Background to this inspection
Updated
7 December 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
The inspection was carried out by one inspector and an assistant inspector.
Service and service type
This service is a domiciliary care agency that provides personal care and nursing care to people living in their own homes. People were supported to receive complex care and staff worked under the guidance of a qualified nurse.
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 we needed to be sure that the provider or registered manager would be in the office to support the inspection. We also wanted time to obtain contact details of people who used the service and relatives, where appropriate.
Inspection activity started on 24 October 2019 and ended on 30 October 2019. We visited the office location on 24 October 2019.
What we did before the inspection
We used the information we held about the service to plan the inspection. This included checking for any statutory notifications that the provider had sent to us. A statutory notification is information about important events which the provider is required to send us by law. We used this information to plan our inspection. We asked the local Healthwatch for any information they had which would aid our inspection. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all this information to plan our inspection.
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make.
As part of the inspection we spoke with five people’s relatives/representatives to establish their views and feedback about the service provided. We contacted relatives because people who used the service would not have been able to express their views with us.
During the inspection
During the inspection we spoke with the registered manager, the deputy manager and six support staff. We reviewed a range of records. This included three people’s care records. We also looked at quality assurance records, as well as reviewing the electronic system for monitoring staff recruitment, training and competence.
Following the inspection we received feedback from three health and social care professionals who had recently worked with the registered manager and the team.
Updated
7 December 2019
About the service
Prestige Nursing Staffordshire provides complex care and support to adults and children living in their own homes in the community. At the time of the inspection they were supporting ten people.
People’s experience of using this service and what we found
People received safe and effective care and support to meet their individual needs. People were protected from harm. Staff were confident to recognise and report abuse. Risks were assessed and managed to keep people safe. Staff were confident to identify risks and act to ensure people remained safe. People received their medicines safely.
People received support from a consistent staff team who were well trained to deliver personalised care in line with their complex needs. Staff were safely recruited to ensure they were appropriate to support people who used the service. Staff were well supported.
People’s needs were assessed and documented to ensure their care needs were met. Care plans were detailed and effective to ensure staff always had access to the most current information. Plans were reviewed regularly as people’s needs changed. 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.
Staff worked in partnership with health and social care professionals to ensure consistency and ensure people received appropriate and safe support. People were supported to access healthcare, and other agencies, when required. People received appropriate support to eat, drink and prepare meals.
Staff were caring and respectful, promoting people’s privacy, dignity and independence.
Staff sought people’s consent before supporting them and decisions about people’s care and treatment were made in line with law and guidance
People’s care was responsive to their changing needs. People, relatives and health and social care professionals were involved in the assessment and planning of their care this joint working meant people’s needs were met fully. People knew how to raise a concern and always felt listened to. Information was available in different formats to make it accessible.
People felt the service was well managed. Staff had regular opportunities to share their views about the service. Staff felt listened to when they shared feedback. The provider carried out audits to ensure the quality of care provided and feedback was sought from people who used the service to ensure continual reflection and development.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Why we inspected
This was a planned inspection
Rating at last inspection
This was the first inspection for this agency since registering with CQC at their new location.
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.