About the service: Prestige Nursing Limited Dartford is a domiciliary care agency providing personal care and support for people in their own homes. The agency provides care and support for people in the Dartford area of Kent, North West Kent and South East London. People receiving care and support includes children, young adults and elderly. At the time of our inspection, they were supporting 75 people. Although the service was registered for treatment of disease, disorder or injury, no one was receiving this service at the time we inspected.
Not everyone who used the service received 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:
People and relatives told us they were happy with the service provided by Prestige Nursing care staff. A relative said “It is a real life saving service for me.”
People received safe care and support from Prestige Nursing Limited Dartford. The registered manager and staff knew what their responsibilities were in relation to keeping people safe from the risk of abuse. Care plans contained detailed risk assessments. This mitigated any identified risks. Environmental risk assessments were also in place, which identified and reduced any environmental risks to people and staff.
People were supported to maintain good health, were supported with their medicines and had accessed healthcare services when needed. Where assessed, staff prepared food and drink to meet people’s dietary needs and requirements.
Staff were skilled in carrying out their role. The registered manager ensured staff were appropriately trained. A care staff said, “I completed three days company classroom-based training in addition to my NVQ qualification before I started in the field.”
People’s needs and preferences had been assessed prior to receiving a service. People’s care and support was planned in partnership with them and where appropriate with their family and healthcare professionals.
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 were supported by regular reliable staff who knew them and their needs well, which promoted continuity of care. People made decisions about their care and these were documented in their care plan.
People were encouraged to raise any concerns they had or make suggestions to improve the service they received. People told us that staff communicated well with them and they felt at ease with them. Staff told us there was an open culture where they were kept informed about any changes to their role. Staff told us the registered manager was approachable and listened to their ideas and suggestions.
The service had an effective system in place to assess, monitor and improve the quality and safety of the services provided at the time we inspected.
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 04 December 2018). Since this rating was awarded the service has moved premises. We have used the previous rating to inform our planning and decisions about the rating at this inspection.
Why we inspected:
This was a planned comprehensive inspection.
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.