Marchfield House

We found the following examples of good practice.

At the time of our visit the home did not have any people living in the home that had contracted Covid-19 and 100% of people had received their first vaccine for Covid-19.

The home was free from clutter and clean. There were cleaning schedules in place for day to day cleaning. Personal protective equipment (PPE) was available in the main entrance. All the bedrooms of people living in the home and bathrooms had PPE, there was also PPE in the home's main reception. Handwashing guidance was displayed throughout the home. To allay any anxiety people may have in regard to staff wearing PPE, the home had provided people with an activity where they all tried a face mask on, and one person had dressed in full PPE.

The home provided effective and safe ways for people to visit their relatives during the Covid-19 pandemic. Visiting arrangements were in accordance with Public Health England guidance. Staff had contacted families and carers and spoken with them about the home's social distancing and visiting arrangements. The home provided window visits for relatives. People living in the home and relatives could see each other through a window whilst speaking to each other on the phone. Internally the home had built a plastic screened visitors' hub in the main reception area. There was a booking system in place to enable families to book visits to see their relatives in the hub.

The home offered families and carers calls from a range of video calling providers. Families and carers could use the video calling system at any time. The home also provided telephone calls for carers and families at any time.

The home had a contingency plan in the event of an outbreak of Covid-19 in the home. As a contingency plan, the home could shut down wings. All wings were separated by corridor fire doors. The home could zone people if required in the event of an outbreak.

The service participated in the whole home testing programme, this meant residents were tested for Covid- 19 every 28 days. The home's staff were tested for Covid-19 every seven days. This was supplemented by twice weekly lateral flow testing twice weekly, these are rapid tests used to detect Covid-19.

The home had systems in place to ensure staff isolated for the required period should they test positive for Covid-19. Staff breaks whilst at work were staggered for social distancing purposes and taken in the home's garden.

The home had risk assessments in place for staff that may be more at risk if they contracted the virus.

To enable staff in providing care safely, staff had received additional infection prevention and control (IPC) and Covid-19 training to ensure they understood what actions to take in the event of residents or themselves becoming symptomatic.

The home's infection prevention and control (IPC) policy was satisfactory. IPC audits were completed regularly and included extra measures the home had put in place due to Covid-19. Any shortfalls identified in IPC audits were addressed immediately.

The five questions we ask about services and what we found