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Marsden Heights Care Home Good

Inspection Summary

Overall summary & rating


Updated 12 October 2018

We carried out an unannounced inspection of Marsden Heights Care Home on 29 and 30 August 2018.

Marsden Heights Care Home is an adapted residence located in a semi-rural area on the outskirts of Brierfield. There is a garden area and a small car parking space to the front of the property. The accommodation is mainly provided on one level and includes a lounge with linked dining area with a kitchenette and a separate ‘quite room’. There are 18 single bedrooms and one twin room. Further accommodation for up to four people is provided in a lower floor flat. This has two bedrooms with en-suite shower rooms and a shared lounge/dining room with kitchen area.

Marsden Heights is a 'care home' which is registered to provide care and accommodation for up to 24 people including people living with a dementia. People in care homes receive accommodation and nursing care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided and both were looked at during this inspection. Nursing care is not provided at Marsden Heights Care Home. At the time of our inspection 20 people were using the service.

There was a registered manager at the service. A registered manager is a person who has registered with the CQC 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 the last inspection on 24, 25 and 26 May 2017 the service was rated overall Requires Improvement. We found the provider was in breach of one regulation of the Health and Social Care Act (Regulated Activities) Regulations 2014. This related to a lack of robust recruitment procedures prior to staff starting work at the service. Following the inspection, the provider sent us an action plan outlining the progress to be made. At this inspection we found action had been taken to make improvements.

We found there were management and leadership arrangements in place to support the effective day to day running of the service.

Processes were in place to make sure all appropriate checks were carried out before staff started working at the service. People told us they felt safe at the service.

Arrangements were in place to promote the safety of the premises, this included maintenance, servicing and checking systems. However during the inspection, we identified some areas were in need of attention.

Staff were aware of the signs and indicators of abuse and they knew what to do if they had any concerns. Staff had received training on safeguarding and protection matters.

There were some good processes in place to manage and store people's medicines safely. We found some improvements were needed with record keeping, this was put right during the inspection.

There were enough staff available to provide care and support; we found staffing arrangements were kept under review and additional staff were being recruited.

People's needs were being assessed and planned for before they moved into the service. Each person had a care plan, describing their individual needs, preferences, behaviours and routines. This provided guidance for staff on how to provide person centred support. People's needs and choices were kept under review.

People were supported with their healthcare needs. Changes in people's health and well-being were monitored and responded to. Where necessary, people received appropriate medical attention.

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 at the service supported this practice.

People made positive comments about the caring attitude of staff. They said their privacy and dignity was respected. Throughout the inspection we observed staff interacting with people in a kind, pleasant and fri

Inspection areas


Requires improvement

Updated 12 October 2018

The service was not always safe

Processes were in place to maintain a safe environment for people who used the service. However, we found some safety matters required attention.

Staff recruitment had improved, all relevant checks for the protection of people who used the service had been carried. There were enough staff available to provide safe care and support, additional staff were being recruited. Staff knew how to report any concerns regarding possible abuse and were aware of the safeguarding procedures.

We found improvements had been made with safely supporting people with their medicines.



Updated 12 October 2018

The service was effective.

Processes were in place to find out about people�s individual needs, abilities and preferences. People's health and wellbeing was monitored and they had access to healthcare services. Most people were satisfied with the quality and variety of meals provided.

People were encouraged and supported to make their own choices and decisions. The service was meeting the requirements of the Mental Capacity Act 2005.

Arrangements were in place to develop and supervise staff in carrying out their roles and responsibilities.



Updated 12 October 2018

The service was caring.

People made positive comments about the kind and caring attitude of staff. We observed positive and respectful interactions between people using the service and staff.

Staff were aware of people�s individual needs, backgrounds, behaviours and personalities, which helped them provide personalised support.

People�s dignity and personal privacy was respected. Positive relationships were encouraged and visiting times were flexible.



Updated 12 October 2018

The service was responsive.

Each person had a care plan which included information about the care and support they needed. Care plans had been developed, to promote a more personalised and responsive approach to care planning and care delivery.

People were supported to take part in a range of individual and group activities. Progress had been made and was ongoing to provide more meaningful activities and engagement.

There were processes in place to manage and respond to complaints, concerns and any general dissatisfaction with the service.



Updated 12 October 2018

The service was always well-led.

There was a management team providing effective leadership and direction. People made positive comments about the management and leadership at the service.

Staff were knowledgeable and enthusiastic about their work. They indicated the registered manager was supportive and approachable.

There were processes in place to regularly monitor the quality of people�s experience at the service.