Archived: Prestige Nursing - Leeds

Updated 26 October 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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 20 September 2018 and 10 October 2018 and was unannounced.

Inspection site visit activity started on 20 September 2018 and ended on that date. We visited the office location to see the manager and office staff; and to review care records and policies and procedures. We also spoke with staff who provided care and support to people. We contacted people's relatives by telephone on 10 October 2018.

The inspection was carried out by one adult social care inspector.

Before the inspection we reviewed information we held about the service. This included notifications the provider had sent us about events or incidents that occurred and which affected their service or the people who used it. We contacted the local authority adult safeguarding and quality monitoring team as well as Healthwatch, the consumer champion for health and social care, to ask if they had any information to share. We used this information to plan our inspection.

We used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. This included feedback to questionnaires that we had sent out to people who used the service, staff, relatives and friends and community professionals.

During the inspection we spoke with three people’s relatives for their feedback. We spoke with the registered manager and six members of staff. We looked at three people’s care plans, risk assessments, daily notes and medication administration records. We reviewed two staff’s recruitment records, as well as training, supervision and appraisal records for the staff team, and meeting minutes, audits and a selection of other records relating to the management of the service.

Updated 26 October 2018

This inspection took place on 20 September 2018 and 10 October 2018 and was unannounced. At our last inspection In February 2016, we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

Prestige Nursing Leeds is a domiciliary care agency which is run by a national provider Prestige Nursing Limited. The agency provides personal care and support to people living in their own homes, including specialist care to people with physical or learning disabilities, dementia or people who require end of life care. The agency also provides nursing and care staff to hospitals, care homes and other providers of health and social care. Not everyone using Prestige Nursing Leeds receives regulated activity; CQC only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.

The provider did not have a policy in place regarding the Accessible Information Standard. We have made a recommendation about this.

People continued to remain safe as staff knew how to recognise and respond to concerns of ill-treatment and abuse. The provider followed safe recruitment procedures when employing new staff members. When people needed it, they were safely supported with their medicines by trained and competent staff members.

The provider followed effective infection prevention and control guidance when supporting people in their own homes. The equipment that people used was maintained and kept in safe working order and the provider undertook safety checks with people at their home addresses.

People continued to receive care that was effective and personalised to their individual needs and preferences. People were supported by staff members who arrived when expected and who knew them well. They were assisted by a staff team who were well supported and had the skills and training to effectively assist people.

People were supported to have choice and control over their lives and staff supported them in the least restrictive way possible. Staff members were aware of current guidance which informed their practice and people's rights were protected by the staff who supported them.

People and their relatives, continued to be involved in developing their own care and support plans. When changes occurred in people's personal and medical circumstances, these plans were reviewed to reflect these changes. People and their relatives were encouraged to raise any concerns or complaints. The provider had systems in place to address any issues raised with them.

Further information is in the detailed findings below.