CQC report explained · a residential care home
What the CQC found at Murach House
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, September 2018
Murach House was rated Good; inspectors found safe, kind and personalised care with strong support for independence.
This was the home’s first CQC inspection since it registered in August 2017. Inspectors visited on 18 July 2018 and gave the home 24 hours’ notice. They observed care, spoke with relatives, the manager and staff, and checked care plans, medicines records, incident records, complaints and audits.
The inspectors found that people were protected from harm and received their medicines safely. Staffing levels, recruitment checks, risk assessments and emergency plans were in place. People had access to healthcare, suitable food and specialist support.
Staff were described and observed as kind, patient and respectful. Care plans reflected people’s communication needs, preferences and interests. People were supported to take part in activities, maintain family relationships and develop daily living skills.
The home had a positive culture and regular checks on the quality of care. All five areas were rated Good: safe, effective, caring, responsive and well-led. This was the first inspection, so there was no earlier CQC rating to compare.
Detailed safety planning
Risk and positive behaviour support plans gave staff detailed guidance about people’s needs, triggers and safe support. Incidents were reviewed and changes were made when needed.
“The plans were very detailed and demonstrated an in-depth knowledge of each person's support needs and personalities.” from the report
Safe medicines
Medicines were securely stored and records showed they were given as prescribed. The report also noted regular reviews and work to avoid unnecessary medication.
“There were no recording gaps in MAR charts and the stock counts matched the relevant records.” from the report
Kind and respectful staff
Inspectors observed relaxed, positive relationships between people and staff. Privacy, dignity and personal freedom were respected.
“Staff interacted with people in a kind and caring manner and it was evident close relationships had developed between people and staff.” from the report
Personalised activities
Each person had an activity programme based on their needs, hobbies and interests. People were supported at home and in the community.
“Each person had an individual activity programme in place which was designed around their needs, hobbies and interests.” from the report
Support for independence
People were encouraged to take part in everyday tasks and develop new skills. This included cooking, cleaning, shopping and managing household activities.
“People were encouraged to take an active role in the day to day running of the service and in developing independent living skills.” from the report
Quality checks
Regular audits tracked incidents, complaints, safeguarding, training and other areas. The report found that identified shortfalls were addressed promptly.
“There was a clear trail of quality audits which showed that where shortfalls had been identified, these were addressed promptly.” from the report
Weight and portion sizes
minorSome people had gained weight since moving in. The manager had started work with staff on portion sizes, so families may want to ask how this was monitored.
“The registered manager told us they had begun to work with staff on looking at portion sizes to ensure this did not become an issue in the future.” from the report
Goal planning still developing
minorThe home was working on goal planning with people, but the report said this work was still in progress.
“This showed that the service was currently working on goal planning with people. There was evidence that this work was in progress.” from the report
- 01How do you currently monitor people’s weight, food portions and healthy eating?
- 02How are people involved in setting and reviewing their personal goals?
- 03How do you make sure risk and positive behaviour support plans stay up to date when someone’s needs or triggers change?
- 04What activities and community opportunities would be available for my relative?
- 05How would you support my relative to maintain contact with family and build independence?
This was the first inspection since registration and covered all five CQC areas, including care, accommodation, records and how the home was managed. This explanation was written from the published report of 11 September 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.
Every inspection of Murach House
Each visit the CQC has published, newest first, back to the day the home was registered.
- September 2018Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2017
Registered with the Care Quality Commission on 25 July 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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77 live-in carers within about an hour of Surrey
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 £980 to £1,250 a week. 66 can care for a couple. 11 years' experience on average.
“Without his support we wouldn't have been able to navigate bringing and keeping Dad at home.”
“Not only has she looked after him beautifully, she has also been great company for him with lively conversation, kindness and humour.”
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.