Marian House Care Home

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.

The last rating for this key question was good. At this assessment the rating has remained good.

This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 71 (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 assessed and planned care to meet people’s needs. Some of the information within care plans had not been updated following changes in people’s needs. This meant it was sometimes hard to understand people’s current needs. For example, there was different information regarding 1 person’s special dietary needs in different sections of their care plan and it was not clear which was the most up to date guidance. We discussed this with the registered manager, and they agreed to review and update the information. Staff knew people well and were able to tell us about their needs. People told us their needs were met.

The registered manager carried out assessments before people moved to the home and asked for their views and preferences. People confirmed they, and their representatives, were involved in assessments and reviews.

Staff provided evidence-based care and support. Staff undertook a range of training relevant to their roles. The registered manager discussed best practice guidance with staff. Some staff were assigned as ‘champions’ and took a lead role in a specific area. They helped to make sure all staff had the guidance and information they needed to provide appropriate care. Staff told us they found training useful and could request additional training or information if needed. A person using the service explained, “Staff know what they are doing.”

The provider supported staff to work well together. There were handovers of information each day and regular team meetings. Staff discussed areas of good practice and different procedures. Staff recorded information about people’s wellbeing and made sure other staff were aware of any changes in people’s needs. A staff member commented, “Care is not a 1-person job, we work together and assist each other.”

Staff communicated well with external professionals. They made timely referrals when people needed additional care or support. An external professional explained, “I know I can rely on staff.”

Staff supported people to live healthy lives. They assessed and planned for people’s healthcare needs. People told us they were able to see a GP or other healthcare professionals when needed. The provider worked closely with a community matron who visited the home each week to discuss people’s needs and support the staff to make referrals to other professionals.

People were provided with varied and nutritious meal options. Staff monitored nutritional intake and weight changes.

People’s health, weight and skin condition had improved at the service.

Staff monitored people’s wellbeing. They carried out regular checks and recorded these. The registered manager had a good oversight of these checks and made sure any concerns were investigated and acted on.

Care plans included personal objectives, and the outcomes people would like from the care they received. People took part in reviews of their care and could discuss any changes they wanted.

Staff ensured people consented to their care and treatment. The provider assessed people’s mental capacity to make decisions. They involved people in decisions about their care and offered them choices. People confirmed this. For people who lacked the mental capacity to make some decisions, staff worked with their representatives to help make sure these were made in their best interests.