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Archived: Marsh House

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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

There should be enough members of staff to keep people safe and meet their health and welfare needs (outcome 13)

Meeting this standard

We checked that people who use this service

  • Are safe and their health and welfare needs are met by sufficient numbers of appropriate staff.

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.

There were enough qualified, skilled and experienced staff to meet people’s needs

User experience

People spoke highly of the staff, and said that they were friendly, welcoming, kind and


They told us,

"I like all the staff. They are very kind".

"Nothing is too much trouble. They are so helpful".

Other evidence

Are there sufficient numbers of staff?

The home had 28 people living there on the day of our visit. There were four support workers, two general assistants, one supervisor and an acting manager on duty to provide care and support. This meant that there were enough skilled and experience staff to meet peoples' needs. We saw that staff had time to provide a good level of support and personal care.

During our time in the home we saw that staff were busy serving meals in the dining room and others were assisting people to eat. We did not see people being rushed and lunch was a calm and positive experience for people. We also observed staff working throughout the day providing care and support to people living in the home whilst at the same time having time to enjoy some light hearted chatter without seeming to be always in a rush. The people we spoke with supported our observations

Do staff have the appropriate skills, knowledge and experience?

Cumbria Care has specific targets for basic training and updates for all staff. We saw evidence that appropriate training was ongoing which ensured staff were able to provide a good standard of care and support. The manager gave us a copy of the training plan that showed the training staff had undertaken. This included manual handling, food hygiene, fire safety, infection control, health and safety and safeguarding of vulnerable adults.

The manager confirmed that nutritional assessments were carried out by staff with

appropriate skills and training. Training had taken place on nutrition, maintaining dignity, equality and diversity and safeguarding, the staff felt well informed to do their job. Training was sometimes delivered b the manager and sometimes by people from outside the home.

Staff told us that the National Vocational Qualification courses they had completed

included information about how to provide appropriate nutritional care and support to

people using the service.

We learned from individual staff that they also had the chance to undertake more specialised training. Some people had completed distance learning in dementia care with Stirling University and others had started 'end of life' training.

The staff that we spoke with felt they were well supported and prepared to undertake their roles and that through staff meetings or by discussion with the manager they could bring forward ideas that were valued.