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Date of assessment: 11 February to 06 March 2026. Meridian Health and Social Care - Manchester North is a domiciliary care agency providing personal care to people in their own homes. The service was supporting 130 people at the time of the assessment. We carried out an assessment of this service on 11 12 February 2025. Breaches of legal requirements were found. The provider completed an action plan after the last assessment to demonstrate how they would improve. We undertook this assessment to check they had followed their action plan and to confirm they now met legal requirements. The provider had made the necessary improvements. There were effective governance systems demonstrating clear management and oversight of the service. The registered manager had made a significant difference, and staff were positive about the changes made since the last assessment. We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed autistic people and people with a learning disability respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. People were supported by staff who understood how to protect them from abuse and avoidable harm. Care plans were now regularly reviewed, and the scheduling of visits had improved. Staff were recruited safely and the service had effective infection control processes in place. Medicines administration required further improvement, and the provider had been responsive during the assessment to resolve these issues. We found sufficient improvements had been made to address the 5 breaches of regulation identified at our last inspection. This included person centred care, safe care and treatment, safeguarding, staffing and governance. The provider was no longer in breach of these regulations.
npm run etl:reports -- --location 1-15323092724.Date of assessment: 2 April to 29 May 2025. Meridian Health and Social Care - Manchester North is a domiciliary care agency providing personal care to people in their own homes. The service was supporting 130 people at the time of the assessment. The assessment was triggered by intelligence we received regarding care visits not taking place as planned. The local authority had been working with the provider and had agreed to a temporary suspension of new referrals and an action plan was put in place. This was the service’s first assessment and it has been rated requires improvement. We identified 5 breaches of the legal regulations. The service was in breach for person centred care, safe care and treatment, safeguarding, staffing, and good governance. The provider had failed to maintain effective governance systems demonstrating clear management and oversight of the service. Improvements had started and progress was being made but there were still significant shortfalls in the service. People were supported by staff who understood how to protect them from abuse and avoidable harm. However, people’s needs were at risk of being neglected as call durations were too short to enable their needs to be met. For example, the local authority would allocate a 30-minute visit and staff would only be in attendance for 5-10 minutes. Further improvement was needed to ensure people’s needs were not impacted negatively by poor scheduling of visits. People’s medicines were not managed safely and there was poor oversight of the risks involved in people’s care. Care plans and risk assessments had all been updated by the end of the assessment but improvements were needed to ensure regular reviews of care occurred and new systems were needed to ensure people’s medicines were administered safely. The provider had identified prior to the assessment that all the care plans and risk assessments were of poor quality and needed to be reviewed and updated. Two thirds had been completed by the beginning of the assessment, and all had been completed by the end of the assessment. Staff were recruited safely and the service had effective infection control processes in place. Staff told us there had been improvement since the new management team started in January 2025. They felt valued and told us the service was now more organised. In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/ or appeals have been concluded. We have also asked the provider for an action plan in response to the concerns found at this assessment.
npm run etl:reports -- --location 1-15323092724.