Updated 14 February 2019
The inspection:
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team: This inspection was carried out by one inspector and one expert by experience, specialising in the care of people living with Dementia. 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: Nurseplus UK is a domiciliary care agency that provides personal care to children, young people and older people who may be living with dementia, learning disabilities, mental health conditions, physical disability, sensory impairment or misuse of drugs or alcohol.
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 visit because the manager is often out of the office supporting staff or providing care. We needed to be sure that they would be in.
What we did:
Prior to the inspection we reviewed all the information we held about the service including notifications received by the Commission. A notification is information about important events which the service is required to tell us about by law. We reviewed the Provider Information Return (PIR). This is information we request to provide some key information about the service, what the service does well and improvements they plan to make. We also received some information requested from the registered manager about the service.
Inspection site visit activity started on 27 November 2018 and ended on 12 December 2018. We visited and spoke to two people and two relatives in their own homes, spoke to 22 people, five relatives, four staff and the registered manager. We reviewed documentation including seven people’s care records, medication records, five employment files, training records, staff supervision, accidents and incidents, policies and procedures and safeguarding records. We requested feedback from external professionals about the service but did not receive any.
During the inspection we requested a copy of the business development plan which was received after the inspection.