Archived: NYS Nursing Agency Ltd

Updated 19 August 2015

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 Act 2014.

This inspection took place on 26 June 2015 and was announced.

The inspection was undertaken by one adult social care inspector.

Prior to this inspection we looked at all the information we held about this service. We reviewed  the report from when the service was registered with the Care Quality Commission in August 2013 and we received feedback from social work professionals and commissioners within Lancashire County Council.

At the time of our inspection of this location there was one person who used the service. This person did not wish to engage with the inspection process and we were assured that they had not raised any concerns regarding the service being provided for them.

We were not able to determine if people received the care and support they needed and if any risks to people’s health and wellbeing were being appropriately managed. Therefore, we felt that we could not gather sufficient, robust evidence to make a judgement and award a rating to the service during this inspection.

We looked at one person's needs assessment record, however, their full care file was based at their home and we were not granted access to this information.

We spoke with five care workers, the provider and officer manager during the course of our inspection.

We also looked at a wide range of records. These included; the personnel records of three staff members, a variety of policies and procedures, training records and quality monitoring systems.

Updated 19 August 2015

This inspection took place on 26 June 2015 and was announced. We informed the provider that a comprehensive inspection had been scheduled 48 hours before we visited to ensure that we could gain access to the information we needed to look at.

NYS Nursing Agency is a domiciliary care agency providing practical and personal care to people in the Preston and surrounding areas. At the time of the inspection there was one person who had recently accessed the service and was being provided one hour of personal care daily.

NYS Nursing Agency registered to provide personal care and treatment of disease, disorder or injury in August 2013. Since registration the provider has had two people access the service for domiciliary care services.

We were assisted throughout the inspection by the registered manager who is also the owner of NYS Nursing Agency.  

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.

This was the first inspection of NYS Nursing Agency since its registration with the Commission in August 2013.

At the time of the inspection, the service had not become fully operational and as such, we were unable to speak with anyone who had used it. However, we were able to discuss the plans in place to deliver the service in accordance with the fundamental standards of the Health and Social Care Act 2008 with the registered manager.

During this inspection we looked at how the provider intended to develop the service and we looked at processes for responding to safeguarding concerns and complaints. We inspected the service's recruitment and staff training procedures and discussed with the provider how standards of service provision would be monitored.

We were unable to gather sufficient evidence to support a robust judgement and provide a rating for the service. The one registered client did not wish to engage with the inspection process, therefore we were unable to report on peoples experience of the service provided.

We found that the service needed to develop areas such as recruitment, staff training and support for workers to ensure that home care provision was specific to individuals needs within a domiciliary setting. We have made a recommendation in respect of recruitment and supporting staff.

NYS Nursing Agency also provides nurses and care workers to care home and hospital settings. We did not inspect this division of the service, it does not fall within inspection regulations of the Health and Social Care Act 2008. However, we found that the provider did not have specific induction and training procedures in place to clearly define staff roles and responsibilities when working within domiciliary care.