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Mariama Care Ltd Good Also known as Kangaroo Healthcare

Inspection Summary

Overall summary & rating


Updated 4 November 2020

About the service

Mariama Care Ltd trading as Kangaroo Care is a domiciliary care service. It provides personal care to people living in their own homes and flats in the community. The service supports older people with a range of physical and sensory disabilities as well as people living with dementia. At the time of this inspection there were 55 people using the service.

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

People’s experience of using this service and what we found

At the last inspection in February 2019, we identified several issues and concerns which meant that people may not have always been received safe and good quality care. During this inspection we found that the registered manager had implemented robust systems and processes which had led to significant improvements to the quality of care people received.

People and relatives told us that they felt safe and re-assured with the care and support delivered and spoke positively about the way in which the service was managed.

Risks identified with people’s health, care and support needs had been comprehensively assessed with clear guidance on how to manage and minimise risk to keep people safe and free from harm.

People received their medicines safely and as prescribed. Policies and systems in place supported this.

Recruitment checks were complete and adequately assessed staff suitability to work with vulnerable adults. People and relatives told us that they were supported by regular care staff who generally arrived on time.

Care staff had access to the required personal protective equipment (PPE), information and guidance to prevent and control the spread of infection.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People were supported with their nutrition and hydration where this was an assessed need. Where required the service supported people to access health and social care professionals to support their well-being.

Care staff spoke positively about the registered manager and management team and stated that they received the required training and support to carry out their role.

The overall management oversight of the service had improved since the last inspection. The registered manager had implemented audits and checks to monitor the quality of care and ensure where issues were identified these were addressed.

For more details, please see the full report which is on the CQC website at

Rating at last inspection and update

The last rating for this service was requires improvement (published 17 April 2019) and there were breaches of regulations 12 and 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We had carried out an announced comprehensive inspection of this service on 19 and 20 February 2019. Breaches of legal requirements were found which included safe care and treatment and good governance.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions of Safe, Effective and Well-led which contain those requirements.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed f

Inspection areas



Updated 4 November 2020

The service was safe.

Details are in our safe findings below.



Updated 4 November 2020

The service was effective.

Details are in our effective findings below.



Updated 4 November 2020


Requires improvement

Updated 4 November 2020



Updated 4 November 2020

The service was well-led.

Details are in our well-led findings below.