# Brendoncare Mary Rose Mews

*Operated by Brendoncare Foundation(The).*

Brendoncare Mary Rose Mews is a CQC-regulated home-care agency in Alton.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Good |
| Safe | Good |
| Effective | Good |
| Caring | Good |
| Responsive | Good |
| Well-led | Good |

Rating published: 08/09/2018

## Practical info

- Postcode: GU34 2UU
- Registered manager: Humphries, Nicola
- Local authority: Hampshire
- Region: South East
- City: Alton
- Last CQC check: 08/Sep/2018 - 00:00

## Inspection findings

### caring

- Finding
  - Privacy and dignity
  - Published: 2021-10-30
- Finding
  - Involvement in decisions
  - Published: 2021-10-30
- Finding
  - Caring relationships and staff attitude
  - Published: 2021-10-30

### effective

- Finding
  - Healthcare access
  - Published: 2021-10-30
- Finding
  - Nutrition and hydration
  - Published: 2021-10-30
- Finding
  - Consent and Mental Capacity Act
  - Published: 2021-10-30
- Finding
  - Supervision and support
  - Published: 2021-10-30
- Finding
  - Staff training and induction
  - Published: 2021-10-30

### Other

- Finding
  - Evidence: Complaints processes were accessible and documented, with evidence of investigation and feedback to complainants.
  - Published: 2021-10-30
- Finding
  - Evidence: Staff received appropriate induction, ongoing training across a wide range of areas, supervision, and supported professional development including NVQs.
  - Published: 2021-10-30
- Finding
  - Evidence: Effective governance processes including monthly audits, incident reviews, staff training monitoring, and regular quality questionnaires.
  - Published: 2021-10-30
- Finding
  - Evidence: People were supported to maintain independence, make decisions, and avoid social isolation through personalised, person-centred care.
  - Published: 2021-10-30
- Finding
  - Evidence: Robust safeguarding processes including training, supervision discussions, and body maps were in place to protect people from abuse.
  - Published: 2021-10-30
- Finding
  - Evidence: Staff demonstrated warm, caring relationships with people, respecting privacy, dignity, and individual preferences in care delivery.
  - Published: 2021-10-30
- Finding
  - Evidence: People consistently reported feeling safe and receiving care from familiar, consistent staff who arrived on time and stayed for the agreed duration.
  - Published: 2021-10-30
- **governance** _(critical)_
  - Evidence: The provider had failed to ensure that all of the required information was available in relation to each staff member employed. This was a breach of Regulation 19 (3).
  - Published: 2021-10-30
- **record_keeping** _(critical)_
  - Evidence: Two of the staff employment records reviewed did not contain photographic evidence of their identity or a full employment history.
  - Published: 2021-10-30
- **staff_competency** _(moderate)_
  - Evidence: The domiciliary care supervisor told us they did not assess staff competency to administer medicines following completion of their training.
  - Published: 2021-10-30

### responsive

- Finding
  - Complaints handling
  - Published: 2021-10-30
- Finding
  - Support for independence and social inclusion
  - Published: 2021-10-30
- Finding
  - Person-centred care planning
  - Published: 2021-10-30

### safe

- Finding
  - Medicines management
  - Published: 2021-10-30
- Finding
  - Risk management
  - Published: 2021-10-30
- Finding
  - Safeguarding
  - Published: 2021-10-30
- Finding
  - Recruitment practices
  - Published: 2021-10-30
- Finding
  - Staffing levels and consistency
  - Published: 2021-10-30

### well_led

- Finding
  - Quality assurance and improvement
  - Published: 2021-10-30
- Finding
  - Culture and staff engagement
  - Published: 2021-10-30
- Finding
  - Leadership and management arrangements
  - Published: 2021-10-30
- Finding
  - People and relative engagement
  - Published: 2018-09-08

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-123853924

HomeCare Compass is an independent guide and is not affiliated with the CQC.