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Inspection Summary


Overall summary & rating

Good

Updated 26 September 2018

Marjorie Cobby House is a residential care home for a maximum of 34 people. At the time of this inspection 14 people were staying at the home. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. This is a bespoke service model operated by West Sussex County Council [WSCC] that focused on the rehabilitation needs of people following their discharge from hospital. Marjorie Cobby House provides a short term service and people can stay there for up to 12 weeks, depending on the service criteria. Respite and emergency short term care can also be accommodated. The service works in partnership with the NHS, social workers, local GP surgery and intermediate care team to support people to meet their objectives.

The home was well maintained and spacious, with small lounges and a large communal dining area. Kitchen areas are available for people to use to support with daily living skills and rehabilitation. There are pleasant outdoor seating areas. A large assisted bathroom is also offered to community physiotherapists to support people who live in the local community to receive a bath safely and enable them to receive rehabilitation support.

The service accommodates up to 34 people on short-term basis for rehabilitation support. The 34 beds were divided to reflect people’s different level of need and the level of support required by them to be able them to return to their home. There were ‘discharge to assess’ [D2A] beds, ‘community transfer beds’ [CTB] which were contracted by health commissioners and also standard ‘interim’ beds for those people with the lowest level of rehabilitation needs. People were admitted after an initial assessment was completed by a ‘trusted assessor’ who was a health professional based at the local hospital from where people would be discharged before moving to this service. We were told that the service had supported more than two hundred people to receive rehabilitation or to move onto more appropriate accommodation to meet their needs in the previous 12 months before this inspection.

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 ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service had not changed since our last inspection. Despite a safeguarding concern raised by the local social services safeguarding team, following a formal complaint that was raised, we found that the service responded to and managed risk to people appropriately. Following the safeguarding concern and after this inspection, the senior management team for this service had worked to change the structure of the service provided which meant that risks were further reduced. The ‘trusted assessor’ approach which had been used by the service to enable people to be discharged from hospital more quickly, had been stopped which enabled staff from the home to assess people’s needs instead of health professionals based at the hospital. This ensured that staff felt more confident about meeting the needs of people who were referred to stay at this rehabilitation service.

People were protected from abuse by trained staff who understood the reporting procedures when concerns may arise. Staff received appropriate training for their roles and were recruited safely which further protected people from the risks of abuse.

People had access to healthcare when they needed it. There was a regular presence of community health care professionals which included GP’s, community matrons and a paramedic practitioner, at the home. Community physiotherapists and occupational therapists also visited people at the service to support with

Inspection areas

Safe

Good

Updated 26 September 2018

The service remained Safe.

Effective

Good

Updated 26 September 2018

The service remained Effective.

Caring

Good

Updated 26 September 2018

The service remained Caring.

Responsive

Good

Updated 26 September 2018

The service remained Responsive.

Well-led

Good

Updated 26 September 2018

The service remained Well-led.