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Archived: Essential Nursing and Care Services Good

The provider of this service changed - see new profile

Inspection Summary

Overall summary & rating


Updated 12 April 2016

This inspection was announced and took place on 9, 10 and 29 February 2016. We told the provider one day before our visit that we would be coming to ensure that the people we needed to talk to would be available. At the last inspection in October 2013 the service was meeting the requirements of the regulations that were inspected at that time.

Essential Nursing and Care Services provides personal care and support to people who live in their own homes. At the time of our inspection they were providing 1400 hours of personal care per week to 210 people.

Essential Nursing and Care Services has a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission 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 told us that their care and support needs were met and that staff were kind, caring and respectful. People also said they felt safe and had confidence in the staff that worked for the service.

Staff knew people well and understood their needs. Care plans were detailed and regularly reviewed. This meant that there was always information for staff to refer to when providing care for people.

The provider had implemented satisfactory systems to recruit and train care workers in a way that ensured that relevant checks and references were carried out and staff were competent to undertake the tasks required of them. The number of staff employed by Essential Nursing and Care Services and the skills they had were sufficient to meet the needs of the people they supported and keep them safe.

People were protected from harm and abuse wherever possible. There were systems in place to reduce and manage identified risks and to ensure medicines were managed and administered safely. Staff understood how to protect people from possible abuse and how to whistle-blow. People knew how to raise concerns and complaints and records showed that these were investigated and responded to.

There was a clear management structure in place. People and care staff said was the managers were approachable and supportive. There were systems in place to monitor the safety and quality of the service.

Inspection areas



Updated 12 April 2016

The service was safe.

Systems were in place to protect people from harm and abuse. Staff knew how to recognise and report any concerns.

Staff were recruited safely and there were enough staff to make sure people had the care and support they needed.

Medicines were managed safely and staff competence was checked.



Updated 12 April 2016

The service was effective

Staff received induction and ongoing training to ensure that they were competent and could meet peoples needs effectively. Supervision processes were in place to monitor staff performance and provide support and additional training if required.

People were supported to have access to healthcare as necessary.

People were supported to eat and drink if this was required.



Updated 12 April 2016

The service was caring.

Support was provided to people by staff who were kind and caring.

Staff understood how to support people to maintain their dignity and treated people with respect



Updated 12 April 2016

The service was responsive.

People�s needs were assessed and care was planned and delivered to meet their needs. Staff had a good knowledge and understanding of people�s needs.

The service had a complaints policy and complaints were responded to appropriately



Updated 12 April 2016

The service was well led.

There was a clear management structure in place. People and staff told us that the registered manager and management team were approachable and supportive and they felt they were listened to.

Feedback was regularly sought from people and actions were taken in response to any issues raised.

There were systems in place to monitor and assess the quality and safety of the service provided