15 May 2021
This was a targeted inspection to check on a specific concern we had about the management of people’s wound and pressure care.
As part of this inspection we also looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
The inspection was carried out by two inspectors.
Service and service type
The Marillac Neurological Care Centre is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We spoke with the registered manager, the head of care and two nurses. We reviewed a range of records including individual risk assessments, health records and monitoring charts.
15 May 2021
The inspection took place on 14 March 2017 and was unannounced. The previous inspection took place in April 2016 at which time the service was rated as ‘requires improvement’ as there were concerns around how risk was documented and shared, care records had not been updated and quality assurance audits were not always effective.
The Marillac is a nursing home that provides accommodation, nursing and rehabilitation support for up to 52 people with complex physical and sensory disabilities. On the day of our inspection there were 51 people using the service.
The service had a registered manager in post. 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.
At this inspection we found risks were managed safely as there had been improvements made in how information around risk was recorded and shared. Staff demonstrated a good awareness of the risks to people and knew how to manage these safely.
The provider had systems in place to manage medicines and people were supported to take their prescribed medicines safely.
There were sufficient staff employed who had been recruited safely and who had the skills and knowledge to provide care and support that met people’s needs and preferences.
Staff were aware of their whistle-blowing and safeguarding responsibilities. They knew the signs to look for that might indicate that people were being abused and who to report any concerns to.
Staff received regular supervision and support from the management team which provided an effective method of assessing staff competency and promoting learning and development.
People were involved in making decisions about the care and support they received. Where people experienced difficulties with decision-making, they were supported by staff who were aware of their responsibilities under the Mental Capacity Act (2005) legislation.
The service was meeting the requirements of the Deprivation of Liberty Safeguards (DoLS), making applications when necessary.
People had access to food & drink that they enjoyed which matched their preferences and met any health needs.
The service supported people to maintain their health as they had access to a wide range of healthcare professionals.
Staff respected people’s privacy and choices and treated people with kindness and respect.
People were encouraged to be independent and take part in interests they enjoyed.
The service supported people to maintain relationships with friends and family and links with their community so that they were not socially isolated.
Robust quality assurance systems were now in place which meant that the service was effectively monitoring the quality and safety of the service and driving improvements.
There was an open culture and the provider encouraged and supported staff to provide care that was centred on the individual.