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Ross Nursing Services Limited Good

Inspection Summary


Overall summary & rating

Good

Updated 16 December 2020

This report was created as part of a pilot which looked at new and innovative ways of fulfilling CQC’s regulatory obligations and responding to risk in light of the Covid-19 pandemic. This was conducted with the consent of the provider. Unless the report says otherwise, we obtained the information in it without visiting the Provider.

About the service

Ross Nursing Services Limited is a domiciliary care agency which is registered to provide personal care to people in their own homes. Support is provided to children, younger adults, older people, people with an eating disorder, living with dementia, mental health support needs, physical and sensory impairments and learning disabilities and/or autistic spectrum disorder. At the time of our inspection the service was providing care and support to 49 adults, of which 36 people received the regulated activity of personal care.

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 using the service and their relatives were happy with the care and support they received and said it met their individual needs. They described positive and enabling relationships with their care workers and the management team and being involved in making decisions about their care arrangements.

People were safely cared for. Care workers understood how to protect and safeguard people. Risks to people were assessed and mitigated, which reduced the risk of harm. Where people required support with their dietary needs, health and with their medicines, this was done safely. Infection control processes protected people from the risks of cross infection.

People’s care needs were assessed and planned for. Care plans contained person- centred information that reflected individual choices and preferences. These were kept under regular review.

There were enough care workers safely recruited, trained and supported appropriately to cover the scheduled visits to people. People and relatives confirmed they were supported by care workers they were familiar with. Effective systems were in place to monitor whether the visits took place as planned.

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.

Effective systems for managing the service and monitoring quality and safety were in place. People were asked for their views and their feedback used to improve the service and make any necessary changes. People and relatives were complimentary of the service they received, approach of their care workers and the management team and said they would or had recommended the service.

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 1 December 2017).

Why we inspected

This was a planned pilot virtual inspection. The report was created as part of a pilot which looked at new and innovative ways of fulfilling CQC’s regulatory obligations and responding to risk in light of the Covid-19 pandemic. This was conducted with the consent of the provider. Unless the report says otherwise, we obtained the information in it without visiting the provider.

The pilot inspection considered the key questions of safe and well-led and provided a rating for those key questions. Only parts of the effective, caring and responsive key questions were considered, and therefore the ratings for these key questions are those awarded at the last inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Ross Nursing Services Limited on our website

Inspection areas

Safe

Good

Updated 16 December 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 16 December 2020

At our last inspection we rated this key question good. We have not reviewed the rating at this inspection. This is because we have not reviewed all of the key lines of enquiry (KOLEs) in relation to effective.

Caring

Outstanding

Updated 16 December 2020

At our last inspection we rated this key question outstanding. We have not reviewed the rating at this inspection. This is because we have not reviewed all of the key lines of enquiry (KOLEs) in relation to Caring.

Responsive

Good

Updated 16 December 2020

At our last inspection we rated this key question good. We have not reviewed the rating at this inspection. This is because we have not reviewed all of the key lines of enquiry (KOLEs) in relation to responsive.

Well-led

Good

Updated 16 December 2020

The service was well-led.