Updated 10 November 2021
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
An inspector and a specialist advisor completed this inspection.
Service and service type
Marham House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since registration. We sought feedback from the local authority and professionals who work with the service. The provider was asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We spoke with three people living at the service about their experience of the care provided. We spoke with 11 members of staff including the provider representative, registered manager, head of care, deputies, care workers, domestic staff and the chef. We toured the whole care home and looked at the outside space.
We reviewed a range of records. This included four people’s care records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including audits, reviews and action plans, were also reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We were provided with contact details of relatives and people living at Marham House. We spoke to a further five people by telephone appointment and received feedback from five relatives. We also received feedback from five more staff. We looked at training data and quality assurance records. We spoke with a further four professionals who regularly visit the service.