• Services in your home
  • Homecare service

Archived: NurseplusUK - Suite 1 Wellington Square

Overall: Good read more about inspection ratings

Wellington Square, Hastings, East Sussex, TN34 1PN (01424) 716200

Provided and run by:
Nurse Plus and Carer Plus (UK) Limited

Important: This service is now registered at a different address - see new profile

Latest inspection summary

On this page

Background to this inspection

Updated 13 June 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection team included 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 homes. Not everyone using the service receives regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.

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.’

Notice of inspection:

We gave the service 4 days’ notice of the inspection site visits. This was to ensure people could agree to being contacted by an inspector. Some of the people using the service could not consent to a home visit from an inspector, which meant that we had to arrange for a ‘best interests’ decision about this.’

Inspection site visit activity started on 13 May 2019 when we contacted people and staff by telephone. We visited the office location on 14 and 16 May 2019 to see the registered manager and office staff; and to review care records and policies and procedures. We visited people in their homes on 16 May 2019.

What we did:

Before the inspection we reviewed the information, we held about the service and the service provider. The registered provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We looked at the notifications we had received for this service. Notifications are information about important events the service is required to send us by law.

During the inspection we spoke with nine staff, this included the registered manager, a senior manager from the provider and care staff. We spoke with five people and nine family members by telephone to gather their views about the support received. We visited three people in their own homes. This helped us to observe interactions between people and staff and talk with people about the support they receive.

During the office site visit we looked at records, which included six people's care and medicines records. This included ‘pathway tracking’ two people using the service. This is when we check that the care detailed in individual plans matches the experience of the person receiving care. It is an important part of our inspection, as it allows us to capture information about a sample of people receiving care. We checked training records and looked at a range of records about how the service was managed.

Overall inspection

Good

Updated 13 June 2019

About the service: NurseplusUK - Suite 1 Wellington Square, is a domiciliary care agency in Hastings. It provides support with personal care to people living in their own homes. At the time of the inspection 33 people received personal care from the service.

People’s experience of using this service:

People received support that was person-centred and met their individual needs, choices and preferences. People received support at times of their choice and systems were in place to make sure calls were not missed. Complaints had been recorded, investigated and responded to appropriately.

Staff understood people’s care and support needs. They understood people’s needs and choices and what was important to each person. People were treated with kindness, respect and understanding. They were enabled to make their own decisions and choices about what they did each day.

Staff understood the risks associated with the people they supported. Risk assessments provided further information and guidance for staff. People were protected from the risks of harm, abuse or discrimination because staff knew what actions to take if they identified concerns.

People were supported to receive their medicines when they needed them. There were enough staff working to provide the support people needed, at times of their choice. Recruitment procedures ensured only suitable staff worked at the service.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this.

People's health needs were met, they were supported to have access to healthcare services when they needed them. Staff received training that enabled them to deliver the support that people needed. Staff received support from the registered manager and their colleagues.

There was a clear staffing structure and staff were aware of their roles and responsibilities. The provider had a number of quality assurance systems in place and there was a focus on further improvement and development.

Rating at last inspection:

Requires improvement. (Report published 28 June 2018).

Why we inspected:

This was a planned inspection based on the rating at the last inspection. At this inspection we found the service to be good.

Follow up:

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

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