23 April 2022
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
As part of this inspection we 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 team consisted of one inspector.
Service and service type
Marriott House and Lodge 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.
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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. At the time of our inspection there was not a registered manager in post. However, the general manager of the service was in the process of registering with the CQC.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.
During the inspection
We visited the service on 17 March 2022 and observed the support that people received. We spoke with relatives and staff and gathered information relating to the management of the service. We reviewed a range of records. This included six care plans. We spoke with a visiting relative. We also spoke with eight members of staff, including the managing director, a regional director, the general manager, a registered nurse and care staff. We spoke with four relatives over the telephone on 24 March 2022. We re-visited the service on 6 April 2022 to gather further evidence and feedback from people. We spoke with nine people living at the service and one volunteer.
We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
After the inspection
We requested further records from the provider relating to the management of the service and a variety of policies and procedures and quality assurance processes developed and implemented by the provider.
23 April 2022
About the service
Marriott House and Lodge is a care home registered to provide nursing and residential care and accommodation for 119 people with various health conditions, including dementia and sensory impairment. There were 65 people living at the service on the day of our inspection. Marriott House and Lodge is a large converted care home located in Chichester, West Sussex.
People’s experience of using this service and what we found
People were happy with the care they received, felt relaxed with staff and told us they were treated with kindness. They said they felt safe, were well supported and there were enough staff to care for them. One person told us, “They are all very kind to me and they make sure I’m happy. They are good people. “Our own observations supported this, and we saw friendly relationships had developed between people and staff. A relative told us, “I’m very happy with the care. [My relative] is happy here. They do a lot of work around the food he likes and I’m confident he is being well cared for.”
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
The provider had systems of quality assurance to measure and monitor the standard of the service and drive improvement. These systems also supported people to stay safe by assessing and mitigating risks, ensuring people were cared for in a person-centred way and that the provider learned from any mistakes. Our own observations and the feedback we received supported this.
People received good care that met their needs and improved their wellbeing. The staff team were dedicated and enthusiastic.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (published 14 December 2019).
Why we inspected
This inspection was prompted by a review of the information we held about this service. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. Please see the safe and well-led sections of this full report.
We reviewed the information we held about the service. No areas of concern were identified in the key questions of effective, caring and responsive. We therefore did not inspect these. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
The overall rating for the service has remained as Good.
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.