Prestige Nursing North Manchester

Updated 30 November 2018

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 was a comprehensive inspection which took place on 6 November 2018. We gave the service 48 hours’ notice of the inspection visit because the location provides a domiciliary care service. We needed to be sure that they would be in. The inspection was carried out by one adult social care inspector.

Prior to our inspection we contacted the local authority commissioning team and the safeguarding team. No concerns were raised about the service.

We looked at notifications received by CQC. We had received a provider information return form (PIR). This form asks the provider to give us some key information about what the service does well and what improvements they plan to make.

During the inspection we spoke with the registered manager, company director and three members of support staff. We were unable to speak with people who used the service due to the nature of their disabilities. We spoke with four relatives and contacted a further five via e mail to gain their views. We contacted five health and social care professionals. All the feedback we received was positive.

We looked at records including nine risk assessment and support plans, five staff files, policies and procedures, training records, health and safety records, audits and meeting minutes.

Updated 30 November 2018

Prestige Nursing North Manchester is a provider of nursing and domiciliary support to approximately 80 people living in their own homes. At the last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

Effective safeguarding systems were in place, recruitment was robust and staffing levels appropriate to meet people’s needs.

Risk assessments were detailed and up to date. Assessments were thorough, and care and support files included appropriate information.

Health and safety measures were in place and medicines systems were appropriate and effective.

There was a comprehensive staff induction, on-going training, supervisions and appraisals. Confidentiality and data protection systems were in place. The service promoted advocacy when appropriate.

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.

People were treated with dignity and respect and were encouraged to become as independent as possible. The service was committed to the principles of equality and diversity.

People told us the service was flexible and reliable. People were encouraged to pursue education, employment and leisure activities. People were fully involved in their care plans which were person-centred. Reviews of support were carried out regularly.

All information from the service could be produced in other forms, such as large print, braille, preferred language or in cassette form to make it as accessible as possible to all.

There was an up to date complaints procedure and complaints were addressed appropriately.

Health and social care professionals spoke highly of the service. The management team was stable and relatives, staff and other professionals described them as approachable.

Staff were well supported and relatives told us they could always contact someone if they needed assistance. Quality monitoring systems were robust and we saw evidence of excellent partnership working.

The service had good links with the local community and sponsored a number of local events to help raise money for and awareness of brain injuries.

Further information is in the detailed findings below