Background to this inspection
Updated
22 May 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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection was carried out by one inspector.
Service and service type:
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community.
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.
What we did:
We used information the provider sent to us in the Provider Information return (PIR). This is information we require providers to send to us at least once annually to give us some key information about the service, what the service does well and improvements they plan to make. We looked at information we held about the service, including notifications they had made to us about important events. We also reviewed all other information sent to us from other stakeholders, for example, the local authority and members of the public.
During the inspection we visited the service office on 1 May 2019 to look at documents. We visited three people in their own homes who used the service to ask about their experience of the care delivered. We also spoke with four relatives by telephone. We spoke with the registered manager, area manager, recruitment manager, nurse lead for the service and three members of the care staff.
We looked at the care records for five people, three staff employment related records and records relating to the quality and management of the service.
Details are in the Key Questions below.
Updated
22 May 2019
About the service: Prestige Nursing Ipswich is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. At the time of the inspection it was providing care to 46 people.
People’s experience of using this service:
People were supported to be safe in their home and there were sufficient staff employed to fulfil people’s arranged care visits.
Risks to people’s health were assessed and clearly documented in the care plan.
People received their medicines as they were prescribed.
Staff understood their responsibilities to prevent the spread of infection whilst working between people's homes.
Incidents and accidents were monitored to inform practice and make improvements to the service.
People’s personal needs were assessed and care was provided to them with their consent.
Staff continued to receive the training and support they needed to carry out their roles.
People were supported to access health care services when they needed to.
Staff continued to support people by providing food and drinks to them of their choice.
Staff informed us they had positive working relationships with health care professionals.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.
Staff helped people to remain independent and promoted their dignity.
People's privacy was respected and their personal information was kept securely.
Each person had an individual care plan including an assessment of their needs, risk assessment and detailed information about how to achieve agreed goals.
The service had a complaints policy of which people were aware.
There were on-call arrangements so that senior staff were always available to support as needed.
Senior staff sought the views of the people using the service through surveys.
Governance arrangements were in practice. Regular audits identified any shortfalls in provision of care.
Rating at last inspection: At our last inspection on 13 September 2016 the service was rated overall Good. The key question of Responsive was rated Requires Improvement. The report was published on 5 November 2016.
Why we inspected: We inspected the service as part of our inspection schedule methodology for ‘Good’ rated services.
Follow up: We will continue to monitor the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk