Archived: Prestige Nursing - Milton Keynes

Updated 11 August 2016

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 28 June, 7 and 14 July 2016 and was announced. The provider was given 48 hours’ notice because the location provides a domiciliary care service to people living in the community, and we needed to be sure that someone would be available in the office.

The inspection was carried out by one inspector.

Before the inspection we reviewed information we held about the service including statutory notifications that had been submitted to the Care Quality Commission (CQC). Statutory notifications include information about important events which the provider is required to send us by law. We also received feedback from commissioners involved in the care of people using the service.

We spoke with two people using the service and the relatives of three people using the service. We spoke with the manager and three care workers.

We reviewed the care records belonging to four people using the service to check that they were reflective of people’s current needs. We reviewed four staff files that contained information about their recruitment, training and support. We also looked at other records relating to the quality assurance and management of the service.

Updated 11 August 2016

This inspection took place on 28 June, 7 and 14 July 2016 and was announced. Prestige Nursing Milton Keynes provides personal care to people in the Milton Keynes area. At the time of our inspection the service was providing personal care for 18 people in their own homes. The inspection was undertaken by one inspector.

The service did not have a registered manager in post. 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. A manager had been appointed at the service; they had submitted a registered manager application to the Care Quality Commission (CQC), which was in progress.

At the last inspection of the service on 13 November and 1December 2015 we asked the provider to take action to improve how they managed the recoding of medicines. The provider sent us an action plan telling us how they planned to improve. At this inspection we found the actions had been completed.

Staff knew how to recognise signs of abuse and what they needed to do to protect people from abuse.

Risks to individuals and the environment were identified and managed. Risk assessments were centred on the needs of the individual, to enable people to live as safely and independently as possible.

Staffing arrangements ensured there were sufficient numbers of staff available to meet people’s needs. The recruitment systems ensured that staff had the right mix of skills, knowledge and experience and were suitable to work with people using the service.

Staff were trained in the safe administration of medicines and where the service was responsible; people were supported to take their medicines safely.

Staff received regular training which provided them with the knowledge and skills to meet people’s needs. They also received regular supervision and support from senior care staff.

Staff sought people’s consent before providing any care and support. They were knowledgeable about the requirements of the Mental Capacity Act (MCA) 2005 legislation.

Where the service was responsible, people were supported to have a balanced diet that promoted healthy eating.

Staff met people’s day to day health needs and took appropriate action in response to changing health conditions.

People were treated with kindness and compassion and their privacy was respected. The staff understood and promoted the principles of person centred care.

People’s needs were assessed and their care plans had sufficient detail to reflect how they wanted to receive their care and support. People using the service and/or their relatives were involved in the care reviews.

Complaints were responded to appropriately and they were used as an opportunity for learning and improvement.

The registered manager understood their responsibilities. Their leadership style inspired the staff team to deliver a quality service. Staff at all levels understood the ethos and vision of the service.

Robust quality assurance systems were used to measure and review the delivery of care, and drive continuous improvement.