Marama Care HQ

Date of Assessment: 24 March to 8 April 2026. The service is a supported living service, providing personal care to adults under and over 65 years old and children, living with dementia, learning disabilities, mental health conditions, physical disabilities and sensory impairments.

We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.

At our last assessment the provider was in breach of 4 legal regulations in relation to consent, safe care and treatment, good governance and failure to notify CQC of a notifiable safety incident.

This assessment focused on whether the provider had taken sufficient action to address the concerns from the last assessment and whether people were now receiving care that was safe, effective, caring and well led.

There was evidence of improvement since the previous assessment. Leaders had taken steps to strengthen governance systems, including the introduction of new audit processes, external governance support and clearer accountability arrangements. Incident reporting systems had been reviewed, learning from incidents was shared with staff, and leaders were open and responsive throughout the assessment process.

Staff demonstrated a good understanding of people’s individual needs, and we observed kind, respectful and person‑centred interactions. People were supported to make choices about their daily lives and to access their community. Risk assessments and care plans showed staff understood key risks, and in several cases support had improved, including better monitoring of health needs and more consistent recording of incidents.

Date of assessment: 16 June to 21 July 2025. This assessment was prompted by information of concern received in relation to risk management, a serious injury and staff training. Marama Care HQ is a Homecare agency and supported living service. This assessment report specifically details the supported living side of the service. The service specialises in supporting people under and over 65 years old (including children), living with dementia, learning disabilities, physical disabilities, mental health conditions and sensory impairment. At the time of our assessment the service was not providing the regulated activity to children.

We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.

At this assessment we found the overall rating of the service was requires improvement.

We identified 4 breaches of regulation in relation to consent, safe care and treatment, good governance and a failure to notify CQC of a notifiable safety incident. The service did not always do all that was reasonably practicable to mitigate risks. The provider did not always ensure they were working in accordance with the requirements of the Mental Capacity Act 2005. The provider’s systems and processes did not identify the shortfalls we found at this assessment. We have asked the provider for an action plan in response to the concerns found at this assessment.

In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/or appeals have been concluded.

The management team were experienced and demonstrated a clear understanding of people's needs.

Staff spoke positively about the management team and told us they were “approachable and supportive”.

People received safe support with their medicines. The management team and staff worked collaboratively with other professionals to promote positive outcomes and ensure safe transitions when people moved between services.

Date of assessment: 16 June to 21 July 2025. This assessment was prompted by information of concern received in relation to risk management, a serious injury and staff training. Marama Care HQ is a Homecare agency and supported living service. This assessment report specifically details the Homecare agency side of the service. The service specialises in supporting people under and over 65 years old (including children), living with dementia, learning disabilities, physical disabilities, mental health conditions and sensory impairment. At the time of our assessment the service was not providing the regulated activity to children.

We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.

At this assessment we found the overall rating of the service was requires improvement.

We identified 4 breaches of regulation in relation to consent, safe care and treatment, good governance and a failure to notify CQC of a notifiable safety incident. The service did not always do all that was reasonably practicable to mitigate risks. The provider did not always ensure they were working in accordance with the requirements of the Mental Capacity Act 2005. The provider’s systems and processes did not identify the shortfalls we found at this assessment. We have asked the provider for an action plan in response to the concerns found at this assessment.

In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/ or appeals have been concluded.

The management team were experienced and demonstrated a clear understanding of people's needs.

Staff spoke positively about the management team and told us they were “approachable and supportive”.

People received safe support with their medicines. The management team and staff worked collaboratively with other professionals to promote positive outcomes and ensure safe transitions when people moved between services.