We carried out a review of the data available to us about Marmion Nursing Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Marmion Nursing Home, you can give feedback on this service.
Marmion Nursing Home provides personal and nursing care for up to 24 people who have mental health needs. At the time of the inspection there were 19 people living in the home.
People’s experience of using this service:
People who used the service were supported safely. People were able to freely access the community and accessed activities supported by staff at the home. People were supported to be independent.
People’s choices and preferences were known to staff and respected. Staff were caring and respectful. People’s privacy and dignity was promoted.
People had care plans and risk assessments in place which gave staff guidance to effectively support them. Staff supported people with their individual preferences and people’s needs were met.
The registered manager had plans in place to improve the environment.
The provider had systems in place to monitor the service and ensure risks to people and the environment were reduced.
Lessons were learnt when things went wrong, and systems were updated or improved if needed. The registered manager was responsive and approachable to both people that used the service and staff. They had a clear understanding of their responsibilities of their registration with us.
The service met the characteristics of Good in all areas; more information is available in the full report below.
Rating at last inspection:
At the last inspection the service was rated as Good (report published 07 October 2016)
Why we inspected:
This was a scheduled inspection based on the previous rating.
Follow up:
We will continue to monitor the service though the information we receive.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
The service had 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.
Medicines were administered to meet individual needs and were stored securely in order to reduce the risks associated with them. Risks to people’s health and wellbeing were assessed, actions were put in place to reduce them and their effectiveness was monitored and regularly reviewed.
People said that they felt safe and staff understood their responsibilities to protect them from harm. They were supported to maintain good health and had regular access to healthcare professionals. Their care plans were regularly reviewed to correspond with changing support needs. They were encouraged to maintain their independence and consented to the care and support they received.
Staff received training and support to enable them to fulfil their role effectively and were encouraged to develop their skills. There were sufficient staff to meet people’s needs promptly and safe recruitment procedures were followed. They developed caring relationships with the people they supported and they knew people well and provided care that met their needs. People’s privacy and dignity were maintained at all times.
People knew who the registered manager was and stated that they were readily available and supportive. Staff told us that they were supported through regular supervision and appraisal. Systems were in place to receive feedback on people’s experiences. There were systems in place to drive quality improvement which included regular audits.
As part of this inspection we spoke with the deputy manager, four staff and four people who used the service. The registered manager was not on duty on the day of the inspection. We saw that there was positive interaction between people who used the service and staff. We saw that staff treated people with respect and kindness. One person we spoke with said: “I like it here”. Another person told us: “I can go shopping whenever I like”.
We saw that people had an assessment of their needs and plans of care were in place which showed how those needs should be met.
We saw that medication was stored appropriately and administered in a safe way.
We found that there were appropriate systems in place to monitor and assess the quality of the service provided and actions were taken when any improvements were identified.
During our visit we used different methods to help us understand the experiences of people using the service. We spoke with people living at the home, relatives, staff members, and the manager, and we spent time observing the care provided in the home. One person who used the service said, "Any help I need I get - they (the staff) are good, very good". One relative told us, "I am very happy with the care that my son receives here".
People were respected and listened to. People we spoke with were positive about the care and support that they or their relative received. People were consulted about their care, and relatives were kept informed by staff if there were any changes in their relative's condition.
We were told that the food in the home was good, and we saw that there was a weekly menu which was changed according to people's wishes.
Discussions with staff about safeguarding and whistleblowing confirmed that they were clear about what to do if they had any suspicions of abuse.
People confirmed that they knew how to make a complaint and were supported by the manager and staff to have an advocate if they wished to.
Staff told us that they listened to what people living at the home wanted to do and tried to fulfil their wishes.