# Beverley Martins Limited

Beverley Martins Limited is a CQC-regulated home-care agency in London.

## CQC Ratings

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

Rating published: 25/04/2019

## Practical info

- Postcode: SE6 2RA
- Local authority: Lewisham
- Region: London
- City: London
- Last CQC check: 01/Dec/2020 - 00:00

## Inspection findings

### caring

- Finding
  - Involvement in care decisions
  - Published: 2021-10-30
- Finding
  - Kindness, compassion and dignity
  - Published: 2021-10-30

### effective

- Finding
  - Mental Capacity Act compliance
  - Published: 2021-10-30
- Finding
  - Staff training, supervision and appraisal
  - Published: 2021-10-30
- Finding
  - Healthcare needs documentation
  - Published: 2021-10-30
- Finding
  - Nutrition and care record detail
  - Published: 2021-10-30

### Other

- Finding
  - Evidence: Infection control training in place and staff demonstrated good knowledge of practices.
  - Published: 2021-10-30
- Finding
  - Evidence: Provider had a clear vision and values-driven strategy; staff were familiar with organisational values.
  - Published: 2021-10-30
- Finding
  - Evidence: Complaints were investigated and responded to in a timely manner.
  - Published: 2021-10-30
- Finding
  - Evidence: Provider working in line with the Mental Capacity Act 2005; care records signed by service users or lawful representatives.
  - Published: 2021-10-30
- Finding
  - Evidence: People and relatives gave consistently positive feedback about care workers' kindness, respect and dignity.
  - Published: 2021-10-30
- Finding
  - Evidence: Staff received induction, mandatory training, regular supervision every two months, and annual appraisals.
  - Published: 2021-10-30
- Finding
  - Evidence: Sufficient staffing levels in place; visit timings could be extended if required.
  - Published: 2021-10-30
- Finding
  - Evidence: Recruitment processes were thorough, with employment histories, references, ID and DBS checks completed before staff started.
  - Published: 2021-10-30
- Finding
  - Evidence: Medicines were administered safely; MAR charts reviewed monthly by senior staff with discrepancies followed up.
  - Published: 2021-10-30
- Finding
  - Evidence: Safeguarding procedures were in place and staff demonstrated good understanding of how to recognise and report abuse.
  - Published: 2021-10-30
- **care_planning** _(minor)_
  - Evidence: care records did not always include exact details of what assistance people needed in relation to their nutrition.
  - Published: 2021-10-30
- **care_planning** _(moderate)_
  - Evidence: we did not find evidence of specific risk assessments relating to the risk of people falling in any care records we viewed.
  - Published: 2021-10-30
- **person_centred_care** _(moderate)_
  - Evidence: most care records contained either very limited or no information about people's life history or preferences in relation to how they wanted their care to be delivered.
  - Published: 2021-10-30
- **governance** _(moderate)_
  - Evidence: the organisation's internal monitoring did not include a check of people's care records and therefore, the issues we found in relation to people's care records had not been identified.
  - Published: 2021-10-30
- **record_keeping** _(critical)_
  - Evidence: The provider did not always maintain an accurate and complete record in respect of each service user. Regulation 17(1)(2)(c).
  - Published: 2021-10-30
- **care_planning** _(critical)_
  - Evidence: risk assessments and support plans contained some information for staff, but did not contain a sufficient level of detail about how care workers were expected to mitigate known risks.
  - Published: 2021-10-30

### responsive

- Finding
  - Complaints handling
  - Published: 2021-10-30
- Finding
  - Person-centred care planning and preferences
  - Published: 2021-10-30

### safe

- Finding
  - Staffing and recruitment
  - Published: 2021-10-30
- Finding
  - Medicines management
  - Published: 2021-10-30
- Finding
  - Safeguarding
  - Published: 2021-10-30
- Finding
  - Risk assessment and care planning
  - Published: 2021-10-30

### well_led

- Finding
  - Vision, values and leadership
  - Published: 2021-10-30
- Finding
  - Governance and quality monitoring
  - Published: 2021-10-30

## 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/1-331211292

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