Working at Marsh House

Staff knew how to recognise abuse and protect people from the risk of harm. Risk assessments covered all areas of identified and known risk. Medicines systems were organised and people were receiving their medicines when they should. Lessons were learnt when issues happened.

The culture of the service was caring and staff were passionate and motivated about supporting people. Staff told us, 'I feel able to raise any concerns with the manager. They are very approachable and always happy to discuss anything.'

People, staff and relatives told us there were enough staff to meet people's needs. A staff member told us, 'There are enough staff to support people's needs. We are only covering with one agency staff member.'

Staff had a clear understanding of their role and what was expected of them. Training was completed face to face and included medication administration and safeguarding. One staff member told us, 'I have done dysphasia and managing behaviours training.' Competencies took place every three to six months.

The registered manager had a good oversight of what was happening in the service, and demonstrated an in-depth knowledge of all areas. Staff told us they felt listened to and that the registered manager and provider were approachable.

A weekly activities sheet showed varied activities taking place within the service. People able to follow a variety of interests, both internal and external: shopping, fitness park, town, voluntary work in charity shop.