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Archived: A-Best Nursing and Care Limited

Overall: Good read more about inspection ratings

65 Wellington Road South, Stockport, Cheshire, SK1 3RU (0161) 222 8445

Provided and run by:
A-Best Nursing and Care Limited

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

Latest inspection summary

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Background to this inspection

Updated 25 October 2016

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care At 2014.

This inspection was carried out over two days on the 27 and 30 September 2016. We gave the provider 48 hours’ notice of our visit on 27 September to make sure the provider or the registered manager could be available for the inspection process and to make sure our visit did not impact on the day-to-day running of the service. On 30 September we conducted telephone calls to staff working for the agency and people using the services of the agency. The inspection team consisted of one adult care inspector.

A-Best Nursing and Care Limited provide support and personal care to people living in their own homes within the Stockport and Macclesfield areas. The registered office of the service is located at Wellington Road South in Stockport. At the time of our inspection the service was providing support to five people.

During our visit we spoke with the provider and registered manager. We examined care records for four people who used the service, medicine administration records, four staff personnel files, training certificates and records relating to the management of the service such as methods to monitor the quality of service delivery.

On the second day we spoke on the telephone with two people who used the service and two members of the staff team.

Before the inspection we reviewed the previous Care Quality Commission (CQC) inspection report about the service and any notifications of incidents that we had received from the service. We looked at the Provider Information Return (PIR) before our visit. This is a document that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

We sought feedback about the service from two local authorities who used the services of A-Best Nursing and Care Limited and Stockport Healthwatch. Healthwatch is the national consumer champion in health and care. We received feedback from one of the local authorities we contacted. In their response they informed us they had no concerns about the service.

Overall inspection

Good

Updated 25 October 2016

This inspection was carried out over two days on the 27 and 30 September 2016. We gave the provider 48 hours’ notice of our visit on 27 September to make sure they or the registered manager was available to assist us with the inspection process and to provide us with access to records. On 30 September we conducted telephone calls to staff working for the agency and people using the services of the agency. The inspection team consisted of one adult social care inspector.

We last inspected A-Best Nursing and Care Limited on 23 April 2014. At that inspection we found the service was meeting the regulations we assessed.

At the time of our inspection there was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

A-Best Nursing and Care Limited provides care and support to people living in their own homes.

Prior to our inspection we reviewed the information we held about the service. We reviewed the previous inspection report and the Provider Information Return (PIR) that the provider had completed March 2016. This is a document that asks the provider to give some key information about the service, what the service does well and any improvements they plan to make. We also checked to see if the service had sent us any notifications in relation to significant events, including safeguarding and serious injury matters. None had been received since the last inspection had taken place in April 2014.

People were protected from harm and abuse due to the arrangements in place to make sure risks to people that used the service was reduced. Risk assessments had been completed and put in place to help people and staff to reduce and manage any known risks.

Staff had been appropriately recruited and there were sufficient staff at the time of this inspection to meet people’s individual needs. We found staff worked flexibly to respond to any changes in a person’s needs.

We saw records to indicate training that staff had completed and our conversations with the staff we spoke with confirmed this. People who used the service also told us they felt staff had the right abilities and skills to provide them with a service at a time that was right for them.

People using the service told us that the registered manager and provider regularly visited them at home to speak with them about their service, check records and carry out ‘spot checks’ on staffs delivery of their service.

We found that some information supplied to people such as the service user guide was incorrect and needed reviewing and updating in parts. The provider confirmed that this would be done.

Staff told us the registered manager and provider was approachable and listened to them. They also told us that they felt supported to carry out their job roles effectively and received verbal supervision on a regular basis.

No person using the service or staff spoken with raised any concerns about the service or its management.