Prestige Nursing and Care - Bath

Updated 30 March 2022

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 was carried out by one inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

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

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. The registered manager had a planned absence from the service. An interim manager was in post.

Notice of inspection

This inspection was announced. We gave a short notice period of the inspection. This was because we needed to be sure that the provider or manager would be in the office to support the inspection.

Inspection activity started on 03 March 2022 and ended on 08 March 2022. We visited the location’s office on 03 March 2022.

What we did before inspection

We reviewed information we had received about the service. 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. We used all this information to plan our inspection.

During the inspection

We spoke with three staff members which included the manager and the regional manager. We reviewed a range of records. This included three people’s care and medicine records. We looked at four staff files in relation to recruitment. A variety of records relating to the management of the service, including policies and procedures and audits were reviewed.

After the inspection

We spoke to a further two staff members. The Expert by Experience spoke to three people who use the service and three relatives. We received feedback from one health and social care professional.

Updated 30 March 2022

About the service

Prestige Nursing Bath is a domiciliary care agency providing personal care to people in their own homes. The service operates in Bath and surrounding areas. At the time of our inspection there were 12 people using the service.

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

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

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 supported this practice.

People were engaged in decisions about their care to ensure it met their needs. Care plans were person centred and gave clear and specific information of how people preferred their care and support to be delivered. People’s consent was always sought and respected.

The organisation promoted a positive staff culture where staff were valued and supported. Staff were caring and reliable. Regular training specific for people’s needs ensured staff were skilled and competent.

Medicines were managed safely. Assessments identified risks. Guidance was clear on how risk should be managed. People’s nutritional and hydration needs were met.

The service was well led and managed. Systems were in place to monitor and review the quality of the service. There was an open and honest culture and reflective practice took place.

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

Rating at last inspection

This service was registered with us on 24 January 2020 and this is the first inspection.

Why we inspected

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

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.