We carried out a review of the data available to us about AMG Nursing and Care Services - Burton on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about AMG Nursing and Care Services - Burton, you can give feedback on this service.
AMG Nursing and Care Services - Burton is a domiciliary care agency providing personal and nursing care to adults and children living in their own homes with complex health needs, people coming to the end of their life and a 'fast track,' and short term service supporting people to leave hospital or remain at home when unwell.
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. When we inspected the service there were 109 people receiving the regulated activity.
People’s experience of using this service and what we found
Staff were given training on good practice in end of life care to help them understand and support people in a sensitive way. Care plan records were not always consistently completed for supporting people with end of life care.
We have made a recommendation about advanced care planning records being consistently completed.
People and their relatives were aware of how to raise concerns or complaints. Many were very satisfied with the management of complaints. A small number felt their concerns were not always taken seriously.
People told us they mainly received support from a regular team of staff. They told us they felt they received care in a safe way, from staff who were “friendly” and “polite” and their privacy and dignity was respected
The management team understood the duty of candour and the requirement to notify us of any significant incidents at the service. The service had systems to assess quality and people were asked for their views about the support they received.
People’s needs and choices were assessed and planned for. Individual risks to people and the environment had been identified and assessed and measures put in place to manage them and minimise the risk of avoidable harm occurring.
The provider had procedures in place to guide staff on safeguarding vulnerable adults and children. These were in line with local authority procedures.
Recruitment procedures were in place to help make sure that the care workers recruited were suitable. Staff had received appropriate training, induction and development to carry out their work and support people safely.
The provider had policies and procedures to guide staff to administer medicines safely. Staff also helped people be as independent as they were able with taking their medicines
People received support to maintain good nutrition and hydration and their healthcare needs were understood and met. The staff identified if people were unwell, supported them and contacted health professionals.
Staff were supplied with personal protective equipment for use to prevent the spread of infections and had received training in infection control and food hygiene.
The registered provider had procedures in place for assessing a person's mental capacity in line with the Mental Capacity Act 2005. 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.
Staff assessed and reviewed people's physical, mental health and social needs. People's social and emotional needs were considered as part of their support and social isolation was recognised as an issue for some people.
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 23 March 2017)
Why we inspected
This was a planned inspection based on the previous rating.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for AMG Nursing and Care Services - Burton on our website at www.cqc.org.uk.
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.
We inspected this service on 13 February 2017. This inspection was announced. This meant the provider and staff knew we would be visiting the service’s office before we arrived. There were 136 people, both children and adults in receipt of personal care support at the time of this inspection visit. This was the first inspection since the provider’s registration of this office location on the 14 March 2016.
The service had 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 received their calls as agreed and in general from a regular staff team. Staff understood what constituted abuse or poor practice and systems and processes were in place to protect people from the risk of harm. The provider checked that staff were suitable to support people before they started work. Medicines were managed safely and people were supported to take their medicine when needed. Equipment was in place to meet people’s diverse needs which enabled them to maintain choice and independence.
Staff were provided with training to develop their skills and enable them to support the people they worked with. The management team provided supervision to monitor the staff’s conduct and support their professional development. Staff confirmed that the adults they supported were able to make their own decisions and we saw they had consented to their care. Where children were supported we saw their parents had consented to their care. The delivery of care was tailored to meet people’s individual needs and preferences.
People’s needs were assessed and care plans were developed with them to direct staff on how to support them in their preferred way. When needed people were supported to maintain their dietary requirements and preferences and to access healthcare services.
Quality monitoring checks were completed by the registered manager and provider and when needed action was taken to make improvements. The provider sought the opinions of people and their representatives to bring about changes. The provider understood their responsibilities around registration with us. Staff were supported in their job and had opportunities to give their views. People knew how to complain and we saw when complaints were made these were addressed.