Background to this inspection
Updated
4 January 2023
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 Health and Social Care Act 2008.
Inspection team
This inspection was carried out by two inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
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.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave the service 48 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.
What we did before the inspection
We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with the registered manager and 3 staff members. We reviewed the care files and medicines administration records for 3 people using the service. We also reviewed a range of records in relation to the management of the service such as policies and audits.
Updated
4 January 2023
About the service
Parkgate Nursing Agency is a domicilliary care agency providing personal care to 15 people at the time of the inspection. The service supports older people and those with dementia.
The Care Quality Commission (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. At the time of the inspection 15 people using the service were receiving personal care.
People’s experience of using this service and what we found
People received safe care from staff that were trained to support them well. People received their medicines when they needed them. Staff understood how to respond to potential safeguarding concerns, with incidents and accidents investigated appropriately. Staff had enough access to PPE.
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, their relatives and staff felt that the service was well managed. Quality assurance systems were effective in identifying and making improvements across the service. Other healthcare professionals were contacted to ensure people’s care needs were met.
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 September 2019)
Why we inspected
We undertook this inspection as part of a random selection of services rated Good and Outstanding.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
Enforcement and Recommendations
We have made a recommendation in relation to risk management.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Parkgate Nursing Agency on our website at www.cqc.org.uk.