Latest Inspection
This is the latest available inspection report for this service, carried out on 31st March 2010. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Marden Court.
Annual service review
Name of Service: Marden Court The quality rating for this care home is: The rating was made on: two star good service 1 9 0 3 2 0 0 9 A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Malcolm Kippax Date of this annual service review: 2 3 0 2 2 0 1 0 Annual Service Review Page 1 of 8 Information about the service
Address of service: Quarr Barton Calne Wiltshire SN11 0EE 01249813494 Telephone number: Fax number: Email address: Provider web address:
manager.mardencourt@osjctwilts.co.uk www.osjct.co.uk The Orders Of St John Care Trust Name of registered provider(s): Name of registered manager (if applicable) Conditions of registration: Category(ies) : dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Conditions of registration: No more than 2 service users with Dementia (DE(E)). No more than 4 service users over the age of 65 years with a mental disorder MD(E) may be admitted at any one time. The maximum number of service users who may be accommodated at any one time is 28. Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service
Annual Service Review Page 2 of 8 Number of places (if applicable): Under 65 Over 65 0 0 0 2 4 28 1 9 0 3 2 0 0 9 Marden Court was built in the 1960s as a purpose built care home. The home also provides day care facilities. Marden Court is set in its own grounds, in a residential area close to Calne town centre. People who live at the home have their own bedrooms on the ground and first floors. A passenger lift is available. There is a range of communal space, which includes a choice of lounges and a separate dining room. Further information about Marden Court is provided in a Statement of Purpose. Details of fee levels and a copy of the last inspection report are available from the home. Inspection reports can also be seen on the Commissions website at www.cqc.org.uk Annual Service Review Page 3 of 8 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection on 19th March 2009. This included: - The annual quality assurance assessment (AQAA) that was sent to us by the home. The AQAA is a self-assessment that focuses on how well outcomes are being met for the people who use the service. It also gives us some numerical information about the home. - Surveys that have been returned to us giving peoples views about the home. - Information we have about how the home has managed any complaints. - What the home has told us about things that have happened during the last year. - The previous key inspection and the results of any other visits that we have made to the home in the last 12 months. - Relevant information from other organisations. - What other people have told us about the home. What has this told us about the service? In January 2010, we received an AQAA from the manager, which gave us information about the homes strengths and what has happened during the last 12 months. The AQAA included a summary of what the home does well: - All residents receive the necessary information about Marden Court to enable them to make an informed choice about moving into the home, all admissions to the home in the past year have been successful. - Being part of the Order of St John Care Trust, we have policies and procedures in place to ensure a high standard of care to our residents ensuring their safety, protection and well being. All our systems are monitored on a regular basis to ensure these standards are maintained. The home has a robust complaints procedure and has open approach when responding to complaints and ensures they are dealt with in line with the policy. - All staff undergo rigorous recruitment procedures to ensure protection of the residents. - Marden Court has a holistic approach to the care of its residents ensuring that they are treated as individuals, have choices about how they live their lives, have the opportunity to live fulfilling lives and are involved in the care planning process. The home offers an extensive range of activities including group and individual activities. The home provides good quality home cooked food and a choice of menu. Marden Annual Service Review Page 4 of 8 Court is a purpose built home and offers a suitable, homely and comfortable environment. - The home has a dedicated team of staff, the senior team having many years of experience. I have an open style of management and provide regular support and guidance to the staff team. We were told in the AQAA about improvements that have been made during the last year, such as providing staff with in depth Dementia training and making changes in recording, so that there was a better standard of communication. We were also given information about changes that have been made as a result of listening to the people who use the service: - We have a wide range of activities in place which has significantly increased with the introduction of a new activities co-ordinator who is contracted to work 25 hours a week. She works well together with the residents and their families to identify exactly what they would like to see and do across the week. - Over the last year we have been undertaking more redecoration works incorporating the residents ideas and choices of colour, furniture and fabrics. The home is much more homely and welcoming for all the residents and their families. Room improvements have been carried out taking into consideration the residents preferences and we have also improved the rooms with additional bedroom furniture. - We have added extra lighting in the communal areas making the home brighter and homely. - More hours have been allocated to the ancillary to include cover in the Laundry and extra care of laundry in the residents rooms. This is also assisted with the appointment of a Care Support Worker. - We have also sourced a second hairdresser for Marden Court giving the residents more choice of who they like to visit and more options of when they can visit the hairdresser. - We continue to improve our menu as requested by residents. They are able to choose their meals at the time of serving, whether in the dining room or individual room service. To aid choice, we can visually display the options available. Following on from the feedback from the residents we have incorporated their ideas and suggestions. - We continue to have an extra 7 hours at a senior level which is off rota for senior care staff to complete administration duties without compromising the care to the residents. We were told in the AQAA that the feedback from the homes annual survey for this year will form the basis for the on-going improvements and developments of the home. It was also reported that next years budget will include funding for new light fittings. There was information in the AQAA about how equality and diversity was being promoted in the home. We were told that all new staff were introduced to Equality and
Annual Service Review Page 5 of 8 Diversity during induction and that care staff were undertaking the Alzheimers Society Accredited Quality Dementia Care Course. It was also reported that the manager had created a resource area in the care office, which included information about equality and diversity and was being regularly updated with new materials. As part of this ASR, we sent surveys to the home so that these could be given out to the people who use the service, and to staff members. We received surveys back from nine people who use the service and from five staff members. In the surveys, we asked the people who use the service whether they received the care and support that they needed. Eight people responded Always and one person Usually. People told us that they always or usually liked the meals at the home. They thought that the home was kept fresh and clean. People knew who they could talk to if not happy with something. A number of people commented on what the home does well: - Food. - At every thing we get given choice, to be able to take part in activities and outings. - The home does well, with the facilities available. The staff work hard and do their best. - The home feels homely, and make my visitors feel welcomed. - I have no complaints. The staff are all very nice and look after you. - Everything, make you feel at home. Very comfortable and homely, it is a home. I always say the girls are my extended family. Its got to be one of the best. - Care for people. - The home does everything well, and tries to accommodate our suggestions. - Marden Court is a good home, and staff are friendly and willing to help. The staff see to all my needs, and make sure I am informed of the care they are giving me. - The food very nice. Two people commented on things that the home could do better: - If there was more money available the home could make more improvements with furniture, decorating, etc. - I wish we had two hoists and you didnt have to wait. The five staff members who completed surveys told us that checks such as a CRB (Criminal Records Bureau) disclosure and references had been carried out before they started work. Their induction had covered everything well and they were receiving enough support from the manager. The staff members confirmed that they were given
Annual Service Review Page 6 of 8 up to date information about the needs of the people who they supported. They knew what to do if someone had concerns about the home. When we asked What does the home do well? the staff members commented: - I feel Marden Court is really good at meeting the need of the residents. Gives them a wide choice of activities and one to one time. I feel the staff work well as a team and there is good communication within the team. - I feel that Marden Court has a very homely atmosphere. It gives the residents a wide range of activities and gets lots of feedback from the residents on what they like to do. Marden Court is always clean and tidy. Staff work well as a team and give the best care possible to all the residents. - The home is very well run and organised, the care that the residents get is of a high standard. There is good team work amongst the staff and good communication. The home is very friendly and feels like HOME from HOME. Very good food for the residents and always a CHOICE. Activities are always available for RESIDENTS to join in to fulfill their day. Always CLEAN and well presented. - Meet the needs of the residents. Provide a high standard of care. Involve families in residents care. Treat people as an individual. Always take into account peoples dignity - pride - choice. Provide regular meetings for both staff and residents to voice any concerns they have. - Excellent care to residents. Regular training and meetings. Provide a good choice at meal times. Residents classed as individuals. From the information that we have received, our judgement is that the home listens to the people who use the service and knows how to make improvements which will enhance the service that they receive. Shortly before completing this ASR, we received a notification telling us that the registered manager had moved to another home that is run by the Orders of St John Care Trust. A temporary manager was now in post, prior to the appointment of a permanent manager. What are we going to do as a result of this annual service review? Subject to any changes in registration and inspection practice following implementation of the Health and Social Care Act 2008, our current plan is to do a key inspection by 19th March 2011. However, we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people who use the service. Annual Service Review Page 7 of 8 Reader Information
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