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Right Nurse Care Services Good

All reports

Inspection report

Date of Inspection: 31 October and 4 November 2013
Date of Publication: 6 December 2013
Inspection Report published 06 December 2013 PDF

The service should have quality checking systems to manage risks and assure the health, welfare and safety of people who receive care (outcome 16)

Meeting this standard

We checked that people who use this service

  • Benefit from safe quality care, treatment and support, due to effective decision making and the management of risks to their health, welfare and safety.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 31 October 2013 and 4 November 2013, checked how people were cared for at each stage of their treatment and care and talked with people who use the service. We talked with carers and / or family members, talked with staff and talked with other authorities.

Our judgement

The provider had an effective system to regularly assess and monitor the quality of service that people receive.

Reasons for our judgement

The provider had appropriate systems in place to gain feedback from people who used the service and staff via six monthly surveys. We saw that the results of the most recent surveys had been positive with 80% of people who used the service indicating they would recommend the service to “friends and family” and all staff reporting that Right Nurse Care Services was a good employer.

We discussed the review of daily care records with the provider who explained that these records were returned to the office regularly and then reviewed by a member of office staff. Any issues identified during the review process were subsequently discussed during care team meetings. We inspected the minutes of a number of these meetings and found that issues identified from the daily care notes were routinely discussed in order to share best practice within the team and ensure consistency in the quality of information recorded. One person who used the service told us “they always read the records back to me to make sure I am happy with them” and a relative told us “It’s very reassuring; I can read the daily notes and know what’s happened during the day”.

All of the care plans we reviewed were up to date and staff told us the care plans were “easy to read”, contained the “right amount of information” and reflected the current care needs of people who used the service.

We saw the service’s policies and procedures had been provided by an external contractor, regular updates to reflect changes to best practice had been provided. We saw some evidence these policies had been customised to reflect current practices at Right Nurse Care Services.

Everyone who used the service was regularly informed in writing of the names of the care staff who were due to provide care and their expected arrival time. People who used the service told us they received care from a consistent group of carers and the staff were “friendly” and “very very helpful”.

We saw there was an accident book available for recording details of accidents and near misses. We reviewed the accident book and found one minor accident had been recorded. We discussed this low number of recorded accidents with the provider who agreed that some improvement was needed in the recording of accidents. Information received since the inspection demonstrated that all accidents are now being appropriately recorded and investigated.