You are here

Inspection Summary


Overall summary & rating

Good

Updated 20 January 2021

About the service

The Marbrook Centre is a care home with nursing. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality

Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection. The Marbrook Centre delivers a service to up to 81 people.

The home is built on three floors: each floor can be divided into two separate units or used as one unit. Each unit has single bedrooms with ensuite facilities and shared lounge/dining/kitchenette areas. Each floor provides a service to people with specific issues. Mayfield (top floor) accommodates people living with dementia; Bray (middle floor) accommodates people with long-term rehabilitation and complex nursing needs; and Eden (ground floor) accommodates people with acquired brain injury, including stroke, who are funded for a short period of intensive rehabilitation.

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

People were safeguarded from harm by staff who were trained and knowledgeable about identifying and reporting any potential abuse. One relative told us how much difference it had made to their family member having enough skilled staff. Medicines were administered and managed safely.

Risks to people were identified and managed well. There were enough staff, who had been safely recruited and met people’s needs. Lessons were learned when things went wrong.

Medicines were managed safely, and the service had improved the processes for monitoring the administration of medicines. Care records were accurate and reflected the needs of people. Risk assessments were in place to help keep people safe.

Staff followed infection prevention and control policies. Due to the pandemic, additional processes and steps were taken by staff to keep people safe. Relatives told us that the service had actively engaged with them and they were assured that people were well looked after.

There were quality and assurance systems in place. The registered manager worked with the provider to monitor the safety and quality of care provided to people. Staff worked with other healthcare professionals to make sure people had the correct support they needed.

Staffing levels were appropriate to support people. There continued to be a robust recruitment process in place.

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 ensured we were notified about events such as safeguarding. Audits in place were effective in identifying and driving improvements. People were involved in how the service was run. The provider worked well with others involved in people's care and support.

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 23 June 2018).

Why we inspected

We undertook a focused inspection to review the key questions of safe and well-led. This was because we received concerns in relation to the safety of people living in the service. Several safeguarding concerns had been raised with the local authority in relation to poor care. A decision was made for us to inspect and examine those risks. This report only covers our findings in relation to the key questions safe and well-led which contain those requirements.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

We found no evidence during this inspection that people were at risk of harm from these concerns. The provider had acted on safeguarding allegatio

Inspection areas

Safe

Good

Updated 20 January 2021

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 20 January 2021

Caring

Good

Updated 20 January 2021

Responsive

Good

Updated 20 January 2021

Well-led

Good

Updated 20 January 2021

The service was well-led.

Details are in our safe findings below.