We carried out a review of the data available to us about Manchester Primecare on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Manchester Primecare, you can give feedback on this service.
Manchester Primecare is a domiciliary care agency providing personal care to 5 people at the time of the inspection. The service provides support to older people and younger adults.
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 were supported safely. Risks were identified and mitigated. Staff understood strategies to reduce risks to people. Medicines were safely managed. People were assessed to ensure the correct medicines support was implemented. Safeguarding arrangements were robust, and staff were confident to raise any concerns. Incidents were recorded and analysed to reduce further occurrences. Infection control was well managed.
Assessments were completed to ensure the provider could meet people’s needs. Where support was required with eating and drinking or health interventions, this was clearly captured in the person’s care plan. Staff received a full induction linked to The Care Certificate when commencing employment with the provider. The Care Certificate is an agreed set of standards that define the knowledge, skills and behaviours expected of specific job roles in the health and social care sectors. It is made up of the 15 minimum standards that should form part of a robust induction programme. Inhouse and online training was completed annually by staff. Regular spot checks and supervision were completed by the registered manager on staff.
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.
Staff were caring and had built positive relationships with the people they supported. People felt they were provided with dignified care and spoke positively about the staff and the registered manager.
Care plans were detailed and gave clear guidance for staff to support people effectively. Care plans were regularly reviewed to ensure they were factual and up to date. The provider had a robust complaints management process in place. No complaints had been received since the last inspection. The provider was not actively supporting anyone who was at the end of their life, however, there were policies and procedures in place to support end of life care and staff had received training to enhance their knowledge.
The provider had embedded many improvements across the service since the last inspection. Audits to monitor the service were completed monthly and any to do actions were captured and added to the provider’s improvement plan. Staff felt well support by the registered manager and enjoyed working for the provider. The provider had been working with the local authority to improve outcomes for the people they support.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 1 April 2022). 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
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
Manchester Prime Care is a domiciliary care agency providing personal care for people living in their own homes. The service was supporting six people 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
Not all risks to people, or the measures needed to manage the risks, had been identified. Risk assessments in place had not been reviewed. The new manager was in the process of arranging reviews for people. Systems were in place where the service supported people to manage their money, although the recording of financial transactions could be improved further.
There had been a further change in owner and manager since the last inspection. Whilst improvements had been made in staff recruitment, training and support, further improvements were needed to provide oversight of the service and drive the changes needed to meet all regulations.
People and professionals were very complimentary about the staff and the support provided. The care staff were positive about working for Manchester Prime Care and the support they had from the manager and deputy manager. Care staff knew people’s needs and how to prompt and encourage them.
Staff were safely recruited and had the training required to meet people’s specific needs. The support people needed with their medicines was identified in their care plans. Staff had the required personal protective equipment and had receiving training in it’s use.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 13 November 2020) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. Ownership of the service changed for the second time in August 2021, however the legal entity remains the same. At this inspection we found the provider remained in breach of regulations.
The service remains rated requires improvement. This service has been rated inadequate or requires improvement for the last three consecutive inspections.
This service has been in Special Measures since 28 July 2020. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.
Why we inspected
We undertook an announced focused inspection on 28 September 2020 and three breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment, good governance, staffing and fit and proper persons employed.
We undertook this focused inspection to check whether the Warning Notice we previously served in relation to Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 had been met, 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 safe and well-led which contain those requirements.
For those key questions not inspected, we used the ratings awarded at the comprehensive inspection in March 2020 to calculate the overall rating. The overall rating for the service has remained requires improvement. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Manchester Prime Care on our website at www.cqc.org.uk.
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 monitor the service and will take further action if needed.
We have identified breaches in relation to assessing, managing and reviewing risks people may face and the quality assurance system not being robust at this inspection.
Please see the action we have told the provider to take at the end of this 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 also meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. 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.
Manchester Prime Care Limited is a domiciliary care agency providing personal care to people living in their own homes. At the time of this inspection the service was supporting three people. 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
Since the last inspection clear and effective governance systems had not been implemented and embedded to help identify areas of non-compliance and the action required.
The provider had still not ensured safe recruitment procedures were followed to make sure staff had the required skills and were of suitable character and background
Since the last inspection risk management plans had been developed in specific areas of support. However, staff training identified as part of the risk management plan remained outstanding. This showed the provider had not ensured staff had received the training they required to meet people’s needs.
Safer systems had been introduced with regards to the management of people’s prescribed medicines and safeguarding people from harm. Appropriate arrangements had been maintained with regards to infection control procedures. Enough protective equipment was available, and staff had received training and relevant guidance covering the current pandemic.
We found no evidence during this inspection that people were at risk of harm from this concern. People, their relatives and staff spoke positively about the management changes and felt there was good communication and support from the manager.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was Inadequate and the service was placed in Special Measures (published 30 July 2020). The provider completed an action plan after the last inspection to show what they would do and by when to improve. Since July 2020 ownership of the service has changed, however the legal entity remains the same. At this inspection enough improvement had not been made and the provider was still in breach of regulations.
Why we inspected
We carried out an announced comprehensive inspection of this service on 9 March 2020. Breaches of legal requirements were found, and we served requirement actions for Regulations 12 Safe Care and Treatment, 13 Safeguarding, 17 Good Governance, 18 Staffing and 19 Recruitment. 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, Safe 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 remains Inadequate. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Manchester Prime Care Ltd on our website at www.cqc.org.uk.
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 on-going breaches in relation to staff training, recruitment procedures and good governance at this inspection.
Follow up
We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
Special Measures
The overall rating for this service is ‘Requires improvement’. However, the service will remain in 'special measures'. We do this when services have been rated as 'Inadequate' in any Key Question over two consecutive comprehensive inspections. The ‘Inadequate’ rating does not need to be in the same question at each of these inspections for us to place services in special measures. This means we will keep the service under review and, if we do not propose to cancel the provider’s registration, we will re-inspect within 6 months to check for significant improvements.
If the provider has not made enough improvement within this timeframe. And there is still a rating of inadequate for any key question or overall, we will take action in line with our enforcement procedures. This will mean we will begin the process of preventing the provider from operating this service. This will usually lead to cancellation of their registration or to varying the conditions the registration.
For adult social care services, the maximum time for being in special measures will usually be no more than 12 months. If the service has demonstrated improvements when we inspect it and it is no longer rated as inadequate for any of the five key questions it will no longer be in special measures.
Manchester Prime Care Limited is a domiciliary care agency providing personal care to people living in their own homes. 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. At the time of this inspection, two people were receiving a regulated activity.
People’s experience of using this service and what we found
Effective systems to ensure the safety and protection of people were not in place. Staff personnel files did not evidence they had been safely recruited. Records for the management and administration of people’s prescribed medicines were not sufficiently detailed to ensure practice was safe. Whilst areas of risk had been assessed, information to guide staff had not been kept under review ensuring this reflected the current and changing needs of people. Suitable arrangements were in place to minimise the risk of infection.
There was no information to show staff had the knowledge, skills and experience needed to carry out their roles. 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 did not support this practice. People’s health care and nutritional needs were appropriately met.
Staff were able to demonstrate their knowledge and understanding of the individual needs of people. Staff demonstrated how they supported people in a dignified way, whilst maintaining their privacy. Aids were available to promote independence and support people in a safe way.
Care records showed people and their families had been involved and consulted with about their care and support. However, plans had not been kept under review ensuring records reflected their current and changing needs. Consideration was given to people’s communication needs. People had been provided with information about how to raise concerns, should they need to.
The provider had yet to establish effective monitoring systems to demonstrate clear management and oversight of the service. The provider and manager were aware they had areas of development; they were able to clearly demonstrate their understanding of the regulations and how these were to be met. Organisational policies and procedures did not reflect current good practice guidance and legislation.
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 17/08/2016. Since registering with CQC the ownership of the service changed in December 2019 however the legal entity remains the same.
Why we inspected
This was the first inspection of the service. Since being registered in 2016 the service was classed as ‘dormant’ as they were not providing a regulated activity. This inspection was prompted in part due to concerns received about the care of people, which also suggested the provider was now delivering care and support to people.
We have found evidence that the provider needs to make improvement. Please see the safe, effective, caring, responsive and well-led sections of this full report. You can see what action we have asked the provider to take at the end of this full report.
Enforcement
We have identified breaches in relation to safeguarding, medication, staff recruitment, risk management, training and development, care records and good governance at this inspection.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
Special Measures:
The overall rating for this service is ‘Inadequate’ and the service is therefore in ‘special measures’. This means we will keep the service under review and, if we do not propose to cancel the provider’s registration, we will re-inspect within 6 months to check for significant improvements.
If the provider has not made enough improvement within this timeframe and there is still a rating of inadequate for any key question or overall rating, we will take action in line with our enforcement procedures. This will mean we will begin the process of preventing the provider from operating this service. This will usually lead to cancellation of their registration or to varying the conditions the registration.
For adult social care services, the maximum time for being in special measures will usually be no more than 12 months. If the service has demonstrated improvements when we inspect it and it is no longer rated as inadequate for any of the five key questions, it will no longer be in special measures.
We are mindful of the impact of 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 action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service.