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We are carrying out a review of quality at Marnel Lodge Care Home. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Good

Updated 5 May 2017

The inspection took place on the 18 and 19 January 2017 and was unannounced. At the last inspection on 2, 3 and 7 September 2015 we found the provider had breached two regulations associated with Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 (HSCA 2014). These breaches related to Regulation 12 (Safe care and treatment) and Regulation 17 (Good governance). The provider had not always ensured people’s medicines were managed safely and that complete and contemporaneous records were maintained in respect of each service user to ensure risks to their health and wellbeing were managed appropriately.

We told the provider they needed to take action and we received a report setting out the action they would take to meet the regulation. At this inspection we reviewed whether or not these actions had now been taken and found the provider was meeting the requirements of the HSCA 2014. We found improvements had been made regarding the storage and administration of medicines and the completion of documentation relating to the delivery of people’s care.

Marnel Lodge Care Home, to be referred to as the home throughout this report, is a home which provides residential and nursing care for up to 62 older people who have a range of needs, including those living with Parkinson’s disease, sensory impairments as well as epilepsy and diabetes. The first floor of the home provides specialist care to people living with dementia. The home is purpose built to meet people’s needs and is situated in a residential area on the outskirts of the town of Basingstoke. Facilities includes two dining rooms and two lounges on both floors with a secure rear garden and patio area as well as a café area for people, visitors and relatives on the ground floor of the home. At the time of the inspection 58 people were using the service.

The home has a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People using the service told us they felt safe, relatives agreed they felt their family members were kept safe whilst living at the home. Staff understood and followed the provider’s guidance to enable them to recognise and address any safeguarding concerns about people.

People’s safety was promoted because risks that may cause them harm had been identified and guidance provided to manage these appropriately. Appropriate risk assessments were in place to keep people safe.

Overall, sufficient numbers of staff were deployed in order to meet people’s needs in a timely fashion. The registered manager was addressing unplanned staff absence, which at times had caused a staff shortage. Recruitment procedures were completed to ensure people were protected from the employment of unsuitable staff. New staff induction training was followed by a period of time working with experienced colleagues. This ensured staff had the skills and confidence required to support people safely.

People were protected from the unsafe administration of medicines. Nurses were responsible for administering medicines and had received additional training to ensure people’s medicines were administered, stored and disposed of correctly. Nurse’s skills in medicines management were regularly reviewed by managerial staff to ensure they remained competent to administer people’s medicines safely.

People were supported by staff who had relevant up to date training available which was regularly reviewed to ensure staff had the skills to proactively meet people’s individual needs.

People, where possible, were supported by staff to make their own decisions about their care and treatment. Staff were able to demonstrate that they complied with the requirements of t

Inspection areas

Safe

Good

Updated 5 May 2017

The service was safe.

People were safeguarded from the risk of abuse. Staff were trained and understood how to protect people from abuse and knew how to report any concerns.

Risks to people had been identified, recorded and detailed guidance provided for staff to manage these safely for people.

People were supported by sufficient numbers of staff. Staff employed were subject to a robust recruitment procedures ensuring their suitability to deliver care.

Medicines were administered safely by nurses, whose competence was assessed by appropriately trained managerial staff.

Effective

Good

Updated 5 May 2017

The service was effective.

The provider ensured that staff had an induction, on-going training and support in their role to be able to proactively meet people’s needs and wishes.

Staff offered people choices in a way which met their communication needs and they could understand

People were supported to eat and drink enough to meet their nutritional and hydration needs. People who had specific needs in relation to eating and drinking were provided with the additional support required to protect them from any associated risks.

Staff understood and recognised people’s changing health needs and promptly sought healthcare advice for people whenever required.

Caring

Good

Updated 5 May 2017

The service was caring.

Staff were compassionate and caring in their approach with people, supporting them in a kind and sensitive manner. Staff had developed companionable and friendly relationships with people.

People’s personal care plans included information to enable staff to meet their individual needs and preferences.

People received care which was respectful of their right to privacy and maintained their dignity at all times.

Responsive

Good

Updated 5 May 2017

The service was responsive.

People received care that was based on their needs and preferences. They were involved in all aspects of their care and were supported to lead their lives in the way they wished to. The service responded quickly to people’s changing needs or wishes.

People were assisted by staff who actively encouraged people to participate in activities to allow them to lead full, active and meaningful lives.

People’s views and opinions were sought and listened to. Processes were in place to ensure complaints were documented, investigated and responded to appropriately.

Well-led

Good

Updated 5 May 2017

The service was well led.

The registered manager promoted a culture, which was based on being open, honest and treating people with kindness and compassion. Staff knew these values as these were evidenced in their working practices.

The registered manager provided strong leadership fulfilling the legal requirements of their role. Staff understood their role and felt comfortable raising concerns. They told us the registered manager was supportive and a good role model.

The registered manager and provider sought feedback from people and their relatives and acted upon this. They regularly monitored the quality of the service provided in order to drive continuous improvement.