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Greys Nursing Limited Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 3 September 2020

About the service

Greys Nursing limited is a domiciliary care service. At the time of the inspection they were providing personal care to 55 people. 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 felt the care they received kept them safe and staff received relevant health and safety training. Risks to people were usually assessed and managed, however, the did not use a screening tool to assess the level of risk to people, for example, high or low.

Systems were in place to ensure medicines had been ordered, received and disposed of appropriately. Medicines were only administered from appropriate packaging. The registered manager was arranging for all staff to undertake competency assessments and they agreed to update their policy, so it reflected current legislation.

People received person-centred care. They were complimentary about the staff who cared for them and said they would recommend the service to others. Care plans outlined the care that should be delivered at each visit although some information was basic.

The management team had introduced some quality management systems, however, further improvement was needed. Managers had recognised their processes needed to be developed and commissioned a new care recording system, which had the capacity to broaden their quality management framework. The management team were confident the new system would enable them to review records in a timelier way, and further improve how they managed care, people's medicines and staff records.

The registered manager was responsive throughout the inspection. Shortfalls identified during the inspection were addressed promptly and information about how they would continue to make improvements was sent after the site visit.

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

Rating at last inspection and update

The last rating for this service was requires improvement (published 31 May 2019). At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

We carried out an announced comprehensive inspection of this service between 15 April 2019 and 1 May 2019. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment, person-centred care and good governance.

We undertook this targeted inspection to check they had followed their action plan and to confirm they now met legal requirements. Targeted inspections do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.

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

Requires improvement

Updated 3 September 2020

At our last inspection we rated this key question requires improvement. We have not reviewed the rating at this inspection. This is because we only looked at the parts of this key question we had specific concerns about.

Effective

Requires improvement

Updated 3 September 2020

Caring

Good

Updated 3 September 2020

Responsive

Requires improvement

Updated 3 September 2020

At our last inspection we rated this key question requires improvement. We have not reviewed the rating at this inspection. This is because we only looked at the parts of this key question we had specific concerns about.

Well-led

Requires improvement

Updated 3 September 2020

At our last inspection we rated this key question requires improvement. We have not reviewed the rating at this inspection. This is because we only looked at the parts of this key question we had specific concerns about.