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Norton Nurses Limited Requires improvement

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

Inspection Summary


Overall summary & rating

Requires improvement

Updated 25 June 2019

About the service: Norton Nurses is a domiciliary care service that was providing personal care to 37 people at the time of the inspection.

Norton Nurses is registered to provide care to children, younger adults, older people and people with dementia, physical disability, sensory impairment and mental health needs.

People’s experience of using this service:

• The provider displayed CQC’s rating of performance at their business location. However, they failed to display this on their website.

• Staff absence and the management team providing care to people had impacted on the management team’s ability to undertake regular reviews of risk assessments and care plans, and to undertake staff supervisions and co-ordinate team meetings.

• People were supported by staff that were kind and caring, their privacy and dignity was respected.

• People felt safe receiving care from Norton Nurses. People were supported by staff that had been safely recruited and had adequate training to meet their needs.

• People received their medicines on time.

• Risks associated with people falling, skin damage or eating and drinking had been identified and plans updated as and when people’s needs changed. Staff understood risks associated with people’s healthcare conditions.

• People were supported to eat and drink enough and to attend healthcare appointments when needed.

• People’s choices were respected and they were in control of their care.

• People’s independence was promoted and they received individualised support from staff that knew them well.

• Concerns and complaints were promptly responded to and people knew the management team by name.

• The service met the characteristics for a rating of ‘requires improvement’’ in two of the five key questions we inspected and a rating of ‘good’ in three. Therefore, our overall rating for the service after this inspection was ‘requires improvement’.

Rating at last inspection: Good (Report published 27 July 2016).

Why we inspected: This was a scheduled inspection based on the previous rating.

Follow up: Going forward we will continue to monitor this service and plan to inspect in line with our re-inspection schedule for those services rated Good.

Enforcement:

At this inspection we found the service to be in Breach of Regulation 20A Requirement as to display of performance assessments of the Health and Social Care Act 2008 (Regulated Activity) Regulations 2014. Full information about CQC’s regulatory response to the more serious concerns found in inspections and appeals is added to reports after any representations and appeals have been concluded.

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

Inspection areas

Safe

Good

Updated 25 June 2019

The service was safe

Details are in our Safe findings below.

Effective

Good

Updated 25 June 2019

The service was effective

Details are in our Effective findings below.

Caring

Good

Updated 25 June 2019

The service was caring

Details are in our Caring findings below.

Responsive

Requires improvement

Updated 25 June 2019

The service was not always responsive.

Details are in our Responsive findings below

Well-led

Requires improvement

Updated 25 June 2019

The service was not always well-led

Details are in our Well-Led findings below