Marillac Neurological Care Centre

The care home premises accommodate 52 people in three units within one adapted building and three small bungalows for people undertaking rehabilitation. It is set in a woodland area with landscaped accessible gardens.

Governance systems were in place to monitor the health and safety for everyone using and working in the service. Improvements to the auditing process in the areas identified in this inspection were needed.

The service had enough staff to meet the needs of the people. Staff had been safely recruited; however, we found some gaps in staff members employment history. These were identified and dealt with quickly during the inspection.

Staff understood about safeguarding people in their care and processes were in place to inform and notify the relevant authorities. Assessments of the risks to people's health and wellbeing were undertaken and kept updated. The environment was clean and infection prevention and control measures were effective.

The provider had learnt lessons when things had gone wrong and made the necessary improvements.

People's needs and choices were assessed and care, treatment and support was delivered in line with current legislation. The induction, training and supervision of staff was provided to ensure they had the knowledge and understanding to carry out their roles and responsibilities.

People's nutrition and hydration needs were catered for and monitored. Staff teams within and across the service worked together and people had access to healthcare services which delivered effective care, support and treatment.

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.

The staff were caring and kind. They spoke about people in a warm and compassionate way. People's dignity and privacy were respected.

People had an assessment of their needs which included their choices, wishes and preferences. This provided staff with the information they needed to respond to people in a safe and effective way.

Relatives and friends were encouraged to visit and get involved in the service, providing company and support. There was a range of social and leisure activities on offer and we saw the group activity sessions were well attended.

People were able to raise concerns and we saw complaints had been responded to. Peoples end of life care wishes had been recorded where these had been discussed.

People, relatives and staff spoke positively about the service and the management of it. Their views were sought through surveys, feedback and complaints. Improvements were made as a result of people's feedback.