Archived: Greys Nursing Limited

Updated 3 September 2020

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

This was a targeted inspection to check whether the provider had met the requirements set at the last inspection. These were in relation to Regulation 9 (Person-centred care), Regulation 12 (Safe care and treatment) and Regulation 17 (Good governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Inspection team

One inspector and Expert by Experience carried out the inspection. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

We gave the service short notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

Inspection activity started on 30 July 2020 and ended on 4 August 2020. We visited the office location on 4 August 2020.

What we did before the inspection

The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used all of this information to plan our inspection.

During the inspection

We spoke with six people who used the service and three relatives about their experience of the care provided. We spoke with eight members of staff including the registered manager, deputy manager, senior care workers and care workers.

We reviewed a range of records. This included six people’s care records and multiple medication records. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

The registered manager sent us information about how they would continue to make improvements to the service.

Updated 3 September 2020

About the service:

Greys Nursing Limited is a domiciliary care agency. It provides personal care to people living in their own homes. Not everyone using Greys Nursing Limited 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. At the time of the inspection the service was providing personal care to five people.

People’s experience of using this service:

People and relatives were generally satisfied with the care they received from regular staff who knew them well. However, people’s care records provided insufficient information about their care needs and preferences and the support they required from staff.

Medicines were not managed safely. There was a lack of documentation to show what medicines people were prescribed, who administered them and whether they had been taken.

Risks to people were not fully identified, assessed and recorded.

Systems in place to monitor and oversee the quality of the service were not effective as issues we found in relation to medicines, risk management and care planning had not been identified or addressed.

Staff were safely recruited and received the training and support they needed to undertake their role.

People and relatives said staff were kind and caring, treated people with respect and maintained their privacy and dignity. They said staff arrived on time and had enough time to provide support without rushing.

People, relatives and staff spoke positively about the registered manager and felt able to raise concerns and were confident that these would be addressed.

We identified three breaches of the Health and Social Care Act (Regulated Activities) Regulations 2014 relating to safe care and treatment, person-centred care and good governance. Details of action we have asked the provider to take can be found at the end of this report.

Rating at last inspection: At the last inspection the service was rated Good (report published 18 October 2016)

Why we inspected: This was a planned inspection based on the rating awarded at the last inspection.

Follow up: We will ask the provider to submit an action plan to show how they will make improvements. We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

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