CQC report explained · a residential care home
What the CQC found at Marloes Walk
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Inspectors found suitable risk plans, trained staff, safe recruitment and safe medicine systems, but noted a medicine risk-recording issue and communal areas needing refurbishment.
- Effective?
- Good
- This area was not inspected during this focused visit. Its previous rating was carried forward when calculating the overall rating.
- Caring?
- Good
- This area was not inspected during this focused visit. Its previous rating was carried forward when calculating the overall rating.
- Responsive?
- Good
- This area was not inspected during this focused visit. Its previous rating was carried forward when calculating the overall rating.
- Well-led?
- Good
- The home had clear management structures, quality checks and a service improvement plan. People, relatives and staff could give feedback, and inspectors found an open and inclusive culture.
What inspectors found, December 2023
Turning Point - Marloes Walk: Rated Good; inspectors found safe, person-centred care, with some medicine records and refurbishment work needing attention.
This was an announced, focused inspection on 28 November 2023. Two inspectors reviewed information, spoke with relatives, staff and a health professional, observed care, and checked care, medicine, recruitment and management records.
The home was rated Good overall, with Safe rated Good and Well-led rated Good. Inspectors found enough staff, safe recruitment, suitable training, clear risk plans and safe medicine systems. Staff knew how to respond to seizures and support people who received food, fluids or medicines through a tube.
People were supported to make choices and have their rights respected. Relatives said communication was good and they felt involved. Inspectors also found an inclusive culture, regular checks on care and evidence that learning from incidents was shared.
There were some matters to improve. One medicine risk was not recorded clearly before the inspection, although a risk assessment was added afterwards. Inspectors recommended pharmacist advice about crushing medicines, and noted that some communal areas needed refurbishment so they could be cleaned effectively.
Choice and rights
Staff supported people to make choices and used the least restrictive approach. Where people could not communicate with words, staff used their body language and facial expressions to understand them.
“People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests;” from the report
Safe care
Risk plans explained how to keep people safe. Staff knew how to respond to seizures and had training for tube-fed food, fluids and medicines.
“Records clearly detailed what action staff should take if people experienced a seizure and staff knew how to respond in an emergency situation.” from the report
Medicine systems
Inspectors found that medicines were ordered, stored and given safely by trained staff. The home also reviewed medicines with prescribers.
“People received their medicines as prescribed from staff who were appropriately trained.” from the report
Communication and involvement
Relatives said staff communicated well and involved them in decisions about care. People, relatives and staff had several ways to give feedback.
“People, relatives and staff had opportunities to provide feedback which was used to review the quality of care provided within the home and identify areas for improvement.” from the report
Medicine risk record
seriousOne prescribed medicine needed careful risk management, but the records did not explain how staff should reduce those risks. A risk assessment was put in place after the inspection.
“Records did not direct staff on how to minimise the risks related to taking this medication.” from the report
Communal areas
needs fixingSome communal areas needed refurbishment so they could be cleaned effectively. This work was part of an ongoing action plan.
“Some communal areas of the service required refurbishment to ensure they could be cleaned effectively.” from the report
Covert medicines guidance
needs fixingFor one person receiving medicine hidden in food or drink, inspectors recommended getting pharmacist guidance to confirm that each medicine was safe to crush and give in the chosen food.
“We recommended guidance was sought from the pharmacist to confirm each of their medicines was safe to crush and give in the person's chosen food option.” from the report
- 01What is the current risk assessment for the medicine that needed extra risk management, and how do you check staff follow it?
- 02Has a pharmacist confirmed that all medicines given covertly can safely be crushed and mixed with the person's chosen food?
- 03What communal areas still need refurbishment, and when will the work be completed?
- 04How do you maintain familiar staff for residents when agency workers are needed?
- 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; the other ratings carried over from the previous inspection published on 20 July 2018. This explanation was written from the published report of 15 December 2023 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, July 2018
Turning Point - Marloes Walk was rated Good; inspectors found safe, kind and personalised care, with a minor concern about some unlocked doors.
Inspectors visited on 4 July 2018. This was a comprehensive, announced inspection. They spoke with relatives and staff, observed care, and reviewed care plans, medicines, recruitment records and quality checks.
The home supported eight people with learning disabilities or autism and complex physical and medical needs. Inspectors found enough suitably trained staff, detailed risk plans, safe medicines practice and good support with health and nutrition.
People were treated with patience, dignity and respect. Staff understood different ways people communicated, involved relatives, and planned activities around individual interests. The home was rated Good in all five areas, and this rating was unchanged from January 2016.
Detailed risk planning
Risk plans gave staff specific instructions about people's health risks and how to reduce harm. They were reviewed when people's needs changed.
“Risk management plans were very detailed and contained specific guidance about potential risks in relation to people's care.” from the report
Kind communication
Staff took time to understand people who could not communicate verbally. They used facial expressions, body language, objects and gestures to support choices.
“Staff used different verbal and non-verbal communication methods with each person to enable them to express themselves.” from the report
Good health support
People had access to health professionals, and records included medical advice and health information. Staff also understood people's nutritional risks.
“People were supported to maintain good health and had access to healthcare services such as their GP, dentist and chiropodist.” from the report
Meaningful activities
Activities were planned around different abilities and interests. People were supported with community activities, theatre trips, meals out, religious services and holidays.
“People were supported to engage in activities both inside and outside the home.” from the report
Family involvement
Relatives were involved in care planning and decisions. They said staff helped them keep a central role in their family member's life.
“Relatives told us they valued their relationships with staff who supported them to maintain a central role in their family member's life.” from the report
Some doors were not locked
minorInspectors found some doors that were marked as needing to be locked were open. One cupboard contained hot water pipes that could have presented a risk if someone fell against them.
“However, we did note that some doors which were clearly marked as needing to be locked, were not locked.” from the report
- 01How do you now check that all doors and cupboards marked as needing to be locked are secured?
- 02How many permanent staff currently work here, and how often are agency staff used?
- 03How would you support my relative to communicate choices if they cannot communicate verbally?
- 04How are relatives involved in reviewing care plans and making important decisions?
- 05What training do staff have for complex medical needs, including tube feeding, epilepsy or swallowing risks?
This was a comprehensive inspection of all five key questions, covering the home, care provided, records, medicines, staffing and quality checks. This explanation was written from the published report of 20 July 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.
Every inspection of Marloes Walk
3 rated inspections over 8 years: the service has held its Good rating throughout.
- December 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2018Goodstayed GoodSafe: GoodWell-led: Good
- February 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2014
Report published without a new overall rating.
- September 2012
Report published without a new overall rating.
- February 2011
Registered with the Care Quality Commission on 8 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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