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Nurseplus UK Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 27 September 2019

About the service

Nurse Plus UK is a domiciliary care agency. It provides personal care to people living in their own homes. At the time of this inspection the service was providing care and support to 45 people.

People’s experience of using this service and what we found

The management and administration of people’s medicines was not always safely undertaken.

We saw, and people told us, they received care from staff who knew their needs well and ensured that they felt safe and well cared for. We have made a recommendation about how staff visits to people are planned to ensure they have the required time to spend with people and enough time to travel between visits.

People and staff felt the service was well led. We have recommended that systems for auditing and oversight of the service are reviewed.

People were supported by staff who provided flexible, responsive care. Staff recruitment checks ensured staff were suitable to work with people in a care setting. Staff induction, on-going training and support enabled them to carry out their roles effectively.

People told us they felt listened to and consulted when planning and agreeing what care and support they needed. We found that people were supported to access appropriate healthcare where necessary to maintain their health and wellbeing.

Risks to people were assessed and regularly reviewed. Staff understood the actions needed to minimise the risk of avoidable harm including the prevention of avoidable infections.

People knew how to make a complaint and felt confident they would be listened to if they needed to raise any concerns.

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 did not always support this practice and we have made a recommendation regarding mental capacity assessments and best interest decisions.

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

Enforcement

We have identified breaches in relation to the management and administration of medicines at this inspection. Please see the action we have told the provider to take at the end of this report.

Rating at last inspection

The last rating for this service was good (published 8 November 2016).

Why we inspected

This was a planned inspection based on the previous rating.

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 27 September 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 27 September 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 27 September 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 27 September 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 27 September 2019

The service was not always well-led.

Details are in our well-Led findings below.