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Inspection Summary


Overall summary & rating

Good

Updated 5 December 2019

About the service

Marnel Lodge is a residential care home providing personal and nursing care to 61 people aged 65 and over at the time of the inspection. The majority of people were living with a form of dementia. The service can support up to 62 people.

The care home accommodates people in one adapted building over two floors. The upper floor specialises in providing care to people living with more advanced dementia.

People’s experience of using this service and what we found

People and relatives told us the service was safe. One person told us, “I know I am safe, the staff know what they are doing and look after me very well.” Staff understood signs of possible abuse and how to raise concerns. Risks to people were assessed and known by staff. People were supported by staff who had undergone appropriate recruitment checks. Medicines were administered appropriately. Incidents and accidents were thoroughly investigated.

People experienced good outcomes because staff were well trained and involved the appropriate healthcare professionals. The service was following current best practice guidance. Staff experienced effective support including an induction, ongoing supervision and appraisal. This enabled them to provide good quality, effective care. People's hydration and nutritional needs were met.

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 registered manager and staff provided caring and compassionate support to people.

People were encouraged to remain as mobile and independent in their daily lives as possible. People and relatives confirmed to us that they were always treated with dignity and respect.

People's needs were holistically assessed and met by the care provided. People were treated equally and without discrimination. A variety of activities were available for people to participate in and people were supported to continue activities that were meaningful to them. The registered manager had created different themed areas in the service for people to enjoy. Complaints were well managed and responded to appropriately. End of life care was provided effectively and compassionately.

The service was well-led. The registered manager and staff promoted a positive, open and honest culture within the service and understood their regulatory responsibilities. People and relatives were appropriately involved in the service. There were appropriate systems in place to monitor and improve the service.

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 5 May 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

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.

Inspection areas

Safe

Good

Updated 5 December 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 5 December 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 5 December 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 5 December 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 5 December 2019

The service was well-led.

Details are in our well-led findings below.