Archived: Prestige Nursing - Sutton

Updated 8 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.

This inspection took place on 13 January 2015 and was announced. We gave the area manager 48 hours’ notice to give them time to become available for the inspection. It was undertaken by a single inspector.

Before our inspection we asked the provider to complete a Provider Information Return (PIR). We reviewed this, as well as other information we held about the service and the provider. We also contacted the local authority commissioning team to ask them about their views of the service provided to people.

During the inspection we spoke with the area manager and two members of branch staff. We looked at three people’s care records to see how their care was planned, three care workers recruitment files and records relating to the management of the service. We then visited a person in their own home to ask their views of the service and the views of their relative. We observed a care worker’s interactions with them.

After the inspection we spoke with three people using the service, two relatives, four care workers a social worker and a person in the local authority brokerage team.

Updated 8 April 2015

This inspection took place on 13 January 2015 and was announced. We gave the registered manager 48 hours’ notice to give them time to become available for the inspection. When we last visited the service on 20 May 2013 we found the service was meeting the regulations we looked at.

Prestige Nursing – Sutton provides personal care to people with a range of needs, in particular older people. The service provides regular support for people in their own homes.

The service did not have a registered manager. 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. Since the previous registered manager was promoted internally two branch managers had been appointed but neither remained with the organisation.

Care workers understood how to recognise abuse and protect people from the risk of abuse. Risks were managed well and people’s views about risks to them were taken into consideration during the risk assessment process. People using the service, their relative and care workers were encouraged to provide feedback and to raise any concerns about their care. Concerns were investigated and responded to appropriately to keep people safe. Medicines management was safe and only care workers assessed as competent administered medicines.

There were enough care workers to meet people’s needs and recruitment procedures were safe. The provider supported care workers through effective induction, supervision, appraisal and training. People received the food they wanted and were supported with their day-to-day health needs.

People were treated with kindness and respect. People and their relatives were involved in care planning and care plans reflected their views, backgrounds and preferences. Care workers were aware of this information and knew the people they were supporting. They carried out care according to people’s wishes as people were given choice and control regarding their care. People were supported to be as independent as they wanted to be.

The provider had effective systems in place to monitor the quality of care provided to people and monitored the attitudes and behaviours of care workers. There was an emphasis on transparency and openness.