Marlfield Care Home With Nursing

Updated 26 May 2026

Date of assessment: 29 June to 10 July 2026.

The service is a care home with nursing, registered to support up to 74 people older people who may be living with dementia. This comprehensive inspection was triggered by our ongoing monitoring of the service. At the time of the inspection the service was supporting 44 people.

The service was well managed by the registered manager who had a good understanding of the service, it’s strengths and challenges. They were well supported by both their management team and the provider, which had enabled them to make changes to the service, over the last year which they continued to embed. Staff felt supported and valued in their work.

There were robust processes in place to ensure people were only admitted to the home if their needs could be met safely and to ensure they experienced continuity of care if they moved between services. People’s consent for their care was sought.

Staff used a range of nationally recognised tools to identify and assess risks to people, whilst also involving them in decisions about their care. People had access to a range of healthcare professionals who worked with staff to plan the safe delivery of people’s care.

People were well cared for by staff and treated as individuals. Staff encouraged people to make their own decisions about their care and respected their choices. People’s care plans were reviewed monthly or more frequently if there was an incident, to ensure they remained up to date. Processes were in place to seek people’s feedback about their care and the service.

The registered manager had acted to reduce the use of agency staff for people, and a number of staff were about to commence work.

Whilst there had been several safeguarding concerns raised earlier this year. The registered manager and the provider had acted immediately to ensure people’s safety. Staff had been informed of the resulting changes to practices and updated on the outcomes from safety incidents.

However, whilst the registered manager and provider have significantly strengthened the home’s governance processes. Further work was required in relation to some aspects; we found some audits were not fully robust and some aspects of record keeping needed improvement.

The service was in breach of 1 regulation in relation to good governance.

Updated 26 May 2026

People and relatives provided positive feedback overall. Staff were described as kind and caring and people generally enjoyed the food and activities.

People and relatives said safe care was provided. Feedback included, “I’m very pleased I’m here. It’s quiet and peaceful and I’m well looked after,” and “I know [name of person] is safe, clean, well fed and looked after.”

Staff ensured people were admitted to the home safely and supported people if required to attend any health care appointments. People had access to a range of health care professionals, including the GP who visited weekly. Relatives said they were kept updated by staff about their loved ones.

Overall people and relatives were satisfied with the staffing levels. People said on occasions they had to wait a while. People and relatives said the regular staff knew them and their preferences well. Feedback included, “[Name of person] likes the ones [staff] she sees regularly. They know her routines and regimes.”

Everyone spoken with was positive about the caring attitude of staff. Feedback included, “I like all the carers. They are all kind and gentle,” and “All the staff are nice people. I get on well with the night staff too.”

People told us overall they were happy with the meals provided. They said the meals were home cooked and there was plenty to eat at all times of the day. People were given choices and encouraged to be independent with any task they could do, such as eating.

Most people were happy with the in-house activities provided by the activities staff. Whilst people were actively involved in activities outside the home, some others said they wanted to go out more. Staff were involved in fund raising activities for the resident’s amenities fund.

People had not needed to make any complaints but felt they could speak up about any areas of concern, which were addressed promptly. People and relatives spoken with, were complimentary about all staff, from the housekeepers and cleaning staff to senior staff and management. Feedback included, “The staff are good. You can talk to anyone.”