M&N Healthcare Edgbaston

Updated 19 May 2023

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

This inspection was carried out by 1 inspector.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post. The provider for M&N Healthcare is also the registered manager.

Notice of inspection

We gave the service 48 hours' notice of the inspection. This was because we needed to be sure that the provider would be in the office to support the inspection.

What we did before the inspection

We used the information the provider sent us in the provider information return. This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.

We reviewed information we had received about the service since the last inspection We sought feedback from the local authority and professionals who work with the service. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke to the provider and reviewed a range of records. This included 3 people's care and medication records. A variety of records in relation to the management of the service, including policies and procedures were reviewed. We also spoke to 1 social care professional who worked with people who received support.

Updated 19 May 2023

About the service

M&N Healthcare Edgbaston is a domiciliary care agency. The service provides personal care to people living in their own homes. At the time of our inspection there were 3 people using the service. All care services were conducted by the provider at the time of the inspection, and no staff were employed.

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

Some systems to monitor the quality of the service had not been effective. Robust auditing had not taken place and had not identified that care plans did not provide enough information for any agency or new staff to support people safely.

People felt safe and trusted the provider. The provider knew how to support people to keep them safe. The provider had received training to recognise and report signs of abuse.

There were no staff working for M&N Healthcare at the time of inspection, however the provider told us that they expected to expand the business and would be recruiting staff in the future. They stated, and we verified from proposed documentation that safe recruitment processes were in place and staff would receive a thorough induction to familiarise themselves with the expectations of the role and the values of the service. They stated that they would ensure staff received appropriate training and supervision to help them acquire the skills and knowledge to fulfil their role and responsibilities. It is the providers intention to provide training staff will need to carry out the role. This was verified by a detailed training matrix.

People told us the provider was caring and compassionate. People were treated with dignity and respect and their independence was promoted and encouraged.

People's needs were assessed before the service provided them with care or support. People and their relatives, where appropriate, were involved in this process.

Systems and processes were in place to seek the views of the people who used it.

People were supported to have maximum choice and control of their lives and the provider supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

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

This service was registered with us on 20 July 2017. The last rating for this service was requires improvement published on 04 February 2019. A breach of legal requirements was 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. At this inspection we found improvements had been made and the provider is no longer in breach of regulations.

Why we inspected

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, Effective and Well-led which contain those requirements.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from Requires Improvement to Good. 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 M&N Healthcare on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.