You are here

Prestige Nursing Halesworth Good

Inspection Summary


Overall summary & rating

Good

Updated 18 December 2018

Prestige Nursing Halesworth is a domiciliary care agency. It provides personal care to people living in their own homes. It provides a service to adults. At the time of this announced inspection of 26 and 27 November 2018 there were 89 people who used the personal care service. We gave the service notice of the inspection to make sure that someone was available to see us.

At our last inspection of 8 December 2016, this service was rated requires improvement overall and in all of the key questions. There were breaches of Regulation 18: Staffing and Regulation 17: Good governance of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This was because improvements were needed in how the service was staffed and assessed and monitored. The service wrote to us to tell us how they planned to implement improvements. During this inspection of 26 November 2018, we found improvements had been made, there were no breaches of Regulation and the service was rated good overall.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.

There were systems in place designed to provide people with safe care. Improvements had been made in the staffing in the service and the ways that people’s care visits were planned. Risks to people were managed, including risks from abuse and in their daily lives. The service had a recruitment drive in place to reduce any risks of missed and late visits. Care workers were recruited safely. Where people required support with their medicines, this was provided safely. The service learned from incidents to improve the service. There were infection control procedures in place to reduce the risks of cross infection.

People were provided with an effective service. Improvements had been made in how the service worked with the principles of the Mental Capacity Act 2005 relating to the storage of people’s medicines. People were asked for their consent before any care was provided and their choices were documented. Care workers were trained and supported to meet the needs of the people using the service. Where people required assistance with their dietary needs, this was provided. People were supported to have access to health professionals where needed. The service worked with other organisations involved in people’s care to provide a consistent service.

People received a caring service. People had positive relationships with their care workers. People’s dignity, privacy and independence were respected and promoted. People’s views were listened to and valued.

People were provided with a responsive service. People received care and support which was assessed, planned and delivered to meet their individual needs. People were provided with end of life care. The service worked in partnership with a community project to support people to die at home. A complaints procedure was in place and people’s concerns were addressed.

People were provided with a service which was well-led. There were systems in place to assess and monitor the service provided. Where improvements were identified actions were taken to address them.

Inspection areas

Safe

Good

Updated 18 December 2018

The service was safe.

There were systems in place designed to reduce the risks to people from abuse and avoidable harm.

There were care workers available to cover people�s planned visits. The recruitment of care workers was robust.

There were systems in place to support people with their medicines, as required.

Infection control processes reduced the risks of cross infection.

Effective

Good

Updated 18 December 2018

The service was effective.

Care workers were trained to meet the needs of the people who used the service.

The service understood the principles of the Mental Capacity Act 2005.

Where people required support with their dietary needs, this was provided effectively. People were supported to access health professionals, where required. The service worked with other professionals to provide people with a consistent service.

Caring

Good

Updated 18 December 2018

The service was caring.

People were treated with care and kindness and their privacy and independence was promoted and respected.

People�s choices were respected and listened to.

Responsive

Good

Updated 18 December 2018

The service was responsive.

People�s needs were assessed, planned for and met.

There was a system in place to manage people�s complaints.

The service supported people who were at the end of their lives. They worked with a local community project to enable people to die at home.

Well-led

Good

Updated 18 December 2018

The service was well-led.

The service assessed and monitored the care and support provided to people, to identify where improvements were needed. Actions were taken to improve, where required.

People were asked for their views about the service and these were used to drive improvement.