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CQC report explained · a residential care home

What the CQC found at Marvels House

Goodpublished 13 June 2018, 8 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People were protected from abuse and avoidable harm. Inspectors found suitable staffing, safe medicines management, infection control and learning from incidents.
Effective?
Good
Care plans reflected people’s needs and staff received induction, training and supervision. People’s nutrition, hydration and healthcare needs were supported.
Caring?
Good
Staff treated people kindly, respected their privacy and dignity, and involved people and relatives in care decisions.
Responsive?
Good
Care was adjusted when people’s needs changed. People were supported with activities, relationships, complaints and developing independent living skills.
Well-led?
Good
The registered manager was described as visible and approachable. Audits, meetings and feedback were used to monitor and improve the service.
The latest report, explained

What inspectors found, June 2018

Rated Good; inspectors found safe, kind and personalised care across all five areas.

This was the home’s first comprehensive inspection since it registered. The visit was unannounced and took place on 17 April 2018. One inspector spoke with people living at the home, a visitor, staff and managers, observed care, and checked care records, staff files and management records.

The inspectors found that people were protected from abuse and avoidable harm. Medicines were managed safely, staffing levels were suitable, and staff were recruited, trained and supported appropriately. People’s health, nutrition and hydration needs were met, and the home was well maintained.

People were treated with kindness and respect. Staff knew people well, involved them in decisions, supported their hobbies and helped them build independence. The home had a person-centred culture, and audits were used to monitor care and address any shortfalls.

The overall rating was Good. Safe, Effective, Caring, Responsive and Well-led were all rated Good. This means the inspectors found the service met the relevant standards at the time of this inspection.

What inspectors praised
  • Safe medicines support

    Staff were trained and assessed as competent. Records showed medicines were administered safely and audits were completed.

    “Medicines administration records were completed and did not contain any evidence of errors.” from the report
  • Kind, respectful care

    Inspectors observed calm and respectful interactions. People said staff knew them well and respected their choices, privacy and dignity.

    “People were cared for in a kind and caring manner.” from the report
  • Activities and independence

    People had individual activity programmes and were supported with hobbies, community activities and daily living goals.

    “People made progress in achieving their goals and received support from staff and other healthcare professionals such as occupational therapists.” from the report
  • Good oversight

    The registered manager used audits and meetings to check care, medicines, risks, records, finances and staff support.

    “The checks were effectively used to identify any areas of improvement and to maintain good standards of practice.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How will you match staffing and support to my relative’s needs if the number of people living at the home increases?
  2. 02How will you review and update my relative’s care plan if their mental health, eating, sleeping or community access needs change?
  3. 03What activities and independent living goals would you plan around my relative’s own interests?
  4. 04How are medicines audits and staff competency checks carried out and followed up?
  5. 05How can relatives raise concerns, and how will they be kept informed about the outcome?

This was the first comprehensive inspection since registration, and it looked at the premises, care, records, staff files, observations and management systems. This explanation was written from the published report of 13 June 2018 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.

The story over the years

Every inspection of Marvels House

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. June 2018Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Marvels House →

  2. March 2017

    Registered with the Care Quality Commission on 19 March 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.

Next steps

Weigh the report against the rest

Care at home

At least 100 live-in carers within about an hour of Lewisham

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 £950 to £1,260 a week. 82 can care for a couple. 11 years' experience on average.

“She cared for my mum with Alzheimer's with endless patience and kindness, always arriving with a smile and a positive attitude”
Marie-anne B., about Carla A.
“Usha rapidly became 'one of the family' and is sorely missed.”
Claire T., about Usha V.
See live-in carers near LewishamProfiles, rates and reviews are free to look at.

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.