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Astor Care and Nursing Agency Good

Inspection Summary


Overall summary & rating

Good

Updated 12 February 2020

About the service

Astor Care and Nursing Agency is a domiciliary care agency providing personal care to people living in their own homes. At the time of the inspection the service was supporting 187 people with personal care and support.

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

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

People and relatives of people using the service spoke positively of the service and the care and support that they received. They told us that they were supported by a regular team of care staff with whom they had developed caring and respectful relationships with.

People told us that they felt safe and confident living at home independently with the care and support that they received from care staff. Staff knew the signs to look for if abuse was suspected and told us of the actions they would take to protect people from abuse.

Care plans detailed people’s identified risks associated with their health and care needs with clear guidance to staff on how to manage those risks to keep people safe.

Safe medicines management and administration processes in place ensured people received their medicines as prescribed and on time.

People and relatives confirmed that they were always supported by staff that they knew who arrived on time and always stayed their full allotted time. Recruitment processes followed ensured that only those staff assessed as safe to work with vulnerable adults were employed.

People were supported by care staff who had been appropriately trained and skilled in their role. Care staff told us they were regularly supported through supervision and annual appraisals.

People were supported to eat and drink enough where this was an assessed need. The service supported people to lead healthy lives and supported them to access relevant health care services where 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; the policies and systems in the service supported this practice.

Care plans were person centred and detailed, giving care staff the appropriate information and guidance to support people with their needs and wishes.

People and relatives knew who to speak with if they had any complaints and were confident their concerns would be dealt with appropriately and in a timely manner.

Management oversight processes in place enabled the service to monitor the quality of care people received. Where issues were identified these were addressed immediately with further learning and development implemented to improve people’s experiences.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 14 February 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Good

Updated 12 February 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 12 February 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 12 February 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 12 February 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 12 February 2020

The service was well-led.

Details are in our well-Led findings below.