LSC Nursing & Domiciliary Care Services Limited

Updated 18 September 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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

This inspection was carried out by one inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats. It provides a service to children aged 0-12 years, younger adults and older people who have nursing needs which may include physical disability, learning disability or sensory impairment.

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. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

Inspection activity started on 30 July 2019 and ended on 8 August 2019. We visited the office location on 7 August 2019.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with three people who used the service and seven relatives about their experience of the care provided. We spoke with 10 members of staff including administrators, care staff, nurse advisor, registered manager, nurse manager. We also spoke with the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We reviewed a range of records. This included four people’s care records and medication records. We looked at two staff files in relation to recruitment and a variety of records relating to the management of the service, including policies and procedures.

Updated 18 September 2019

About the service

LSC Nursing & Domiciliary Care Services Limited is a domiciliary care service providing personal and nursing care to paediatrics, children and adults, some of whom have complex nursing needs. At the time of our inspection 27 people were receiving care.

Not everyone who uses the service may receive personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

People’s experience of using this service and what we found

People were cared for safely and staff understood their responsibilities to keep people safe from avoidable harm or abuse. Risks to people's safety were managed and appropriate action was taken to keep people safe. Staff managed people’s medicines safely and made sure they received them when they needed them. People were supported by staff who had been recruited safely. Staff practice helped to reduce the risk of cross infection.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People’s nursing and care needs were met by effective assessment and planning. Staff took account of people’s holistic needs when planning care. The provider worked with other healthcare professionals to help ensure people's care and health needs were effectively met. Staff had received training to enable them to provide safe and effective care to people.

People were cared for by staff who were kind and compassionate. People were involved in decisions about their care and support needs. Staff respected people’s privacy and dignity.

People’s care and support was personalised to their needs. People were supported in a way which made sure they were treated fairly and not discriminated against. People's individual needs and wishes were known to staff who had developed positive relationships with them. There were arrangements in place for people to raise concerns about the service.

People had confidence in the management of the service and felt they received good quality care. The provider used a variety of methods to check the quality of the service and developed good practice within the staff team. Staff were supported in their roles and shared the provider’s values of delivering the best care they could.

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

Rating at last inspection

The last rating for this service was good (published 24 December 2016).