Archived: One Lyric Square

Updated 28 April 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.

The inspection of Cavendish Staffing took place on 16 February 2015 and was announced. We told the provider three days before our visit that we would be coming. This was because the registered manager and other senior staff are sometimes away from the office location visiting people who use the service and supporting the nursing and care staff; we needed to be certain that someone would be available. One inspector carried out this inspection.

Before the inspection visit we read the information we held about the service. This included the previous inspection report, which showed that the service met the regulations we inspected on 29 January 2014. We also checked statutory notifications sent to us by the registered manager about significant incidents and events that had occurred at the service, which the provider is required to send to us by law.

People who used the service were self- funded and had been supported by their relatives to arrange their care packages. As part of the inspection we spoke with the relatives of two people who used the service, two registered nurses employed within the staff team, the clinical nurse specialist and the registered manager. We looked at records including three care plans, four staff recruitment and training files, the complaints log and policies for safeguarding people, administering medicines and end of life care.

We spoke with two doctors who had both referred patients to the service for several years and had observed the quality of nursing care and personal care provided by staff.

Updated 28 April 2015

The inspection was carried out on 16 February 2015 and was announced. We gave 72 hours’ notice of the inspection to make sure that the staff we needed to speak with were available at the location.

One Lyric Square is a domiciliary care service which provides nursing care and personal care services to people living in their own homes. At the time of our inspection there were five people using the service.

There was a registered manager at the service. 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.

There were established protocols in place to protect people from harm and keep them safe, which included written guidance for staff and relevant training. Staff demonstrated an understanding of the Mental Capacity Act (MCA) 2005 and were aware of the need to consider whether people had capacity. There were enough staff employed to meet people’s needs and provide a flexible service, including care packages that required two staff for each visit or shift. Relatives and external professionals told us that the provider could promptly respond to people’s requests for additional care and support.

Staff received suitable training to meet people’s needs. They received support and guidance from the clinical nurse specialist and the registered manager. Staff met two or three times a week with the clinical nurse specialist to discuss people’s identified needs and how these needs were being met.

Assessments were undertaken by the clinical nurse specialist to identify people’s nursing care and/or personal care needs. Risk assessments were conducted to promote people’s safety, whilst respecting their entitlement to make their own choices and maintain their independence as much as they were able to and wished to. The care plans were detailed and personalised, and were regularly reviewed and updated as required. Staff supported people to take their prescribed medicines and demonstrated a good knowledge of the provider’s medicines policy and procedure.

Relatives of people using the service and external professionals described the service as being well managed, and we received positive comments in regard to the commitment and compassion shown by the registered manager, the clinical nurse specialist, and the nursing and care staff.

There were systems in place to assess and monitor how the service performed, in order to continuously improve on people’s care and support.