Updated 23 February 2019
The inspection:
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection team consisted of one inspector and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type:
Marwa Nursing Home is a care home that provides nursing and personal care to older people. Most people who used the service were living with dementia. There was 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.
Notice of inspection:
The inspection was unannounced so the provider, registered manager and staff team did not know we would be visiting.
What we did:
Before the inspection we reviewed information we held about the service and the service provider. The registered provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We looked at the notifications we had received for this service. Notifications are information about important events the service is required to send us by law.
During the inspection we spoke with six people who used the services and three relatives to ask about their experience of the care provided. We observed how people were being cared for in their rooms and in communal areas. We spoke with the registered manager and six staff that included a registered nurse and care, catering and activities staff.
We reviewed a range of records that included three care plans, daily monitoring charts and medicines records. We checked staff supervision and training records. We also looked at a range of records relating to the management and monitoring of the service. These included audits, quality assurance surveys, minutes of meetings and maintenance checks.
After the inspection we received feedback from three health care professionals to obtain their views about the service.