Background to this inspection
Updated
14 February 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: The inspection was carried out by one inspector.
Service and service type: Professional Nursing Services Limited is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. It provides a service to older adults.
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 small and the manager is often out of the office supporting staff or visiting service users. We needed to be sure that they would be in.
Inspection site visit activity started on 23 January 2019 and ended on 25 January 2019. We visited the office location on 24 January 2019 to see the manager and office staff; and to review care records and policies and procedures.
Before the inspection: We were unable to speak directly with people who received support due to their complex conditions some of them lived with and the circumstances in which they were supported. However, we obtained feedback about the service. We also spoke with three relatives. we reviewed information we held about the service including statutory notifications. Statutory notifications include information about important events which the provider is required to send us.
During the inspection: We looked at care plans relating to two people and reviewed records relating to the management of the service. the registered manager and the staff development manager.
After the inspection: We spoke with five staff and reviewed information sent by the provider requested during the inspection.
Updated
14 February 2019
About the service: Professional Nursing Services Limited is registered to provide nursing and personal care to people who live in their own homes. At the time of our inspection nursing care was not provided and four people received support with personal care in their own homes.
People’s experience of using this service:
• We were unable to speak directly with people who received support due to the complex conditions people lived with and the circumstances in which they were supported.
• We obtained feedback about the services provided from people’s relatives and the staff team that provided people’s care.
• We received positive feedback about the care and support received.
• Everyone we spoke with during this inspection told us they were happy with the care and support provided by Professional Nursing Services Limited.
• Staff promoted people`s privacy and dignity and their choices were respected.
• Care and support was delivered in a personalised way by staff who knew people`s likes, dislikes and preferences.
• Risks to people`s well-being and health were assessed and reviewed to ensure they were safe and protected from the risk of harm.
• Staff received training and had their competencies assessed to ensure they had the skills and knowledge required to meet people`s needs effectively.
Relatives told us staff were always on time. They felt staff were well trained and met people`s needs.
• Staff used effective infection control measures to protect people from the risk of infections. appropriate equipment was in place where needed for people to receive support in a safe way.
• People had opportunities to access the community where possible and pursue interests.
• Relatives we spoke with and staff confirmed the registered manager was approachable, supportive and placed people at the centre of the care and support delivered.
• Complaints were responded to appropriately.
• Feedback received from people and relatives was used in a constructive way and lessons were learned to ensure improvements were made.
• The registered manager who was also the provider used effective audits and governance systems to check the quality and safety of the care people received.
Rating at last inspection: Good (report published 27 January 2016).
Why we inspected: This was a planned inspection based on the rating at the last inspection. At this inspection the service remained rated Good overall.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit.