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Lancashire care home is rated as Inadequate and placed into special measures by CQC

18 April 2016
Marsh House
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The Care Quality Commission (CQC) has told Marsh House in Leyland, Lancashire that it must make improvements to protect the safety and welfare of people living there.

CQC carried out an unannounced inspection at the home in February this year as part of its inspection program for 2016/17, and inspectors found that the provider had failed to provider services that were safe, effective, caring, responsive to people’s needs and services that were well led.

Overall, Marsh House has been rated Inadequate and has been placed into special measures.

A previous inspection in November 2014 rated the service Requires Improvement overall, inspectors returned to the service and found that the provider could not evidence any significant improvements and could not demonstrate any robust systems to ensure the service was delivering high quality care. Staff did not always know how to keep people safe or how to recognise safeguarding concerns, and the provider did not appear to be effectively dealing with complaints – concerns had been raised but little or no action resulted from the complaint being raised. The provider was not employing a robust system to record accidents and incidents, and therefore could not mitigate any risk in future or prevent reoccurrence. Medicine management in the home was poor – the provider had failed to ensure medication was available at all times and one person’s medication had run out over a weekend, inspectors found errors and omissions regarding the medication procedures in the home. Management were generally unaware of the residents health needs and were not providing staff with effective training and supervision to ensure they had the necessary skills to appropriately care for the people in the home.

A full report is available.

Debbie Westhead, Deputy Chief Inspector of Adult Social Care in the North, said:

“It is extremely disappointing that the provider has not taken the findings of our inspection in 2014 seriously and failed to make the required improvements to ensure the people living in Marsh House are well cared for.

“People are entitled to services which provide safe, effective, compassionate and high quality care and we have told the provider that the lack of identifiable improvement is unacceptable.

“We have been working with Lancashire County Council to ensure that people living at the home are not at undue risk. We will continue to monitor this care home. The service has been placed into special measures – and we are considering taking enforcement action and will report on this action when it is completed.”

Any regulatory decision that CQC takes is open to challenge by a registered provider/person through a variety of internal and external appeal processes.


For further information please contact CQC Regional Communications Officer Mark Humphreys on 0191 233 3519 or 07881656012. Journalists wishing to speak to the press office outside of office hours can find out how to contact the team here. Please note: the press office is unable to advise members of the public on health or social care matters. For general enquiries, please call 03000 61 61 61.

Last updated:
29 May 2017

Notes to editors

Special Measures

  • All adult social care services inspected since 1 April 2015 that receive an overall rating of Inadequate will be placed into special measures by CQC. The regime is designed to make sure there is a timely and coordinated response to inadequate care and we will use it alongside our enforcement policy.
  • When a service is in special measures it is the provider’s responsibility to improve, seeking appropriate support from its own resources and from other relevant organisations. When we can, we will signpost providers to improvement support agencies.   
  • Those services will be inspected again within six months. If a service demonstrates improvements and is no longer rated as inadequate for any of the five key questions we will take it out of special measures. If sufficient improvements have not been made and there remains a rating of inadequate for any key question or overall, we will take further action which may include cancelling the registration of that service.
  • More information on our special measures process.

Providers must display their ratings on their premises and on their websites so that the public can see their rating quickly and easily. This should be done within 21 days of publication of their inspection report. Further information on the display of CQC ratings.

About the Care Quality Commission

The Care Quality Commission (CQC) is the independent regulator of health and social care in England.

We make sure health and social care services provide people with safe, effective, compassionate, high-quality care and we encourage care services to improve.

We monitor, inspect and regulate services to make sure they meet fundamental standards of quality and safety and we publish what we find to help people choose care.