Archived: Prestige Nursing York

Updated 6 December 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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

One inspector carried out this inspection.

Service and service type.

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats and specialist housing, so they can live as independently as possible.

The service had an acting manager and were in the process of applying to the CQC for a registered manager. Once the application has been approved the registered manager 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 24 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection. Inspection activity was completed on 4 November 2019 when we visited the office location and three people in their own homes.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all this information to plan our inspection.

During the inspection

We spoke with three people who received personal care, three staff, the acting manager, and the complex care lead. We reviewed three people’s care records in the office and three care records in people’s own homes. These included medication administration records and daily notes. We looked at one paper staff file and other electronic staff records including, recruitment, induction, training and supervision as well as other records relating to the management of the service.

After the inspection

We looked at some specific information we had asked the provider to send us. This included information on the registered manager status for the home, a range of company policies and procedures, and outcomes from surveys.

Updated 6 December 2019

Prestige Nursing York is a domiciliary care service registered to provide personal care to people living in their own homes. At the time of the inspection the service was providing personal care to seven people in their own homes.

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

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.

People were safe from harm. Systems, safe recruitment and effective risk management supported this. Sufficient numbers of staff were employed to support people with their assessed needs. Where people had been assessed as at risk from any activity, support plans provided guidance for staff to provide safe care and support.

Medicines were managed and administered safely. People told us, and records confirmed people had received their medicines as prescribed.

Staff received a structured induction to the service and individuals who they supported. Training, supervision and support enabled staff to work following best practice guidance which was of benefit to people who they supported. People had good relationships with staff who protected their individual rights and preferences.

People told us staff were kind, caring and respectful. Staff understood the importance of maintaining people’s privacy and dignity and encouraged their independence.

The provider completed oversight of the service to ensure quality assurance remained a priority and was effective in maintaining standards and driving improvements. Documents held in the office were secure to ensure confidentiality of people's information, and staff respected people's confidentiality when they supported them.

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 this service was Good (published 18 May 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

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