CQC report explained · a residential care home
What the CQC found at Marian House
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
What inspectors found, March 2022
Inspected but not rated; inspectors found good infection-control arrangements but identified a vaccination breach that was corrected immediately.
This was an announced, targeted inspection on 15 February 2022. Inspectors looked at infection prevention and control, visiting arrangements, and whether staffing pressures linked to COVID-19 were affecting the home.
The home had suitable visiting arrangements, including a separate visiting room, video calls and electronic messaging. Inspectors were assured that the home was using PPE safely, managing infection risks, supporting testing and keeping its infection-control policy up to date.
Inspectors found that unvaccinated staff members had been working in the home, which was a breach of Regulation 12(3). They were not providing care, and the registered manager immediately moved them to work from home. The service was inspected but not rated, so this report does not give an overall quality rating.
Support for family visits
The home worked with relatives to arrange visits in ways suited to people living there. It also encouraged telephone and video contact.
“The service works in partnership with relatives to ensure visits are facilitated in the most appropriate way for the people who live in the home.” from the report
PPE available
PPE stations were available around the home and were well stocked. Staff were seen using PPE correctly.
“PPE stations were placed at numerous appropriate points throughout the home and were well stocked.” from the report
Infection-control arrangements
Inspectors were assured that the home had measures covering visitors, testing, hygiene, social distancing, admissions and infection outbreaks.
“We were assured that the provider's infection prevention and control policy was up to date.” from the report
Unvaccinated staff had worked in the home
seriousInspectors found that staff members who were unvaccinated had been working in the home. This was a breach of Regulation 12(3), although they were not involved in providing care and were immediately moved to work from home.
“We identified a breach of Regulation 12(3), but the Government has announced its intention to change the legal requirement for vaccination in care homes.” from the report
- 01How do you now check that staff and visiting professionals are vaccinated or have an exemption?
- 02How do you make sure staff who do not meet the vaccination requirements do not work inside the home?
- 03How are visits arranged, and how often is the separate visiting room cleaned and ventilated?
- 04How do you monitor PPE use, testing and infection outbreaks?
- 05What measures are in place if COVID-19 causes staff shortages?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; the service was inspected but not rated and the other key questions were not assessed. This explanation was written from the published report of 15 March 2022 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, January 2021
Marian House was inspected but not rated; inspectors found good infection-control practice during a targeted visit.
This was an announced, targeted inspection on 8 December 2020. It looked at infection prevention and control because of coronavirus outbreaks in care homes.
The inspectors were assured that the home was managing infection risks. This included the use of personal protective equipment, testing, social distancing, shielding, hygiene and procedures for visitors and new admissions.
The home was also supporting people's wellbeing through arts, crafts, cooking and sensory activities. During restrictions, relatives could keep in touch through window visits, video calls, telephone calls and email updates.
The service was inspected but not rated. This means the report does not give an overall rating or full ratings for the five usual areas of care.
Infection control
Inspectors were assured that the home had arrangements covering visitors, admissions, PPE, testing, hygiene and outbreaks.
“We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
Activities and wellbeing
Staff supported people with arts, crafts and cooking, and the home bought sensory equipment and arranged celebrations.
“To promote positive wellbeing, staff supported people with a range of arts, crafts and cooking.” from the report
Contact with relatives
The home developed a visiting protocol with relatives and used window visits, video calls, telephone calls and email updates when normal visits were restricted.
“A visiting protocol was developed in consultation and partnership with relatives to ensure this was developed in the best interests of people living at Marian House.” from the report
Staff protection
Staff had a separate entry route, changing facilities, scrubs and infection-control supplies to reduce risks inside and outside work.
“Staff were provided with scrubs and early on in the pandemic were given 'home packs' which included Personal Protective Equipment and hand sanitiser” from the report
Inspectors raised no specific concerns in this report.
- 01What infection-control arrangements are in place now, including testing, PPE and managing any outbreak?
- 02How can relatives visit now, and what alternatives are available if visits are restricted?
- 03How will the home support my relative's wellbeing and activities?
- 04What information will the home provide about changes to visiting arrangements?
- 05When was the service last fully assessed for personal care, staffing, medicines and management, as this inspection was not rated?
This was a targeted inspection of infection prevention and control practices only; the service was inspected but not rated and the report does not provide full ratings for the other areas of care. This explanation was written from the published report of 7 January 2021 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Marian House
Each visit the CQC has published, newest first, back to the day the home was registered.
- March 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- January 2021Inspected but not ratedSafe: Inspected but not rated
- July 2019GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2017
Registered with the Care Quality Commission on 30 November 2017.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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