AMG Nursing and Care Services - Chester

Updated 3 February 2024

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 Health and Social Care Act 2008.

Inspection team

The inspection team consisted of 1 inspector.

Service and service type

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

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

The inspection was announced. We gave the service 1 hour notice of the inspection. This was because we needed to be sure that the provider or registered manager would be in the office to support the inspection and to enable them to gain consent from people so we could contact them.

What we did before the inspection

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.

During the inspection

We spoke with 10 people and their relatives about their experience of the care provided. We spoke with 12 staff including the registered manager, care staff, recruitment officer, and care coordinators.

We looked at a range of records. These included 11 people's records related to their care and support, medicines records, 7 staff recruitment records, staffing rotas, and records related to the auditing and monitoring of the service.

Updated 3 February 2024

About the service

AMG Nursing and Care Services – Chester is a domiciliary care provider who provide the regulated activity of personal care to people living in their own homes. Some people using the service were not in receipt of the regulated activity. At the time of our inspection 184 people were in receipt of personal care.

People's experience of the service and what we found

The registered manager was clear about how the service should be provided and led by example. Care workers who supported people and the office staff team were passionate and fully committed to delivering high quality person-centred care and support to people.

People told us staff were caring and kind. Staff had a good understanding of how to support people in a way that promoted their privacy, dignity and independence.

People's needs and life history were comprehensively assessed before they start using the service, people and their relatives were fully involved in the assessment and care planning processes.

Staffing levels were monitored, and we received mixed feedback about the timekeeping of staff. The registered manager discussed about the challenges of having the appropriate staffing and on-going recruitment processes in place.

Staff training was up to date and staff also received regular supervision and appraisals to ensure their development and practice was meeting people's needs.

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

Rating at last inspection

Rated Good. Published on 29 May 2018

Why we inspected

This inspection was prompted by a review of the information we held about this service.

You can read the report from our last comprehensive inspection by selecting the 'all reports' link for on our website at www.cqc.org.uk.