• Services in your home
  • Homecare service

Majesty Healthcare Ltd

Overall: Requires improvement read more about inspection ratings

21 Kensington Avenue, Manchester, M14 5PG (01423) 203924

Provided and run by:
Majesty Healthcare Ltd

Latest inspection summary

On this page

Background to this inspection

Updated 16 April 2019

The inspection: We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team: One inspector carried out this inspection.

Service and service type: The service is a domiciliary care agency. It provides personal care to people living in their own homes.

At the time of our inspection the service had a manager registered with the Care Quality Commission (CQC). The registered manager was also sole director of Majesty Healthcare Ltd and the nominated individual. They were legally responsible for how the service was run and for the quality and safety of the care provided. We have referred to this person as the registered manager.

The registered manager informed CQC of a change of ownership of Majesty Healthcare Ltd on 22 February 2019. The new owner subsequently informed CQC of their intention to be the nominated individual and manager of the service. Applications regarding these changes are in progress.

Notice of inspection: We gave the service five days’ notice of the inspection visit. This is because it is small and the registered manager also provided most of the care. We needed to give them time to arrange appropriate care and support for people who used the service.

Inspection site visit activity started on 30 January 2019 and ended on 22 February 2019. We visited the office location to see the registered manager and review care records and policies and procedures.

What we did: Before our inspection, we looked at information we held about the service. The provider sent us a Provider Information Return. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We reviewed the information we held about the service, such as notifications we had received from the registered manager. A notification is information about important events which the service is required to send us by law. We sought written feedback from the local authority contract monitoring team. We used this information to plan the inspection.

During the inspection we spoke with one person who used the service, the registered manager, a member of the local authority contracts and monitoring team and a team manager in the local authority health and adult services team.

We looked at a range of documents and records related to people’s care and the management of the service. We viewed two people's care records, medicine records, two staff recruitment, induction and training files and a selection of records used to monitor the quality and safety of the service.

We spoke with the new owner and advised them to complete the relevant forms for nominated individual and registered manager with CQC. We asked them to update their website and requested they display their rating awarded at the last inspection.

Overall inspection

Requires improvement

Updated 16 April 2019

About the service: The service supports people with personal care needs in their own home. Two people were receiving a care and support service when we inspected.

People’s experience of using this service: The registered manager displayed a commitment to providing high quality person-centred care. However, they had not implemented effective management systems to achieve this. People told us they liked the registered manager but they felt their service was not always as reliable as they would like.

Despite some improvements management systems were not yet fully established or working effectively. The registered manager could not demonstrate the service was being managed with sufficient skill to consistently safeguard people and promote their wellbeing.

Risks had been mitigated to some extent because the registered manager also provided care hours. However, arrangements regarding the sale and transfer of the ownership and management of the service (which happened during our inspection) were poorly managed. This left people without a care service at very little notice and placed people at potential risk of harm.

The new owner had informed CQC of their intention to be the nominated individual and registered manager. They had updated the organisation’s website but they were not displaying their CQC rating as legally required. They informed us they were not intending to provide a care service until they had recruited and trained staff appropriately.

We found breaches of the Care Quality Commission (Regulations) 2009 Regulation 18 (2)(g) and the Health the Social Care Act 2008 (Regulated Activities) 2014 (Regulation 20A). These related to a failure to keep CQC notified about significant events and to display their rating.

We are following this up with the new owner outside the inspection process.

Rating at last inspection: Requires improvement (report published August 2018). Following the last inspection, we asked the registered manager to complete an action plan to show what they would do and by when to improve to at least Good. At this inspection we found they had failed to demonstrate sufficient improvement in their systems. The service remains rated Requires Improvement for the third consecutive time.

Why we inspected: This was a planned inspection based on the rating at the last inspection.

Follow up: We will meet with the new owner following this report being published to understand their plans for the service and how they will make changes to ensure the service improves their rating to at least Good. We will continue to monitor intelligence we receive about the service until we return to visit in line with our re-inspection programme. If any concerning information is received we may inspect sooner.

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