Background to this inspection
Updated
10 August 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 21 July 2016 and was announced. We spoke on the telephone to staff and people who used the service 22 July 2016 & 25 July 2016.
We gave the service 48 hours’ notice of the inspection because we needed to ensure the registered manager would be available.
The inspection was carried out by one inspector.
Before the inspection we checked the information we held about this service and the service provider. We also contacted the Local Authority. No concerns had been raised and the service met the regulations we inspected against at the last inspection which took place in May 2014.
During our inspection we observed how staff interacted with people who used the service.
We spoke with four people who used the service, three relatives of people who used the service, the registered manager, the project manager, the field care coordinator and five care staff.
We reviewed six people’s care records, four medication records, six staff files and records relating to the management of the service, such as quality audits.
Updated
10 August 2016
This inspection took place 21 July 2016 and was announced. We spoke on the telephone to staff and people who used the service 22 July 2016 & 25 July 2016.
The inspection was carried out by one inspector.
Prestige Nursing and Care is a domiciliary care agency providing personal and palliative care to people in their own home. At the time of the inspection 36 people were using the service.
There was a registered manager 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.
People felt safe. Staff had received training to enable them to recognise signs and symptoms of abuse and knew how to report them.
People had risk assessments in place to enable them to be as independent as they could be whilst being kept safe.
There were sufficient staff, with the correct skill mix, on duty to support people with their needs.
Effective recruitment processes were in place and followed by the service to ensure staff employed were suitable for the role.
Medicines were managed safely. The processes in place ensured that the administration and handling of medicines was suitable for the people who used the service. Some people administered their own medication.
Staff received a comprehensive induction process and on-going training. They were well supported by the registered manager and had regular one to one time for supervisions and annual appraisals.
Staff had attended a variety of training to ensure they were able to provide care based on current practice when supporting people.
Staff gained consent before supporting people. People were supported to make decisions about all aspects of their life; this was underpinned by the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards. Staff were knowledgeable of this guidance and correct processes were in place to protect people.
People were able to make choices about the food and drink they had, and staff gave support when required.
People were supported to access a variety of additional health professional when required. Staff provided care and support in a caring and meaningful way. They knew the people who used the service well. People and relatives, where appropriate, were involved in the planning of their care and support. People’s privacy and dignity was maintained at all times.
A complaints procedure was in place and accessible to all. People knew how to complain. Effective quality monitoring systems were in place. A variety of audits were carried out and used to drive improvement.