Marieco Care Limited's Head Office was rated Good overall at its first inspection in April 2018, with safe, effective, caring, and responsive domains all Good, demonstrating strong personalised care, safeguarding, and staff practice. Well-led was rated Requires Improvement due to audit gaps failing to consistently identify missing records in MAR charts, consent forms, and care plans, though the registered manager responded promptly with a comprehensive improvement action plan.
Concerns (6)
moderateRecord keeping: “audits did not always identify gaps in people's care related documents including care plans, consent to care forms, medicines administration record charts and daily care logs”
moderateConsent / capacity: “consent to care forms were not always signed by the people and the reasons for people not signing the consent forms were not recorded”
moderateGovernance: “they did not always keep records of MAR charts and daily care logs audits. Audits did not always identify gaps and errors”
minorEnd-of-life care: “People's end of life care wishes were not discussed and staff were not trained in end of life care.”
minorMedication management: “we found a few gaps in the MAR charts...staff had forgotten to sign the MAR charts”
minorCare planning: “we found one person's care plan which although had been reviewed, did not reflect changes in their needs”
Strengths
· People felt safe with staff and found them trustworthy; robust safeguarding systems and trained staff in place
· Sufficient staffing levels with appropriate recruitment procedures and criminal record checks
· Staff received regular supervision, annual appraisals, and comprehensive induction and mandatory training
· Care plans were personalised with detailed information on likes, dislikes, life history, and cultural needs
· People were generally supported by consistent staff teams, promoting continuity of care
Quality-Statement breakdown (23)
safe: Safeguarding and protection from abuseGood
safe: Risk assessment and managementGood
safe: Staffing levels and recruitmentGood
safe: Medicines managementGood
safe: Infection controlGood
safe: Incident learning and missed visits monitoringGood
effective: Needs assessment and care planningGood
effective: Staff training and supervisionGood
effective: Nutrition and hydrationGood
effective: Access to healthcareGood
effective: Mental Capacity Act and consentGood
caring: Kindness, respect and dignityGood
caring: Involvement in care decisionsGood
caring: Independence and person-centred supportGood
caring: Cultural and religious competencyGood
responsive: Personalised care planningGood
responsive: Care reviews and involvementGood
responsive: Complaints handlingGood
responsive: End of life care planningRequires improvement
well-led: Leadership and cultureGood
well-led: Governance and audit effectivenessRequires improvement
well-led: Staff engagement and developmentGood
well-led: Engagement with people and external stakeholdersGood