La Marsh

Updated 29 November 2019

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.

Inspection team

The inspection was carried out by one inspector over two days. The first day was spent in the home. The second day was spent contacting people who had connections with the home to seek feedback.

Service and service type

La Marsh 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 the last inspection. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection-

We spoke with one person who used the service about their experience of the care provided. We met the other people living at La Marsh but they were not able to give their views on the home. We spoke with three members of staff including the registered manager, deputy manager and a support worker. We also observed the care and support being provided to help us understand the experience of people who could not talk with us.

We reviewed a range of records. This included two people’s care records and multiple medication records. A variety of records relating to the management of the service, including audits and health and safety documents were reviewed.

After the inspection –

We contacted three professionals who regularly visit the service and one family member for feedback.

Updated 29 November 2019

La Marsh is a residential care home providing personal care to four people with learning and physical disabilities at the time of the inspection. The service can support up to 6 people. The building is purpose built. There is a communal lounge, dining room and kitchen and large garden.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

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

The provider followed safe recruitment processes to ensure the right people were employed. Staff training included a thorough induction and ongoing training to ensure staff had the knowledge and skills they required to meet people’s needs. Staff were kind and caring and promoted people’s dignity and privacy. Staff knew what action to take to keep people safe.

There was safe management of medicines to ensure people received them as prescribed. Risks were assessed and reduced where possible. When incidents or accidents happened there were processes in place to prevent them from happening again. The home was clean and staff followed procedures to prevent the spread of infections.

People received food and drink of their choice. When needed people were supported to access healthcare professionals and receive ongoing healthcare support. People were supported to share their views and shape the future of the care they received.

Care plans provided staff with the information they required to meet people’s needs in a person centred way. People could choose how they wanted to spend their time. Various activities were offered to people. People were supported to receive end of life care in the way that they wanted and met their individual needs.

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.

There was an effective system in place to ensure that any areas for improvement were identified and actioned. People, their relatives and staff were aware of what to do if they needed to complain. People were supported to share their views and shape the future of the care they received.

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 (report published May 2017).

Why we inspected

This was a planned inspection based on the previous rating.