High-rate processes have been investigated for the recovery of organic matter from municipal wastewater. High-rate membrane bioreactors (HR-MBRs) may simultaneously achieve the increased recovery of carbon and high effluent quality, although control of membrane fouling is extremely difficult. To address the severe fouling in HR-MBRs, the combination of granular scouring and frequent chemically enhanced backwashing was examined. The use of robust flat-sheet ceramic membranes enabled the application of those cleaning strategies. Experiments were carried out at an existing wastewater treatment plant. To operate as a high-rate system, the bioreactor solid residence time and hydraulic residence time were set at 0.5 days and 1.6 h, respectively. Although a relatively high flux of 20 L m−2 h−1 was applied, the proposed HR-MBR exhibited a very low fouling rate of 1.3 kPa/day. The system could recover >70% of the carbon from raw wastewater, whereas the concentration of chemical oxygen demand in the effluent was lowered to <20 mg/L. The performance of the proposed HR-MBR observed in this study was clearly superior to those reported in previous related studies.