Background to this inspection
Updated
20 April 2016
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned 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.
This inspection took place on 2 March 2016 and was announced. This was because it is a small domiciliary care service and we needed someone to be available to us in the office. The inspection was carried out by one inspector.
Before the inspection, we asked the provider to complete a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. They did not return a PIR and we took this into account when we made the judgements in this report.
We reviewed notifications the provider had sent us since our previous inspection. A notification is important information about particular events that occur at the service that the provider is required by law to tell us about.
During our inspection we spoke with one relative of a person who uses the service, the manager, one member of care staff, and one member of staff who works in the office. We looked at one person’s care records and their daily care notes. We also looked at the staff recruitment, training, supervision and appraisal processes. We also looked at records that related to health and safety. We looked at medication administration records (MARs).
Updated
20 April 2016
Cambridge Nursing Agency is registered to provide personal care to people living in their own homes. At the time of the inspection there was one person using the service. There was only one member of staff employed to provide care for the one person using the service.
This announced inspection took place on 2 March 2016.
At the time of the inspection there was a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People felt safe and staff knew what actions to take if they thought that anyone had been harmed in any way. There were procedures in place which were being followed by staff to ensure that people received their medication as prescribed. Staff were aware of the action to take to reduce the risk of people having accidents.
There were enough staff available to meet people’s needs. Staff received the support and training they needed to carry out their roles effectively.
Staff were kind and compassionate when working with people. They knew people well and were aware of their life history, preferences, and their likes and dislikes. People’s privacy and dignity were upheld.
Staff monitored people’s health and welfare needs and acted on issues identified
People were provided with a choice of food and drink that they enjoyed.
There was a complaints procedure in place so that people could raise any concerns with the staff or the registered manager.
The registered manager obtained the views from people that used the service, their relatives and staff about the quality of the service.
The registered manager had failed to provide the commission with information requested prior to the inspection.