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AMG Nursing and Care Services - Nottingham Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 26 July 2019

About the service

AMG Nursing and Care Services is a domiciliary care agency that was providing personal and nursing care to 154 people at the time of the inspection. This included adults and children living with complex health needs, people coming to the end of their life and a ‘fast track,’ short term service supporting people to leave hospital or remain at home when unwell.

Not everyone using AMG Nursing and Care Services receives regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.

People’s experience of using this service and what we found

Records were not in place to show medicines were always being managed safely.

Risks to people’s health were not consistently assessed to provide staff with on how to keep people safe.

Some people raised concerns regarding there not always being enough staff employed to consistently meet their care and support needs.

People's dietary needs were not always accurately recorded. Referrals to speech and language therapy (SALT) and dieticians were made when required.

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. However, the providers procedures did not always support this practice for all people. We have made a recommendation the provider reviews their systems to strengthen this area.

Care and support plans were not always person-centred and reflective of people’s specific health needs and future goals.

The provider’s response to accidents, incidents or complaints was not always in line with their policy. Some people told us they did not always receive feedback or an apology from the provider in a timely manner when things had gone wrong.

The provider’s quality assurance checks had not highlighted the issues found during this inspection regarding medicines, personalised support and record keeping.

Most people and relatives felt staff were kind and friendly. People told us they were treated with respect.

Staff were able to tell us what people’s current needs were despite care records not always being up to date to reflect this.

The provider had a safe recruitment system in place.

Staff stated they felt supported by the registered manager, received regular supervision and an annual appraisal. Staff received training in line with the provider’s policy.

Rating at last inspection.

The last rating for this service was Good (published 1 December 2016)

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified breaches at this inspection in relation to the assessment of risks to people’s health, safe management of people’s medicines and how the provider ensures the safety and quality of the service people receive.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 26 July 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 26 July 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 26 July 2019

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 26 July 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 26 July 2019

The service was not always well-led.

Details are in our well-led findings below.