We carried out a review of the data available to us about Golders Green Nursing on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Golders Green Nursing, you can give feedback on this service.
Golders Green Nursing is a domiciliary care service providing personal care and support to people living in their own home. Commissioned care packages consist of a minimum of four to six hours per care call, with many people commissioning full day or night time care where required. The registered manager and nurse manager responsible for the management and delivery of care are both qualified nurses who continue to maintain their registration with the Nursing and Midwifery Council. Golders Green Nursing was providing personal care and support to 27 people aged 65 and over at the time of the inspection.
People’s experience of using this service:
People were highly complementary of the care and support that they received from Golders Green Nursing. We were told that the service and care staff were, “excellent”, “fantastic”, “helpful” and “professional.”
People and relatives told us that they felt safe with the care and support that they and their relative received. Staff knew how to identify signs of abuse and who to report their concerns to.
Risk assessments in place assessed risks associated with people’s care and health needs and gave direction on how to minimise known risks and keep people safe.
People received their medicines safely and as prescribed.
Recruitment processes in place ensured that only those staff assessed as safe and competent to work with vulnerable adults were recruited. We were told that there were currently sufficient numbers of staff available to meet people’s needs safely.
Support mechanisms were in place for staff to effectively carry out their role which included induction, regular training, supervisions and annual appraisals.
People's capacity to make day-to-day decisions had been considered and assessed. The service was working within the requirements of the Mental Capacity Act 2005.
People had good health care support. Staff worked in partnership with health and care professionals.
Care plans were person centred and gave comprehensive information about the person, their needs and how they wished to be supported.
People and their relatives knew who to speak with if they had a complaint or concern to raise and were confident their concerns would be addressed.
Checks and audits in place enabled the service to monitor, learn and improve the quality of care and support people received.
More information is in the detailed findings below.
Rating at last inspection: Good (Report Published 11 November 2016)
Why we inspected:
This was a planned inspection based on the rating at the last inspection.
Follow up:
We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Golders Green Nursing is a domiciliary care service run by Mrs Claudia Alexander. The service was provides personal care and nursing care to over 25 people with dementia and older people in their own homes. At the time of inspection 30 people were receiving services.
The service had a registered manager who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People using the service and their relatives were very happy with the service and found staff caring, kind and professional. The feedback from community professionals was very positive and demonstrated that the service worked in collaboration with various healthcare professionals in delivering a person-centred service that met people’s individual health and care needs. People’s nutrition and hydration needs were met including their cultural specific dietary requirements. People were happy with staff’s punctuality and found them reliable and trustworthy. They were assisted and supported with medicines and encouraged to self-medicate were appropriate. There were detailed daily care delivery records giving a clear account of how people were supported. However, the service did not maintain separate medicines prompting and administration records.
Staff were skilled, experienced and well-trained and able to demonstrate their understanding of the needs and preferences of the people they cared for by giving examples of how they supported people. They told us the registered manager provided on-going support and received regular supervision. The registered manager was in the process of reviewing and introducing a new staff appraisal system. The service followed safe recruitment practices, carried out appropriate recruitment checks before staff worked with people. The service was in the process of renewing staff’s Disclosure Barring Service criminal record checks.
Care plans were person-centred and recorded people’s individual needs, likes and dislikes. They included personalised guidance on how staff were to meet people’s needs and preferences. Risk assessments were detailed and provided sufficient information and instructions to staff on the safe management of identified risks.
The service followed appropriate safeguarding procedures and staff demonstrated a good understanding of protecting people against abuse and their role in promptly reporting poor care and abuse.
The service implemented good procedures around Mental Capacity Act 2005 and worked with professionals where necessary in supporting people that lacked capacity to make decisions.
The service had good systems and processes to assess, monitor and improve the quality and safety of the care delivery. The registered manager regularly visited people’s homes to seek their feedback and observe staff supporting people with their care needs, and addressed any concerns raised immediately. The service was in the process of reviewing annual feedback survey forms. People and their relatives told us they were extremely happy with the registered manager and found them approachable and compassionate.
We have made a recommendation about a review of medicines administration record sheet.
We found people's care and support needs were assessed by the provider who is a trained nurse. One person said, "The staff are very experienced and use their initiative, I do not need to keep telling them what to do." A relative told us, "I am involved in care planning and all aspects of care."
We saw evidence that staff had been trained in safeguarding vulnerable people. We spoke to two nurses and one care worker who told us they had completed safeguarding training. They were able to discuss the different forms of abuse with us.
We found there were sufficient numbers of staff with the right competencies, training and knowledge to provide safe, effective care. We noted there were systems in place to be able to respond to changing circumstances within the service.
We saw evidence that the provider regularly monitored the quality of the service provided. This involved audits of staff training, nurse registrations and the quality of support and care provided to people. We noted that risk assessments and support plans were updated and reviewed regularly.
Everybody told us staff treated them with respect, and listened to and acted on their views and preferences. They praised the quality of staff provided by the agency. 'There is a mixture of nurses and carers and I have faith in all of them,' commented a relative.
Staff were appropriately supported and trained to deliver care to people. This included through the provider's regular visits to staff and people who use the service. 'The main strength of the agency is that it provides a personal and single point of contact with the provider who is very hands-on and available on a mobile at all times,' a relative told us. Feedback from staff confirmed that they felt well supported.
The agency's last survey of people who use the service and their relatives, during 2012, found high levels of satisfaction amongst people. Where any dissatisfaction was expressed, the provider took action to address matters.