Archived: Prestige Nursing Peterborough

Updated 29 September 2017

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 the 29 August 2017 and was announced. This was so that staff would be available during the inspection. The inspection was carried out by one inspector and an expert-by-experience. An expert-by-experience is somebody who has had experience themselves or experience of a family member using this type of service.

Before the inspection, the provider completed 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. We looked at this and other information we hold about the service. We also asked for information from representatives of the local authority contracts monitoring team, the local authority safeguarding team, and Healthwatch to aid us with planning this inspection.

During the inspection we spoke with four people who used the service and one relative of a person using the service by telephone. We also spoke with the branch manager; a field care supervisor and two care workers. We looked at three people’s care records and records in relation to the management of the service; quality monitoring records; management of staff; management of people’s medicines; compliments and complaints records; and four staff files.

Updated 29 September 2017

Prestige Nursing Peterborough is registered to provide nursing, treatment for disease, disorder and injury, and personal care for people of all ages who live at in their own homes. The service is also registered as a nurses’ agency. As such it can provide nurses to work in residential settings that are run by other registered persons. During this inspection Prestige Nursing Peterborough was supporting 19 people who lived in their own homes with the regulated activity of personal care.

This inspection was carried out on the 29 August 2017 and was an announced inspection. This was the first inspection of this service since its registration at this location in November 2016.

The service had a registered manager in post. However, they were not present during this inspection and had applied to deregister from this role with the Care Quality Commission (CQC). A registered manager from a nearby location was involved in the day-to-day running of the Peterborough location. They were also in the process of applying to the CQC to add the Peterborough location onto their current registration. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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 CQC is required by law to monitor the operation of the Mental Capacity Act 2005 (MCA) and report on what we find. At the time of this inspection no one using the service lacked mental capacity to make their own decisions. Staff were able to demonstrate a basic understanding of the MCA. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.

Staff showed us their understanding of how to report any suspicions of poor care or incidents of suspected harm. Staff helped people in a way that supported their safety and people were looked after by staff in a caring manner.

Staff assisted and encouraged people to live as independent a life as possible and make their own choices. People’s dignity was promoted by staff and staff treated people with respect.

People were looked after by enough, suitably qualified staff to support them with their individual care and support needs. Staff enjoyed their work and understood their roles and responsibilities in meeting people’s requirements. They were trained to provide effective and safe care.

Staff were supported to maintain their knowledge and skills by way of supervision, appraisals and spot checks to review their competency. New staff members were only employed by the service, to look after people once all pre-employment checks had been completed and were found to be acceptable.

People’s care arrangements took account of people’s wishes, including any likes and dislikes and how they wanted to be assisted. People’s care plans and risk assessments recorded their individual assessed needs and any support they required from staff. Risks to people were identified, and plans were put into place by staff to monitor and minimise these risks, as far as possible, without restricting people’s independence and choice.

People were supported to take their medicines as prescribed and medicines were safely managed by staff who were trained, and whose competency had been assessed.

Where this help was required, people were supported to eat and drink sufficient amounts of food and fluids. People’s choice about what they wished to eat and drink was encouraged and respected by staff. Staff monitored people’s health and well-being needs. They acted upon any issues identified and advice given by external health care professionals.

There was a process in place to manage any concerns and complaints received. Arrangements were in place to ensure the quality of the service provided for people was regularly monitored.

People and staff were encouraged to share their views and feedback about the quality of the care and support provided. Actions were taken as a result to move forward any improvements required.