CQC report explained · a residential care home
What the CQC found at Marion House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about testing, protective equipment, cleanliness, outbreak planning, safe admissions and visiting arrangements. The home also met the COVID-19 vaccination requirement for non-exempt staff and visiting professionals.
- Effective?
- Good
- This question was not assessed in this targeted inspection.
- Caring?
- Good
- This question was not assessed in this targeted inspection.
- Responsive?
- Good
- This question was not assessed in this targeted inspection.
- Well-led?
- Good
- This question was not assessed in this targeted inspection.
What inspectors found, February 2022
Marion House: Inspected but not rated; inspectors found good infection control and visiting arrangements during the COVID-19 pandemic.
This was an announced, targeted inspection on 18 January 2022. Inspectors looked at infection prevention and control, visiting arrangements and any staffing pressures linked to COVID-19.
Inspectors found regular COVID-19 testing, good vaccine uptake among residents, plans for managing an outbreak and effective use of protective equipment. The home was clean and infection control audits were being completed.
The home was meeting the requirement for non-exempt staff and visiting professionals to be vaccinated against COVID-19. This inspection did not give an overall quality rating. The service and the Safe question were marked “Inspected but not rated”.
Protective equipment and visiting
Inspectors found effective arrangements for protective equipment, visitor screening and hand sanitising. Visiting facilities had been adapted to follow current guidance.
“Effective systems were in place to ensure staff and visitors to the service followed government guidelines for wearing Personal Protective Equipment (PPE).” from the report
Clean environment
The home was clean, with extra cleaning of frequently touched surfaces and regular infection control audits.
“The service was clean, staff carried out daily and two hourly additional tasks, such as cleaning of any regular touchpoint surfaces.” from the report
Vaccination requirement
The home was meeting the requirement for non-exempt staff and visiting professionals to be vaccinated against COVID-19.
“The service was meeting the requirement to ensure non-exempt staff and visiting professionals were vaccinated against COVID-19.” from the report
Inspectors raised no specific concerns in this report.
- 01How are you currently managing staffing pressures related to COVID-19 or other infections?
- 02How do you currently arrange visits, including screening, protective equipment and use of the adapted sensory room?
- 03When was your most recent infection control audit, and what actions were identified or followed up?
- 04How do you test staff and residents for COVID-19, and what happens if there is an outbreak?
- 05How do you check that non-exempt staff and visiting professionals meet the COVID-19 vaccination requirement?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; it was not a full inspection and the service was not rated. This explanation was written from the published report of 4 February 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, March 2019
Rated Good in all five areas; inspectors found safe, kind and personalised care, with end-of-life planning still under review.
This was the first inspection since the home registered in April 2018. Two inspectors visited on 5 March 2019. They observed care, reviewed records and spoke with managers, staff, a family member and a social care professional. The two people living there could not share their views verbally, so inspectors also watched how staff supported them.
The home was rated Good overall and Good for Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicine arrangements, suitable risk assessments and clean surroundings. Staff knew people well and supported their choices, communication needs, dignity and independence.
Care plans were detailed and regularly updated. People could choose activities, food and how to spend their day, using pictures and audio devices where helpful. Managers used audits, meetings and feedback to improve the service. The report also says the approach to end-of-life care was being reviewed because nobody was receiving this care at the time.
Personalised communication
The home used pictures, easy-read information and audio devices to help people express choices and understand information. Care plans included detailed guidance about communication and sensory needs.
“Information was in a range of formats including visual and audio communication devices to support people's voices to be heard.” from the report
Kind and respectful care
Staff knew people well and supported them with kindness, privacy and dignity. People were encouraged to make choices and remain as independent as possible.
“People were supported and treated with dignity and respect; and involved as partners in their care.” from the report
Safe medicines and risk management
Inspectors found organised medicine systems, trained staff and reviewed risk assessments. The home also investigated incidents and introduced extra safeguards after a medicine error.
“Medicines were safely managed. Medicine systems were organised and people were receiving their medicines when they should.” from the report
Good leadership and improvement
Managers were visible and approachable. Audits, meetings and feedback were used to monitor quality and make changes.
“There was a management structure in place, which gave clear lines of responsibility and accountability.” from the report
End-of-life planning
minorNobody was receiving end-of-life care during the inspection. The provider was still reviewing its approach, including how people's wishes and preferences would be recorded.
“The provider was reviewing their approach to this area, to ensure people's wishes and preferences would be considered.” from the report
- 01Has the review of the home's end-of-life approach been completed, and how are each person's wishes now recorded?
- 02How will you keep our family updated about changes in care, appointments, incidents and concerns?
- 03How are pictures, audio devices and communication passports used for a new resident's individual communication needs?
- 04How do you make sure medicines, including as-needed and emergency medicines, are given and recorded correctly?
- 05How are staffing levels adjusted when residents go out or their needs change?
This was a planned full comprehensive inspection of the care and accommodation, covering all five CQC questions; it was the home's first inspection since registration. This explanation was written from the published report of 27 March 2019 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 Marion House
Each visit the CQC has published, newest first, back to the day the home was registered.
- February 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- March 2019GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2018
Registered with the Care Quality Commission on 27 April 2018.
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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62 live-in carers within about an hour of Derbyshire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £1,010 to £1,260 a week. 51 can care for a couple. 12 years' experience on average.
“Ernest is an amazing professional carer who delivers care from the heart.”
“We particularly appreciate the companionship Dawn gives in the evenings when she plays cards and Scrabble with my mother.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.