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Expectation Care Limited

Overall: Requires improvement read more about inspection ratings

Margaret Powell House, 433c Midsummer Boulevard, Milton Keynes, MK9 3BN (01908) 990030

Provided and run by:
Expectation Care Limited

Important:

We served a warning notice on Expectation Care Limited on 5 June 2026 for failing to meet the regulations related to safe care, safeguarding processes and lack of robust governance at Expectation Care Limited. 

All Inspections

During an assessment under our new approach

Date of assessment: 5 May to 15 May 2026. Expectation Care Limited is a domiciliary care agency providing personal care to people living in their own homes, including those with learning disabilities, autism, dementia, and physical disabilities. We carried out this assessment because of safeguarding concerns we received. At the time of inspection, 11 people were receiving the regulated activity of personal care from the service. Not everyone who used the service received personal care. CQC only inspects where people receive personal care.
An assessment has been undertaken of a specialist service that is registered for use by autistic people or people with a learning disability. At the time of the assessment, the service was not used by anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.
The provider was in breach of legal regulations relating to safe care and treatment, safeguarding and governance. They failed to assess, monitor and mitigate the risks relating to the health, safety and welfare of people. Appropriate and robust safeguarding processes were not in place to protect people. The provider did not have effective governance systems in place to monitor and improve the quality of the service.
However, people told us they felt safe with staff and knew who to speak to if they had a concern. Staff told us leaders were responsive and supportive and readily available if they reached out.

We have asked the provider for an action plan in response to the concerns found at this assessment. Following our feedback, the service took immediate steps to address the concerns.
 

12 March 2019

During a routine inspection

About the service: Expectation Care Limited is a domiciliary care agency. The service provides personal care to people living in their own houses and flats in the community. At the time of our inspection five people were using the service.

People’s experience of using this service:

• People received safe care and they were protected against avoidable harm, abuse, neglect and discrimination.

• Specific risks to people’s safety were assessed and strategies were put in place to reduce the risks.

• The recruitment practices ensured only suitable staff worked at the service.

• Staff were employed in sufficient numbers to meet people’s needs.

• Where the provider took on the responsibility, people’s medicines were safely managed.

• Staff received training that enabled them to have the skills and knowledge to provide effective care.

• Staff received in-going support from the registered manager.

• People were supported to maintain good nutrition and hydration.

• People were treated with kindness, compassion and respect.

• Staff encouraged people to maintain their independence.

• People and their relatives were involved in the care planning and reviews of their care.

• People's needs were assessed, and the care provided met their needs.

• People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.

• The registered manager led by example, and systems were in place to continuously monitor the quality of the service.

Rating at last inspection: This was the first comprehensive inspection carried out at Expectation Care Limited since they registered with the Care Quality Commission (CQC) on 14 March 2018.

Why we inspected: This was a scheduled inspection to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our reinspection 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