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Archived: Majestic Care North West

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All reports

Inspection report

Date of Inspection: 11 July 2013
Date of Publication: 12 September 2013
Inspection Report published 12 September 2013 PDF | 77.81 KB

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Meeting this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 11 July 2013, checked how people were cared for at each stage of their treatment and care and talked with people who use the service. We talked with carers and / or family members and talked with staff.

Our judgement

People experienced care, treatment and support that met their needs and protected their rights.

Reasons for our judgement

People told us they were satisfied with the care and support they received from Majestic Care, they made the following comments: “The carers come in and do a perfectly good job”, “I am quite satisfied with them”,” They are smashing when I don’t feel so well”, “The care is good” and “They have done quite a good job”.

The manager explained the arrangements in place to assess people's needs and abilities prior to them receiving a service. Records and discussion showed assessments had been carried out. We found information had been obtained from other agencies, as appropriate, such as Social Services.

Risks to peoples’ wellbeing and safety were being identified and managed taking account of enabling their choices and their right to take risks. We suggested consideration be given to more in-depth health screening assessments in line with recognised good practice.

We found care plans contained information about the person’s needs and abilities. There were instructions in care plans for staff to follow, to meet people’s needs and respond to their preferences. However, there were inconsistencies in the detail and amount of the information recorded. We found processes to monitor and evaluate people’s individual conditions and choices were variable. It was not clear why some matters had not been appropriately reviewed and their care plan updated. This meant that peoples’ individual care needs may not always be identified and effectively responded to. The manager, who was new in post, gave us assurances action would be taken in response to these matters.

Care workers spoken with were aware of people’s individual needs and preferences. They said they had access to care plans which provided guidelines on providing support. One care worker explained how the manager had gone through the care plans before they started working with people.

All the care workers spoken with indicated an awareness of the emergency procedures, in particular contacting health care services and reporting matters to the management team as needed.