Background to this inspection
Updated
23 August 2022
The inspection
This was a targeted inspection to check on concerns we had about safeguarding, staffing levels, care planning and quality management in the home.
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
This inspection was carried out by one inspector.
Service and service type
Marquis Court is a ‘care home’. People in care homes receive accommodation and nursing or personal care as 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 sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all of this information to plan our inspection.
During the inspection
We spoke with two people and three relatives about their experience of the care provided. We spoke with four members of staff including the registered manager, the administration manager, the senior supervisor and a care worker.
We reviewed documentation, inspected the safety of the premises and carried out observations in communal areas. We reviewed a range of records including three people’s care records, two staff files and quality audits. A variety of records relating to the management of the service, including policies and procedures were also reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We also reviewed all evidence sent to us.
Updated
23 August 2022
About the service
Marquis Court provides personal care and accommodation for up to 47 people, some of whom are living with dementia. At the time of the inspection there were 40 people living in the home.
People’s experience of using this service and what we found
People felt very safe living in the home and with the support they received from staff. They were happy and spoke highly of staff members and the registered manager. Comments included, “The care staff are really good, they’re wonderful.”
People were safeguarded from abuse. Risks to individuals and the environment were well managed. There were enough staff to meet people’s needs and they were recruited in a safe way. The provider learned from previous accidents and incidents to reduce future risks. Medicines were administered and managed safely. The premises were clean and tidy.
An assessment of people’s needs was completed before they moved into the home. Staff received regular training, supervisions and annual appraisals. People were supported to enjoy a balanced diet. People were supported to have maximum choice and control of their lives, and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice. Staff supported people to enjoy a balanced diet and to access a range of health care professionals.
People were well supported and cared for. Staff treated people with dignity and respect and encouraged them to maintain their independence. People were assisted to maintain relationships that were important to them and advocacy support was available, when needed.
People received care personalised to their individual needs and wishes. Staff knew how to communicate with people and most effective communication methods were detailed in care records. People and relatives knew how to raise concerns. Any complaints received were fully investigated and actioned. People enjoyed a range of activities inside the home and accessed the local community.
The home was well managed. People and relatives were complimentary about the home and felt the registered manager was open and approachable. A quality assurance process was in place. People, relatives and staff were regularly consulted about the quality of the care and support through surveys and meetings.
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 (published 5 July 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.