manager was in the process of applying to register with the CQC.
“At the time of our inspection there was not a registered manager in post.” from the report
- 01Has the general manager now become registered with the CQC, and who is legally responsible for the home until then?
- 02How do you adjust staffing when people’s needs change or staff are absent?
- 03How are medicines audits used to identify and correct any problems?
- 04What recent changes have been made in response to feedback from people and relatives?
- 05What were the previous ratings for Effective, Caring and Responsive, which were not inspected during this visit?
This was a focused inspection of Safe and Well-led only; Effective, Caring and Responsive were not inspected and their previous ratings were carried forward. This explanation was written from the published report of 23 April 2022 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.
What inspectors found, December 2019
Marriott House & Lodge was rated Good; inspectors found safe, kind and well-organised care, with improvements since the previous inspection.
This was an unannounced inspection on 26 November 2019. Inspectors observed care, spoke with eight people, seven visitors and 11 staff, and checked care records, staff files, training and quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe, treated kindly and supported by enough staff. Inspectors also found that medicines, care planning, activities and healthcare support were managed well.
The Safe and Well-led ratings improved from Requires Improvement at the previous inspection. The home had recruited more permanent staff and had a registered manager in place. The report says legal requirements were met.
Improved staffing
The home had recruited more permanent staff, which improved continuity of care. People and staff said there were enough staff.
“Improvements had been made and the registered manager had been successful in recruiting more permanent staff.” from the report
Safe medicines practice
Medicine records were accurate, medicines were stored securely and staff stayed with people while they took them.
“We observed a member of staff giving medicines sensitively and appropriately.” from the report
Kind and respectful care
Inspectors saw positive relationships between people and staff. People were offered choices and supported to keep their independence.
“People were supported and treated with dignity and respect; and involved as partners in their care.” from the report
Personalised activities
People could take part in activities, outings and events linked to their interests, culture and faith.
“We saw a varied range of activities on offer which included, music, arts and crafts, quizzes, exercise, trips out to the local community and visits from external entertainers.” from the report
Stronger management
The home had a registered manager and used audits to check areas such as medicines, care plans, falls and infection control.
“The provider undertook a range of quality assurance audits to ensure a good level of quality was maintained.” from the report
Inspectors raised no specific concerns in this report.
- 01How many permanent care staff work here now, and how often are agency staff used?
- 02How are medicines audits completed, and how would you tell my relative or family about any medicine error?
- 03How often are care plans reviewed with the person and their family, particularly after a change in needs?
- 04Which activities and outings are currently available for someone with my relative's interests, mobility and communication needs?
- 05How can my relative or family raise a complaint, and how will we be told what action has been taken?
This was an unannounced planned inspection of the overall service, covering all five CQC questions and both the care provided and the premises. This explanation was written from the published report of 14 December 2019 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.
Every inspection of Marriott House & Lodge
5 rated inspections over 7 years: the service has held its Good rating throughout.
- April 2022Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2019Goodup from Requires improvementSafe: GoodWell-led: Good
- December 2018Requires improvementstayed Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- January 2018Requires improvementdown from GoodSafe: Requires improvementEffective: GoodCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- September 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good
- July 2014
Report published without a new overall rating.
- June 2013
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- June 2011
Report published without a new overall rating.
- February 2011
Registered with the Care Quality Commission on 15 February 2011.
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.
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28 live-in carers within about an hour of West Sussex
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £1,020 to £1,170 a week. 23 can care for a couple. 11 years' experience on average.
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