The Marbrook Centre

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care,treatment,and support achieved good outcomes and promoted a good quality of life, based on best available evidence. At our last inspection we rated this key question good. At this inspection,the rating has remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing,and communication needs with them. People’s needs were assessed when they started using the service and they were supported to discuss their preferences, likes and dislikes as well as their support needs. There were specific staff who supported with this and were dedicated in making sure people had good experiences when they started living at or using the service. For people, using the rehabilitation service, clear assessments of their needs were completed, and comprehensive care plans were put in place to help support the person to rehabilitate and go back home. One person said, ‘‘I have been involved in every discussion about how I wanted things to happen since day one.Coming to use this service has been a great experience.’’ A staff member said, ‘‘We are given lots of information about [people] when they first move in, but we also make sure to spend time with them to get to know how they want us to help them.’’

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.The management team stayed up to date with best practice in relation to supporting people and shared this with staff in meetings and supervisions. They updated people’s care plans where necessary and took feedback from visiting professionals seriously to help drive improvements at the service. One person told us, ‘‘ [Staff] always try their best and are always ready to listen.’’ A relative told us, ‘‘[Family member’s] quality of life has really improved since using the service.’’

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.Staff told us they worked well together and shared information regularly to help make sure people had positive and consistent support.Staff worked well with other professionals who worked at the service and external professionals to help people have positive outcomes. One person said, ‘‘I think the staff get on with each other as well as with all of us which helps as the place has a nice atmosphere.’’ A professional told us, ‘‘People have really good outcomes living at the Marbrook Centre and [staff] always put their all in to the support they give.’’

The provider supported people to manage their health and wellbeing and supported them to live healthier lives and where possible, reduce their future needs for care and support.People were supported to maintain good health, including eating and drinking enough and receiving support to prevent pressure sores.One of the service’s main objectives was to enhance people’s health to enable rehabilitation and a return home, provided on a dedicated floor of the service.We reviewed evidence this happened consistently.Staff in charge of providing food and drink for people took pride in their work, cooking food from scratch and cooking meals which they knew people liked.People and relatives were positive about the food at the service. One person said, ‘‘The food is brilliant here. We get lots of choice and can always ask for something else if we fancy it.’’ A relative told us, ‘‘[Family member]lost a lot of weight but now they have put a lot back on. The staff know how to help and encourage them to eat and drink and give them high calorie food and milkshakes. They feel so much better now.’’

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that people’s health outcomes were positive and consistent. The management and staff team reviewed people’s care plans and records to help ensure they were being supported in line with their support needs. Staff knew people well and knew how they wanted to be supported. As a result, people had experienced good outcomes in relation to their health needs such as not developing pressure sores or being supported to maintain healthy weights.People using the service for rehabilitation had consistently good outcomes. Staff supported them to regain their independence and living skills,so they were able to return home after their stay at the service.One person said, ‘Everything staff do here, they do to help make sure I can get better. I was unable to walk when I first came here but thanks to the exercises staff help me do, I can walk again,and I go to the gym to keep my strength up. I am excited to go back home.’’ A relative told us, ‘‘[Family member]is having a much better life since living at the service. They are so much happier.’’

The provider told people about their rights around consent and respected these when delivering support. People were supported in line with the MCA. Where people did not have capacity to consent to their support, assessments were completed and decisions were made in their best interest, with involvement from those who knew them well.Staff were knowledgeable about the MCA and knew the importance of making sure people consented to their support.One person said, ‘‘[Staff] are very polite. They always make sure I am happy with what they are doing.’’ A relative told us, ‘‘I was involved in all the care planning and assessments and am sure the staff always give [family member]as much independence and choice as possible. They only do what is in [family member’s] best interests.’’