20 April 2021
During a routine inspection
Nursing Care Personnel Ltd provides domiciliary and live in care services to people with a range of needs including dementia and physical health conditions. At the time of inspection, the service was providing personal care to 30 people. The majority of people supported were in receipt of end of life care.
People's experience of using this service and what we found
People and their relatives felt the care provided was safe and risks were managed appropriately. However, risk assessments did not always provide staff with enough information. Staff told us that where records were lacking, they were able to seek advice and support from the registered manager, who was always available. Staff had received training which enabled them to administer medicine safely. However, more information needed to be documented in care plans, especially in relation to “as required” medicines, such as pain relief. People were supported by a consistent team of care staff, but recruitment records required more detail. Staff had received training in infection control practices and had access to enough personal protective equipment (PPE).
Before care commenced the registered manager completed assessments to ensure people’s needs could be met by Nursing Care Personnel Limited. Care plans were developed from these assessments. Care plans were variable in quality and in terms of the level of detail documented with regards to people’s preferences. However, people’s relatives confirmed that staff were knowledgeable, kind and caring and ensured care was provided in line with their loved ones wishes. Staff received training and support to carry out their roles effectively, although competency assessments had not been completed during the COVID-19 pandemic.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Relatives praised the caring nature of the staff team, who treated their loved one’s with dignity and respect. Relatives knew how to raise concerns with the management team and were confident any issues would be resolved immediately and to their satisfaction.
The provider was committed to providing a high standard of care to the people they supported. People, relatives and staff spoke very highly of the registered manager and told us they were always available and supportive. However, quality assurance and governance systems were yet to be embedded at the service. This meant areas for improvement were not always identified, actioned and documented.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at Last Inspection
This service was registered with us on 15 October 2019 and this is the first inspection.
Why we inspected
This was a planned inspection based on the date of registration.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.