You are here

Archived: Marsh House

All reports

Inspection report

Date of Inspection: 2 August 2012
Date of Publication: 12 September 2012
Inspection Report - DN published 12 September 2012 PDF | 49.99 KB

People should be treated with respect, involved in discussions about their care and treatment and able to influence how the service is run (outcome 1)

Meeting this standard

We checked that people who use this service

  • Understand the care, treatment and support choices available to them.
  • Can express their views, so far as they are able to do so, and are involved in making decisions about their care, treatment and support.
  • Have their privacy, dignity and independence respected.
  • Have their views and experiences taken into account in the way the service is provided and delivered.

How this check was done

We reviewed all the information we hold about this provider, carried out a visit on 02/08/2012, observed how people were being cared for, looked at records of people who use services, talked to staff and talked to people who use services.

Our judgement

The provider was meeting this standard.

People's views and experiences were taken into account in the way that the service

was provided and delivered, in relation to their care.

User experience

We talked with people living in the home throughout our visit, and they spoke highly of

the home and the staff, and said they were happy living there.Those we spoke with told us they were given plenty of choice about how they spent their time, where they ate their meals and if they wanted to join in any activities or just to watch.

They were especially pleased that all the lounges were on the ground floor as this meant they could move around and speak to others living in the home whenever they wished.

We observed staff interactibg with people and saw that they were constantly talking to them, reassuring them and encouraging thier independance.

People told us,

"I am very happy here and can choose what to do".

"The staff are great, lovely girls".

Visitors told us they were very happy with the care and support provided.

Comments included,

"I am more than happy with the care my relative receives".

"We get to come to all the parties and join in".

"My relative was quite poorly when she came to live here and is much better now".

Other evidence

Is people’s privacy and dignity respected?

We saw that staff ensured that personal care was carried out in the privacy of people's

own bedrooms or bathrooms. The staff were discreet about asking people if they

wanted to go to the toilet. We saw that staff offered help and support to people who had

limited mobility and needed to use a walking stick or a Zimmer frame.

People were offered choice throughout the visit. This included items such as if they

would like a hot or cold drink; and if they would prefer to have the television or sit quietly. People were invited to join in with group activities, but were also able to spend time on their own if they preferred this.

During the lunch period we observed the way in which staff served the meals and assisted those people who needed encouragement to enjoy their meal. Staff made sure people received the meal of their choice but offered an alterantive if this was unacceptable. They were polite when speaking with people and where help was required this was given in such a way as to ensure people were not embarrassed or distressed.

Are people involved in making decisions about their care?

All those living in Marsh House had a plan of care. We saw that the updated care plans were written in respectful language and made reference to the person as an individual.

There was clear evidence of documenting how people wished to be addressed and what their likes and dislikes were in general and specifically regarding food preferences. Staff told us one person liked smaller portions as they were over faced with big plates of food. The staff made sure that person was given a meal of an appropriate size.

Religious beliefs were recorded and there were references to people attending church or services being held in the home.

We saw that people could choose where to spend their time during the day. All three lounges were on the ground floor so people could spend their time between all three if they wished. This ensured there was a warm and friendly atmosphere throughout the home.

Each plan of care did have a cognitive ability section which was completed and there was evidence of the involvement of the next of kin if this was appropriate. Mental capacity was evident in some records and we did see evidence of instruction from and discussion with relatives. The plans were updated monthly by the supervisor and senior staff and changes were clearly documented in the care records