Marley Court Care Home Limited

Updated 30 December 2023

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

This inspection was carried out by one inspector.

Service and service type

Marley Court 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.

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations. At the time of our inspection there was a new manager in post who was registering with CQC.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we held about the service. We sought feedback from the local authority commissioning team. 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 took this into account when we inspected Marley Court and made the judgements in this report. We used all of this information to plan our inspection.

During the inspection

We spoke about Marley Court with three people, five relatives, two visiting professionals, six staff and two members of the management team. We walked around the building to carry out a visual check. We did this to ensure Marley Court was clean, hygienic and a safe place for people to live. We looked at records related to the management of the service. We checked care and medication records, staffing and recruitment files and quality and leadership oversight systems.

Updated 30 December 2023

About the service

Marley Court Care Home Limited is a care home providing nursing and personal care for up to 49 people who live with dementia and physical health conditions. At the time of our inspection there were 40 people using the service. Marley Court Care Home Limited will be referred to as Marley Court within this report.

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

The manager ensured people’s medicines were administered safely through staff training, good oversight and clear recordkeeping. Since commencing in post, they reviewed multiple processes and implemented a range of developments to enhance people’s safety. A relative explained, “It’s that sort of forward thinking I’m impressed with.” Everyone we spoke with confirmed there were sufficient staffing levels to meet people’s needs.

The manager and staff team engaged closely together to maintain people’s independence. A relative said, “The communication is excellent, it’s like a well-oiled machine here.” The manager and nurses assessed people’s nutritional needs and involved them and relatives in creating care plans to meet their preferences. Staff confirmed they were supported to access training to underpin their roles.

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. A visiting professional stated, “Without fail, the staff explain why we are here and what we are going to do. They check if that’s ok and gain their consent before we proceed.”

The manager and staff created an ethos of compassion and respect for people’s dignity, individuality and independence. Staff spoke consistently about a loving approach to care delivery and perceived people as their extended family. One staff member told us, “We have a lot of fun and laughter. I never forget how hard it must be for someone coming into a nursing home.” The management team ensured each person and their relatives were at the centre of their care planning.

The manager was enthusiastic about developing Marley Court as a safe, open and inclusive place to live. They had good oversight of quality assurance to ensure everyone’s safety. Everyone we spoke with talked about positive changes being implemented and that the home had strong leadership.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 10 October 2020 and this is the first inspection.

The last rating for the service under the previous provider was good, published on 09 October 2020.

Why we inspected

This was a planned inspection based on the service’s registration date.

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.