Background to this inspection
Updated
8 April 2016
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check 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.
This announced inspection took place on 3 March 2016. The provider was given 48 hours’ notice. This was because the location provides a domiciliary care service and the manager is sometimes out of the office supporting staff or visiting people who use the service. We needed to be sure that they would be in. The inspection was carried out by one inspector.
Before the inspection we looked at all of the information that we had about the service. This included the provider information return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and any improvements they plan to make. We also looked at information from notifications received by us. A notification is information about important events which the provider is required to send to us by law.
During the inspection we visited the service’s office, spoke with eight people who used the service and three relatives. We also spoke with the manager, two care coordinators, three care staff, the organisation’s compliance and clinical manager, one of the organisation’s trainers and a healthcare professional. We looked at five people’s care and support plans and records in relation to the management of the service and the management of staff.
Updated
8 April 2016
Nurse Plus and Carer Plus (UK) Limited - Unit 10 William James House is registered to provide personal care and nursing care who live in their own homes. At the time of this inspection nursing care was not being provided to people in their own homes. There were 25 people receiving personal care from the service. There were 13 care staff employed providing personal care to people in their own homes.
At the time of our inspection a registered manager was not in place. However, a manager had been appointed and they had submitted an application to be registered A registered manager is a person who has registered with the Care Quality Commission (CQC) 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 were supported safely as staff were knowledgeable about reporting any incidents of harm. There were a sufficient number of staff to provide care and recruitment procedures ensured that only suitable staff were employed. Risk assessments were in place and actions were taken to reduce these risks such as assisting people with their medicine and when supporting people when accessing the community. Arrangements were in place to ensure that people were supported and protected with the safe management of their medicines.
The Care Quality Commission (CQC) is required by law to monitor the operation of the Mental Capacity Act 2005 (MCA) and report on what we find. People’s rights to make decisions about their care were respected. Staff were acting in accordance with the Mental Capacity Act 2005 so that people’s rights were being promoted.
People were supported to access a range of health care professionals and they were provided with opportunities to increase their levels of independence. Health assessments were in place to ensure that people were supported to maintain their health and wellbeing.
A staff training and programme was in place and procedures were in place to review the standard of staff members’ work performance. Staff were supported and trained to do their job.
Staff supported people with their individual nutritional and dietary requirements and meal planning.
People’s privacy and dignity were respected and their care and support was provided in a caring, dignified and patient way
People’s preferences and interests had been identified and they were supported with their daily routines.
A complaints procedure was in place and complaints had been responded to, to the satisfaction of the complainant. People could raise concerns with the staff at any time.
The provider had quality assurance processes and procedures in place to monitor the quality and safety of people’s care. People and their relatives were able to make suggestions in relation to the support and care provided.