Majestic Healthcare Ltd

Majestic Healthcare LTD provides personal care to older people living in their own homes. There were 55 people using the service at the time of our inspection.

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

People did not always have care plans and risk assessments in place identifying what their individual needs were. Staff had also not always received training in these key areas to ensure they could support people in a safe way. We could not be assured people had received medicines when needed or as prescribed. People were not always supported by regular care staff and they were not always aware of who would be offering the support. People and relatives raised concerns that staff did not always know how to support them.

The systems in place were not effective in identifying concerns. The audits completed had not identified concerns we found during our inspection including with medicines and call times.

There were safeguarding procedures in place and when concerns had been identified these had been followed. Infection control procedures were also followed. 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. There was some evidence that lessons were learnt when things went wrong.

Staff’s suitability to work with people in their homes was checked before they started employment. They were happy with the staff that supported them and found them to be caring. People’s privacy and dignity was considered and maintained. They were encouraged to make choices and remain independent. Peoples’ communication was considered. There was a complaint policy in place, which was followed when needed.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 26 June 2020 and this is the first inspection. During our inspection we found the provider was not registered at the correct location. The provider worked with us to update their registration. The provider registered with us on 25 October 2022.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection.

We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified breaches in relation to Regulation 9 Person centred-care, Regulation 12 Safe care and treatment, Regulation 14 Meeting nutritional and hydration needs, Regulation 18 Staffing and Regulation 17 Good governance.

After the office site visit we issued the provider with a section 64 letter asking them what improvements they had made. We received a response from the provider which assured us they had taken action to ensure people were safe. This included, assessing people’s needs, completing care plans and risk assessments, updating medicines administration charts and training staff.

You can see what action we have asked the provider to take at the end of this full report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.