Majestic Healthcare Limited

Inspection report for supported accommodation provider - monitoring visit: Majestic Healthcare Limited 1 Majestic Healthcare Limited

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Registered provider: Majestic Healthcare Ltd

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Inspected under the social care common inspection framework

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provider

This supported accommodation service is operated by a private provider. The provider can accommodate up to five children between two properties that are not limited to accommodating looked-after children or care leavers. The provider operates in the West Midlands.

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provider

The provider registered in May 2024. The same individual performs the duties of both the registered service manager and the nominated individual. They have been in post since registration.

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This monitoring visit

This visit was arranged to address specific concerns received by Ofsted.

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This monitoring visit

Poor decision-making by leaders and managers has resulted in the admission of children who need high levels of support. This is outside of the scope of supported accommodation. This has placed children at risk of harm. It has also become necessary for children to move again to a more appropriate setting after a very short period. This negatively impacts on children’s ability to settle and trust those around them in the future.

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This monitoring visit

Staff complete online training courses as part of their induction to the service. However, needs-led training to help them meet the individual needs of the children they support is not always available to them. This includes the misuse of alcohol and drugs as well as understanding and managing self-harming behaviours. This limits staff’s ability to provide the best support to children.

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This monitoring visit

Staff recruitment is not thorough. Managers have not completed safer recruitment training. As a result, they are not alert to indicators that would give rise to concern Inspection report for supported accommodation provider - monitoring visit: Majestic Healthcare Limited 2 regarding an individual’s integrity. Managers do not always seek a reference from an individual’s last employer or from an employer when the individual worked in a similar social care setting. Furthermore, while managers request identity documents, discrepancies in the information provided have not been identified or explored. Managers do not see documentary evidence of formal qualifications obtained by staff. These failures compromise the effectiveness of the recruitment process.

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This monitoring visit

Following recruitment, the staff induction and probation process is inconsistent. Managers sign staff out of probation with bold claims about the quality of their practice before they have worked directly with children as part of their shift. This gives false assurance about their capabilities and does not support staff to perform their duties effectively.

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This monitoring visit

Leaders and managers fail to notify Ofsted following serious incidents. There have been several incidents, including assaults on staff, self-harming episodes and incidents of police involvement that the provider has not considered serious enough to warrant a notification. This limits Ofsted’s ability to ensure that the provider has taken the necessary actions to keep children safe.

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This monitoring visit

Some essential information for children is not readily available, for example a register of children that have been accommodated. This means that crucial information is not available or is difficult to locate. Inspection report for supported accommodation provider - monitoring visit: Majestic Healthcare Limited 3

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Statutory requirements

This section sets out the actions that the registered person(s) must take to meet the Care Standards Act 2000, The Supported Accommodation (England) Regulations 2023 and the ‘Guide to the Supported Accommodation Regulations, including Quality Standards’. The registered person(s) must comply within the given timescales.

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Requirement Due date

*The leadership and management standard is that the registered person enables, inspires and leads a culture in relation to the supported accommodation undertaking that puts children first and prioritises their wellbeing and development.

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Requirement Due date

In particular, the standard in paragraph (1) requires the registered person to—

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Requirement Due date

lead and manage the supported accommodation undertaking in a way that is consistent with the ethos, and delivers the outcomes, set out in the undertaking’s statement of purpose;

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Requirement Due date

ensure that staff have the experience, qualifications and skills appropriate for the work that they are to perform; and

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Requirement Due date

ensure that arrangements are in place to manage referrals of children to the supported accommodation undertaking and admissions of children to premises used as supported accommodation, including, where relevant, emergency referrals and admissions. (Regulation 4 (1) (2)(a)(c)(f))

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Requirement Due date

In particular, the registered person must ensure that they only accommodate children whose risks and behaviours can be met in a supported accommodation setting and that staff have the necessary skills and experience to support children effectively. 13 July 2025

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Requirement Due date

*The registered person must recruit staff using recruitment procedures that are designed to ensure children’s safety.

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Requirement Due date

Subject to paragraph (4), the registered person may only—

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Requirement Due date

employ an individual for the purposes of the provision of supported accommodation, or 13 July 2025 Inspection report for supported accommodation provider - monitoring visit: Majestic Healthcare Limited 4 if an individual is employed by a person other than the registered person to work for the supported accommodation undertaking in a position in which the individual may have regular contact with children, allow that individual to work for the supported accommodation undertaking,

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Requirement Due date

if the registered person is satisfied that the individual satisfies the requirements in paragraph (3).

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Requirement Due date

the individual is of integrity and good character,

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Requirement Due date

the individual has the experience, qualifications and skills appropriate for the work that the individual is to perform,

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Requirement Due date

the individual is mentally and physically fit for the purposes of the work that the individual is to perform, and

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Requirement Due date

full and satisfactory information is available in relation to the individual in respect of each of the matters in Schedule 1. (Regulation 17 (1) (2)(a)(b) (3)(a)(b)(c)(d))

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Requirement Due date

In particular, recruit staff in line with safer recruitment practice by taking and verifying the most appropriate references and ensuring appropriate documents are seen, to ensure the integrity of those in employment.

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Requirement Due date

The registered person must notify the CIECSS and any relevant person without delay if—

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Requirement Due date

a child is involved in or subject to, or is suspected of being involved in or subject to, sexual exploitation or child criminal exploitation;

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Requirement Due date

an incident requiring police involvement occurs in relation to a child and the registered person considers that incident to be serious;

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Requirement Due date

there is an allegation of abuse against the supported accommodation undertaking or a person working for it;

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Requirement Due date

is instigated, or 13 July 2025 Inspection report for supported accommodation provider - monitoring visit: Majestic Healthcare Limited 5 concludes (in which case, the notification must include the outcome of the child protection enquiry);

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Requirement Due date

there is an incident involving the use of a measure of restraint of a child;

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Requirement Due date

there is any other incident relating to a child which the registered person considers to be serious. (Regulation 27 (3)(a)(b)(c)(d)(i)(ii)(e)(f))

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Requirement Due date

In particular, ensure that all serious incidents are notified to Ofsted without delay.

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Requirement Due date

ensure that each employee completes an appropriate induction, and

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Requirement Due date

ensure that each permanent appointment of an employee is subject to the satisfactory completion of a period of probation. (Regulation 18 (1)(a)(b))

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Requirement Due date

In particular, ensure that staff are not signed out of induction or probation until managers have sufficient knowledge and direct observation of their interactions with children. 13 July 2025

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Requirement Due date

The registered person must keep records of other information relating to the supported accommodation undertaking set out in Schedule 3.

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Requirement Due date

maintain the records in Schedule 3, which may be kept in electronic form; and

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Requirement Due date

ensure that the records are kept up to date.

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Requirement Due date

A record in the form of a register showing in respect of each child—

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Requirement Due date

the date of the child’s admission to the premises used as supported accommodation,

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Requirement Due date

the date on which the child ceased to be accommodated in the premises, 13 July 2025 Inspection report for supported accommodation provider - monitoring visit: Majestic Healthcare Limited 6 the child’s address immediately before being accommodated in the premises,

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Requirement Due date

the child’s address on leaving the premises,

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Requirement Due date

the child’s accommodating authority, and

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Requirement Due date

the statutory provision under which the child is accommodated. (Regulation 25 (1) (2)(a)(b) Schedule 3 (1)(a)(b)(c)(d)(e)(f))

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Requirement Due date

In particular, maintain a register of all children who have resided in their supported accommodation provision.

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Requirement Due date

*These requirements are subject to a compliance notice.

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Information about this inspection

The purpose of this visit was to follow up information received by Ofsted and/or to ensure that the supported accommodation provider was complying with regulation.

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Information about this inspection

This inspection was carried out under the Care Standards Act 2000. Inspection report for supported accommodation provider - monitoring visit: Majestic Healthcare Limited 7

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Supported accommodation provider details

Registered provider: Majestic Healthcare Ltd

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Supported accommodation provider details

Registered service manager: Majory Nyachiya

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Inspector

Mandy Williams, Social Care Inspector Inspection report for supported accommodation provider - monitoring visit: Majestic Healthcare Limited 8 to achieve excellence in the care of children and young people, and in education and skills for learners of all ages. It regulates and inspects childcare and children’s social care, and inspects the Children and Family Court Advisory and Support Service (Cafcass), schools, colleges, initial teacher training, further education and skills, adult and community learning, and education and training in prisons and other secure establishments. It assesses council children’s services, and inspects services for looked after children, safeguarding and child protection.

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Inspector

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Inspector

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Inspector

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