Prestige Nursing Wakefield

Updated 19 July 2018

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.

We gave the service 48 hours’ notice of the inspection visit because it is small and the manager is often out of the office supporting staff or providing care. We needed to be sure that they would be in. The inspection was carried out by one social care inspector. An expert by experience spoke to people and their relatives on the telephone during the inspection. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Before the inspection we reviewed the information, we held about the service. This included looking at information we had received about the service and statutory notifications we had received from the service. We also contacted the local authority commissioners and safeguarding team and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.

We sent the provider a Provider Information Return (PIR) before the inspection. 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. The provider had completed and returned the PIR as requested.

The inspection took place on the 20 of June 2018 and ended on 27 June 2018. We spoke to 11 people who used the service, seven relatives and seven staff on the telephone. We visited the office location on 21 and 27 June 2018 to see the registered manager and office staff; and to review care records and policies and procedures.

Updated 19 July 2018

We inspected Prestige Nursing Wakefield on the 21 and 27 June 2018 both visits was unannounced. This was the first inspection the service had received since moving locations in April 2017.

This service is a domiciliary care agency. It provides personal care to people living in their own homes.in the community. It provides a service to older adults, younger disabled adults. At the time of inspection there was 45 people receiving personal care.

The home had a registered manager in place. 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.

Staffs competency was assessed before they worked with people and periodically during their employment. Staff, people and their relatives told us they could speak to the manager if they had any concerns. The registered manager carried out formal supervisions and visual observations of. We saw staff received an annual appraisal. We saw staff meetings were in place and weekly newsletters and surveys were sent out to people and their relatives yearly.

People told us they felt safe with the care and support they received from staff. Staff were aware of safeguarding procedures and how to follow these. Staff had completed an induction and was allocated to support people in relation to their care and cultural needs.

Staff were sufficiently trained and knowledgeable about their roles and responsibilities.

People told us they were supported to eat and drink. Staff supported them to healthcare appointments and provided personal care as required to meet people’s needs.

Medicines were managed, stored and administered safely.

There was a complaints procedure in place. People who used the service, their relatives and staff knew how to complain. Complaints and compliments were dealt with in accordance with the agency policy.

Accidents and incidents were recorded and trends and patterns were analyses by the registered manager.

There were systems in place to assess and monitor the quality of the service. Staff said there were good leadership within the service which promoted an open culture.