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CQC report explained · a residential care home

What the CQC found at Marwood Residential Home

Goodpublished 15 July 2022, 4 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found enough staff, safe recruitment and suitable risk assessments. Medicines were given as prescribed and infection prevention arrangements were satisfactory.
Effective?
Good
People's needs and choices were assessed and care plans were updated. Staff were trained, people's dietary needs were supported and the home worked with other agencies.
Caring?
Good
People received kind and compassionate care. Staff respected privacy, dignity, independence, choices and individual preferences.
Responsive?
Good
Care was personalised and people were involved in decisions about their support. Communication needs, relationships, activities, complaints and end of life wishes were considered.
Well-led?
Good
The provider and manager had oversight of the home and promoted an open, person-centred culture. Regular audits were used to monitor quality and safety.
The latest report, explained

What inspectors found, July 2022

Marwood Residential Home was rated Good; inspectors found safe, kind and personalised care with strong management.

Inspectors visited without warning on 29 June 2022. They spoke with people living there, relatives, staff and health professionals. They also reviewed care records, staff files, medicines information and management records.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe recruitment, well-managed risks, medicines given as prescribed and good infection control arrangements.

People were treated with kindness, dignity and respect. Their choices, communication needs, diets, relationships and end of life wishes were recorded and supported. The provider and manager were present regularly, used audits and worked well with other agencies.

This was the first inspection of the newly registered service. The previous provider had also received an overall Good rating, published on 12 October 2017. CQC said it would continue to monitor information about the home.

What inspectors praised
  • Enough staff

    Inspectors found staffing levels and the mix of skills were suitable. People were not left waiting for help, and staff had time to talk with them.

    “Our observations confirmed the feedback we received. We saw care workers had time to sit and talk with people prior to and following the care they delivered.” from the report
  • Kind and respectful care

    Staff knew people well and respected their choices. Inspectors observed warm conversations and discreet support with personal care.

    “People received kind, caring and compassionate care.” from the report
  • Personalised support

    Care plans recorded how people wanted their care delivered and how they wished to spend their day. Relatives and important people were involved in care decisions.

    “People's plans of care were person centred. They recorded how people would like their care to be delivered and how they wished to spend their day.” from the report
  • Good leadership

    The provider and manager were regularly present and staff said they were listened to and supported. The home used audits and worked with health professionals.

    “The provider and registered manager had full oversight of the service and took their roles and responsibilities seriously.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How will you make sure my relative's care plan is reviewed promptly if their needs change?
  2. 02How will you meet my relative's specific dietary and communication needs?
  3. 03How do you check that medicines are given safely and on time?
  4. 04What support would my relative receive to maintain family relationships and take part in activities?
  5. 05How would you record and follow my relative's wishes if they needed end of life care?

This was an unannounced inspection covering all five CQC key questions, including infection prevention and control under Safe; the report describes this as the first inspection of the newly registered service. This explanation was written from the published report of 15 July 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.

An earlier report, explained

What inspectors found, March 2022

Inspected but not rated; inspectors found good infection control, with some PPE and clean towels stored in a communal bathroom.

This was an unannounced, targeted inspection on 17 February 2022. It looked mainly at infection prevention and control during the COVID-19 pandemic, and asked about staffing pressures.

Inspectors found several good practices. Staff had infection prevention and control champions. People's infection risks were assessed, and extra support was provided when people needed to isolate. Visitors were screened and given guidance on hand sanitiser and personal protective equipment.

Inspectors said they were assured about testing, PPE, social distancing, safe admissions, outbreak management and the infection control policy. Some PPE and clean towels were stored in a communal bathroom. The registered manager agreed to remove them immediately.

The home was inspected but not rated. This means the visit did not give an overall quality rating or a rated result for the five key questions.

What inspectors praised
  • Infection control champions

    Some staff had extra training and helped colleagues follow infection prevention guidance.

    “Some staff had done additional training to become infection prevention and control champions.” from the report
  • Support during isolation

    People's individual infection risks were assessed. Extra support and activities were provided when people needed to isolate.

    “When required to isolate, additional support and activities were provided where this was required.” from the report
  • Visitor safety

    Visitors were screened and supported to follow infection prevention procedures, including using hand sanitiser and protective equipment.

    “Visitors were asked to use hand sanitiser and to wear personal protective equipment before entering the building to visit their relative or friend.” from the report
  • COVID-19 controls

    Inspectors were assured that the home used PPE safely, arranged testing, managed outbreaks and kept its infection control policy up to date.

    “We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
What inspectors were concerned about
  • Storage of PPE and towels

    minor

    Some PPE and clean towels were stored in a communal bathroom. The registered manager agreed to remove them immediately, and the provider was signposted to resources to improve its approach.

    “Some PPE and clean towels were stored in a communal bathroom. The registered manager agreed to remove these immediately.” from the report
Questions to ask them, based on this report
  1. 01Were the PPE and clean towels removed from the communal bathroom, and how is their storage checked now?
  2. 02What measures are in place to manage COVID-19-related staffing pressures?
  3. 03How are people's individual infection risks assessed and reviewed if they need to isolate?
  4. 04How are visitors screened and supported to use hand sanitiser and personal protective equipment?
  5. 05How does the home prevent and manage infection outbreaks, including testing and safe admissions?

This was an unannounced targeted inspection of infection prevention and control, with questions about staffing pressures; it was not a full rated inspection of the home. This explanation was written from the published report of 15 March 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.

The story over the years

Every inspection of Marwood Residential Home

3 rated inspections over 6 years: the service has improved, from Requires improvement to Good.

  1. July 2022Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Marwood Residential Home →

  2. March 2022Inspected but not rated
    Safe: Inspected but not rated

    Read what inspectors found at Marwood Residential Home →

  3. October 2017Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  4. September 2016Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
  5. August 2019

    Registered with the Care Quality Commission on 20 August 2019.

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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