27 September 2016
During a routine inspection
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.