Prestige Nursing Limited Shrewsbury

Updated 12 April 2019

The inspection: We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team: This inspection was carried out by one adult social care inspector.

Service and service type: Prestige Nursing Limited, Shrewsbury is a domiciliary care agency. It provides personal care to people living in their own homes.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection: We gave the service 48 hours’ notice of the inspection visit because it is we needed to be sure that staff would be in the office to support the inspection.

Inspection site visit activity started on 6 March 2019 and ended on 15 March 2019. We visited the office location on 6 February 2019 to see the registered manager and management team; and to review care records and policies and procedures. We made calls to people using the service, residents and staff on 15 March 2019.

What we did: Prior to the inspection, we reviewed all the information we held about the service including notifications received by CQC. A notification is information about important events which the service is required to tell us by law.

During our inspection we spoke with nine members of care staff including the management team, three people using the service, and three relatives. We also spoke with two health and social care professionals that had experienced working with the service.

We reviewed a range of records. This included care records, information relating to staff recruitment and supervision and the training records for all staff. We also reviewed records relating to the management of the service and a variety of policies and procedures developed and implemented by the provider.

Updated 12 April 2019

About the service: Prestige Nursing Limited Shrewsbury is registered to provide nursing and personal care to people of all ages living in their own homes. The service provided personal care to 43 people at the time of our inspection.

People’s experience of using this service: People and relatives told us staff were kind and caring in their approach. People told us staff communicated well with them and acted in an open and transparent way.

Care plans were person-centred and provided staff with the information they needed to provide care and support in a way that met people’s needs and preferences.

People’s calls were usually on time or staff called if they were going to be late. The provider monitored staff attendance at calls using electronic call monitoring.

Medicines were managed in line with good practice guidance.

Staff assessed risks to people’s health, safety and wellbeing and put plans in place to manage these risks.

People told us they would feel confident to raise any complaints they might have. We saw complaints were identified, investigated and used to improve the service.

There were processes in place to monitor the safety and quality of the service.

The service had a registered manager in post at the time of our inspection.

The management team had excellent knowledge and a wealth of experience to operate the service safely and effectively. They demonstrated an exceptional understanding of all aspects of managing the service such as safeguarding procedures and medicines management.

People, relatives and staff were engaged by the service via meetings, forums, questionnaires and projects so that everyone could contribute to the development of the service. There was a credible strategy in place with plans for multiple new improvements and updates at the service. This was being implemented by the registered manager who was proactive in considering how the service could be improved.

People, staff and relatives spoke positively about the registered manager and senior team who led the service well.

The service met the characteristics of Good in all areas.

More information is in the full report.

Rating at last inspection: At the last inspection the service was rated as Good (15 July 2016).

Why we inspected: This was a planned inspection to check that this service remained Good.

Follow up: We did not identify any concerns at this inspection. Going forward we will continue to monitor this service and plan to inspect in line with our re-inspection schedule for services rated Good.

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