Mike Riglin Nursing

Updated 25 November 2023

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 Health and Social Care Act 2008.

Inspection team

The inspection team consisted of 2 inspectors 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.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

The inspection was announced. 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.

What we did before the inspection

We reviewed information we had received about the service. We sought feedback from the local authority and health services. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

Inspection activity started on 25 October 2023 and ended 6 November 2023. We visited the location's office on 30 October 2023.

During the inspection

We spoke with 1 person who used the service and 13 family members. We spoke with the registered manager, the office manager, accounts manager, human resources manager and 5 care staff. We received emails from 3 care staff and feedback from 4 professionals about the service.

We reviewed a range of records. This included 4 people's care plans and medicine records. We looked at 3 staff files in relation to recruitment and a variety of records relating to the management of the service.

Updated 25 November 2023

About the service

Mike Riglin Nursing is a domiciliary care agency providing nursing and personal care. The people they supported included people over the age of 18, people with dementia, people with a physical sensory, learning disability and autistic people and those with mental health needs. At the time of the inspection, they were supporting 27 people living in their own homes within the local community.

Not everyone who used the service received personal or nursing care. CQC only inspects where people receive personal or nursing 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

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. 'Right support, right care, right culture' is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Right Support:

People were supported to achieve consistently positive outcomes, which improved their wellbeing and enhanced their quality of life. They received support from consistent staff who knew them well and how they liked to be supported. 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 needs were assessed, and care records developed with them, and their relatives where required. Care records were updated regularly and clearly promoted preferences and choice. Medicines were managed safely, and staff were appropriately trained and recruited. People and their family members were assured that safe infection control measures were taken by staff such as wearing personal protective equipment (PPE) and following infection control procedures to reduce the risks of infection.

Right Care:

People received outstanding kind and respectful care. People and their family members, without exception, told us staff were warm, caring, and compassionate and went ‘above and beyond’ to provide a high level of care. People were actively involved in planning and reviewing their care and support. Staff were proactive in developing ways to ensure people could communicate their wishes and views and be fully involved in decisions about their life.

Right Culture:

The service was very well-led. Managers led by example and were visible in the service. They were passionate about ensuring the service delivered care and support based on their values and principles, that people’s rights to choice, control, and autonomy were respected. Governance arrangements were well embedded, and this ensured people received consistently safe, effective, and very high-quality care. Staff were highly motivated and extremely proud of the work they did. People using the service and their family members told us they would highly recommend the service to others. The service worked collaboratively and responsively with healthcare professionals to plan extremely person-centred care and support.

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 29 June 2019).

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Mike Riglin Nursing on our website at www.cqc.org.uk.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.