Archived: Livability Marion House

About the service

Livability Marion House is a care home accommodating five people at the time of the inspection and providing care at home to a further two people. The service can accommodate up to eight people.

People’s experience of using this service and what we found

Right Support

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; the policies and systems in the service supported this practice.

People's support promoted their choices and their independence. Staff focused on what people could do and encouraged them to celebrate their achievements. They enabled people to do things for themselves and did not provide more support than people needed, which would compromise their independence. Support planning was based on people's hopes and aspirations. People were actively involved in planning their support and maintaining their own health and wellbeing, and staff supported them to make their own decisions about medicines wherever possible. People made choices for themselves about their day to day lives, as far as they were able.

Right Care

People and their relatives were pleased with their care and support. Staff were kind and respectful, upholding people’s right to privacy and dignity. Care and support were tailored to people’s individual needs. Staff knew people well and understood the support they needed, including any assistance they needed to communicate. People and their relatives were involved in designing and reviewing care and support plans. The registered manager understood the importance of independent advocacy to uphold people’s rights and preferences and knew how to access advocacy services.

Right Culture:

The registered manager fostered a person-centred culture, where staff treated people as individuals, upholding their rights and encouraging and enabling them to live life as they wanted. People and staff liked the registered manager, finding her approachable and feeling confident that the service was well run. The registered manager had invested time and effort in developing staff skills and confidence, delegating tasks with support so staff felt more able to manage a range of situations in the registered manager’s absence. This meant people’s needs were met more promptly and effectively; it had also boosted staff morale.

People had opportunities to get updates and give their views about the service and any developments they would like to see. These included regular house meetings, monthly key worker meetings, support plan reviews and ad hoc conversations with the management team, as well as involvement in quality assurance audits.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk.

Rating at last inspection

The last rating for this service was good (published 30 August 2018).

Why we inspected

We undertook this inspection as part of a random selection of services rated good and outstanding.

We looked at infection prevention and control measures under the safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Recommendations

We have made a recommendation about the management of medicines.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

Livability Marion House is registered to accommodate up to eight people. At the time of our inspection five people with learning disabilities were living in the home in one adapted building in a residential area of Bournemouth.

At our last inspection we rated the service Good. At this inspection we found the evidence continued to support the rating of Good and there was no evidence or information from our inspection and on going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

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At this inspection we found the service remained Good.

People were supported by staff who understood the risks they faced and how to support them to reduce these whilst respecting their rights. Staff understood how to identify and report abuse and were confident in their role as advocates when this was appropriate. Staff supported people to take medicines safely.

People were supported by caring staff who had the skills to ensure they lived their lives the way they chose. Communication was considered and staff supported people to understand the choices available to them. This meant people were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People and relatives told us they could raise any concerns and these were addressed appropriately.

Quality assurance systems involved people and this led to a safer and better quality service.