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This service was previously registered at a different address - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 2 November 2017

We carried out this inspection on the 22 and 23 August 2017. The inspection was announced and was the first rated inspection for the service. We gave the service 24 hours’ notice of our inspection to make sure someone was in the office and arrangements could be made to speak to staff members.

Prestige Nursing Agency provides trained nursing staff and health care assistants to hospitals, care homes and to individuals in their own homes. The agency provides services to children as well as adults and also nursing and personal care to people at the end of their lives. On the day of our inspection there were 68 people using the service.

The service had a registered manager in place. 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 who used the service told us they felt safe when being supported by staff members at Prestige Nursing. Staff had been trained in safeguarding adults and knew their responsibilities to report any concerns. There was also a whistle-blowing policy in place to protect staff who reported poor practice.

Risk assessments such as, mobility, pressure ulcers and nutrition were in place to keep people safe whilst staff members were providing support. These were reviewed on a regular basis to ensure they remained relevant and up to date.

Most staff we spoke with felt staffing levels within the service were adequate to meet the needs of people who used the service.

Records showed that robust recruitment processes were followed by the service when employing new members of staff. We saw references and identity checks were carried out as well as Disclosure and Barring Service checks.

All staff members we spoke with told us they had received training on infection control and knew their responsibilities in relation to personal protective equipment. Infection control policies and procedures were in place for staff to follow.

Staff were trained in medicines administration and supported people to take their medicines if it was a part of their care package. The service had two medicine policies and procedures in place, one for care staff and one for registered nurses, both of which were accessible.

We checked if the service was working within the principles of the Mental Capacity Act (MCA) 2005 and to ensure people were not being deprived of their liberty. The registered manager had not needed to apply to the court of protection for anyone using the service, however they understood their responsibilities to do so if they felt they were restricting anyone.

Staff received an induction when they commenced employment to become competent to work with vulnerable people. Staff were well trained and regularly supervised to feel confident within their roles.

All the people who used the service had been given a copy of the complaints policy and staff knew how to respond to any complaints they may receive. Records we looked at showed that any complaints had been managed in line with policies and procedures.

Robust quality assurance systems and processes were in place to ensure the quality of the service was regularly monitored.

We received positive feedback in relation to the approachability of the registered manager. Staff members told us they felt able to approach the registered manager with any concerns or issues they may have.

The registered manager was able to identify key achievements and challenges for the service. They were also able to demonstrate how they worked in partnership with other organisations in order to meet the needs of people who used the service.

We checked our records before the inspection and saw that accidents or incidents that CQC needed to be informed about had been notified to us by the registered manager.

Inspection areas

Safe

Good

Updated 2 November 2017

The service was safe.

People who used the service and their relatives told us they felt safe using the service. Staff members we spoke with understood their responsibilities in relation to safeguarding people.

Robust recruitment systems and processes were in place to ensure only people who were safe to work with vulnerable people were employed.

Risk assessments were in place to keep people safe. These were regularly reviewed to ensure they remained relevant to people’s needs and to keep them safe.

Effective

Good

Updated 2 November 2017

The service was effective.

The registered manager told us they were not currently placing any restrictions on people who used the service. However, they were able to inform us of the action they would take should they need to in the future.

Staff members we spoke with and records we looked at confirmed that staff undertook an induction when commencing employment with the service.

Records we looked at showed staff had supervisions and appraisals to support them in their roles.

Caring

Good

Updated 2 November 2017

The service was caring.

One person who used the service told us staff members were kind and caring.

All the staff members we spoke with told us they would be happy for a family member to be supported by the service.

Care records we looked at contained detailed end of life care plans to direct staff members on how to meet people’s needs at the end of their life.

Confidential information was securely stored in the offices and only people who had the authority to do so could access it.

Responsive

Good

Updated 2 November 2017

The service was responsive.

Prior to using the service a pre-admission assessment was undertaken to ensure that the service could meet the person’s needs.

Care plans we looked at were person centred and contained detailed information that was easy for staff to follow to ensure people’s support needs were met.

The service had a complaints policy in place. This was included in the service user guide which was given to everyone who used the service.

Well-led

Good

Updated 2 November 2017

The service was well-led.

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

All the staff members gave us positive feedback about the registered manager. They told us they felt supported in their roles and were able to approach the registered manager if they had any issues or concerns.

Systems were in place to monitor the quality of the service.