Prestige Nursing Bracknell

Prestige Nursing Bracknell is a domiciliary care agency providing personal care to people. The service provides support to younger adults and older people who may also have, dementia, a sensory impairment, a learning disability or autism, or a physical disability. 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

The provider did not ensure systems were embedded to oversee the service and ensure compliance with the fundamental standards. They did not have evidence to support effective governance. The service had an open and transparent way of working to ensure the safety of the people using the service. Staff knew people they supported well and cared about their wellbeing.

We have made a recommendation the provider reviews the frequency of their mandatory training. People knew how to raise concerns and they felt they would be listened to. People felt that staff were caring.

The service had ensured that medicines were stored and given to people safely. People’s risks assessments were clearly written and gave clear instructions to staff meaning that people were less likely to suffer harm. Effective infection prevention control measures were in place to keep staff and people safe.

Care plans were person centred and included the input of the relevant person. 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.

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

Rating at last inspection

The last rating for the service under the previous provider and at the previous premises was good, published on 3 February 2018.

Why we inspected

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

Enforcement and Recommendations

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.

We have identified breaches in relation to good governance. Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.