Archived: Nursdoc Ltd

Nursdoc provides personal and complex nursing care for people in their own homes. At the time of this inspection the service was providing personal and nursing care to six people, all of whom were children of varying ages.

People’s experience of using this service and what we found

The provider checked staff were suitable to work with people and there were enough staff to support people safely. The provider assessed risks including those related to their complex nursing needs and staff were trained to reduce the risks. People received their medicines safely. Staff followed suitable practices to reduce the risk of infection when caring for people.

The clinicians developed a unique training package for staff working with each person based on their needs and preferences. Before staff were allowed to work with people alone they were closely supported and assessed as competent in each care task people required. Nurses were supported to maintain their registration and care workers were supported to complete further qualifications.

People received the support they needed to maintain their day to day health and in relation to eating and drinking. 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.

Relatives were positive about the staff who supported their children. Each child received consistency of care from a small number of staff who worked with them and knew them well. Care was personalised to meet people’s needs and preferences. Some people received social and emotional support from staff and the provider put activity programmes in place based on people’s interests. The provider could provide information to people in alternative formats to meet people’s communication needs. The provider had a suitable process in place to respond to any concerns or complaints.

An experienced registered manager was in post who was also a registered nurse and a nurse prescriber. Relatives and staff told us the service was well-led and the provider engaged well with them and our inspection findings supported this. The provider had good oversight of the service, and people received daily contact from the provider to check their children were receiving care as planned.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and follow up

The last rating for this service was good (report published May 2017).

Why we inspected

This was a planned inspection based on the rating at the last inspection.

Follow up

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

This inspection was carried out on 24 April 2017 and was the service’s first inspection by the CQC (Care Quality Commission).

People told us they were happy with the service provided and that staff helped them with the care and support they needed. There were processes in place to help make sure people were protected from the risk of abuse and staff were aware of safeguarding vulnerable adult’s procedures and understood how to safeguard the people they supported. People’s individual risk was assessed to help keep them safe and staff had a good knowledge of this.

People and their relatives thought staff were caring and respectful. Staff knew the people they were supporting and provided a personalised service for them. Staff explained how they received sufficient support and training to do their job effectively.

People’s records were kept up to date and covered all aspects of the care and identified the support people needed so staff could meet their needs. Records were updated and regularly reviewed when people’s circumstances or healthcare needs changed.

People using the service and parents were encouraged to discuss health and other needs with staff and had consented to information being shared with GP’s and other community based health professionals, as appropriate. The staff were familiar with the Mental Capacity Act and their responsibilities regarding it.

A registered manager was in post. 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.

The manager, management team, office staff and organisation frequently monitored and assessed the quality of the service provided. There were systems and policies in place to record complaints and to monitor how these were resolved.

The manager regularly spoke with people to make sure they were happy with the service and carried out spot checks to review the quality of the care provided.

Records and other information about people were held securely and confidentially.