# Marcus and Marcus Ltd

*Operated by Marcus & Marcus Limited.*

Marcus and Marcus Ltd is a CQC-regulated home-care agency in Enfield.

## CQC Ratings

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

Rating published: 13/12/2023

## Practical info

- Postcode: EN3 7XU
- Registered manager: Karki, Darsana
- Local authority: Enfield
- Region: London
- City: Enfield
- Last CQC check: 13/Dec/2023 - 00:00

## Inspection findings

### caring

- Finding
  - Supporting people to express their views and be involved in making decisions about their care
  - Published: 2023-12-13
- Finding
  - Ensuring people are well treated and supported; respecting equality and diversity; privacy, dignity and independence
  - Published: 2023-12-13

### effective

- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2023-12-13
- Finding
  - Supporting people to live healthier lives, access healthcare services and support
  - Published: 2023-12-13
- Finding
  - Supporting people to eat and drink enough to maintain a balanced diet
  - Published: 2023-12-13
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2023-12-13
- Finding
  - Assessing people's needs and choices; delivering care in line with standards, guidance and the law
  - Published: 2023-12-13

### Other

- Finding
  - Evidence: Staff wellbeing and retention initiatives including bonuses, career pathways and additional training opportunities.
  - Published: 2023-12-13
- Finding
  - Evidence: Strong duty of candour culture with open, transparent incident review and learning embedded at all levels.
  - Published: 2023-12-13
- Finding
  - Evidence: Innovative use of telehealth technology in partnership with the NHS to monitor health data and reduce hospital admissions.
  - Published: 2023-12-13
- Finding
  - Evidence: Exceptionally positive feedback from relatives, commissioners and health/social care professionals about leadership, culture and outcomes.
  - Published: 2023-12-13
- Finding
  - Evidence: National Autistic Society Autism Accreditation achieved in 2022, demonstrating sector-leading autism practice.
  - Published: 2023-12-13
- Finding
  - Evidence: STOMP-compliant medicines management achieving significant PRN reductions, e.g. 87% reduction for one individual.
  - Published: 2023-12-13
- Finding
  - Evidence: Outstanding communication support using PECS, Makaton, social stories, objects of reference and easy-read materials tailored to each person.
  - Published: 2023-12-13
- Finding
  - Evidence: Staff specifically recruited and matched to individuals based on assessed needs and person specifications, with a 16-week induction programme.
  - Published: 2023-12-13
- Finding
  - Evidence: In-house Positive Behaviour Support (PBS) team delivering bespoke, evidence-based interventions that reduced distress, PRN medication use, and restraint.
  - Published: 2023-12-13

### responsive

- Finding
  - Improving care quality in response to complaints or concerns
  - Published: 2023-12-13
- Finding
  - Supporting people to develop and maintain relationships; support to follow interests and activities
  - Published: 2023-12-13
- Finding
  - Meeting people's communication needs
  - Published: 2023-12-13
- Finding
  - Planning personalised care to ensure people have choice and control and to meet their needs and preferences
  - Published: 2023-12-13

### safe

- Finding
  - Preventing and controlling infection
  - Published: 2023-12-13
- Finding
  - Learning lessons when things go wrong
  - Published: 2023-12-13
- Finding
  - Safeguarding people from abuse and harm
  - Published: 2023-12-13
- Finding
  - Using medicines safely
  - Published: 2023-12-13
- Finding
  - Staffing and recruitment
  - Published: 2023-12-13
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2023-12-13

### well_led

- Finding
  - Engaging and involving people, the public and staff; working in partnership with others
  - Published: 2023-12-13
- Finding
  - Managers and staff understanding quality performance, risks and regulatory requirements; continuous learning
  - Published: 2023-12-13
- Finding
  - Duty of candour
  - Published: 2023-12-13
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2023-12-13

## 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/1-152808241

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