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.