28 November 2017
During a routine inspection
Nestor Primecare Services Limited (also known as Allied Healthcare) provides personal care services for people living in an extra care housing scheme at Rozel Court. The management of the building and facilities is not the responsibility of Nestor Primecare Services Limited. The building consists of self-contained flats with some shared facilities. Nestor Primecare Services Limited has an office in the building from which they manage their service.
At the time of our inspection there were 24 people receiving personal care and support. These included people living with dementia, people with a learning disability and people with a physical disability.
The service had a registered manager. A registered manager is a person who has registered with the CQC 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.
The provider had arrangements in place to protect people from risks to their safety and welfare, including the risks of avoidable harm and abuse. There were sufficient staffing levels to support people safely. Recruitment processes were in place to make sure the provider only employed workers who were suitable to work in a care setting. There were arrangements in place to store and administer medicines safely and in accordance with people's preferences.
People received care which met their needs, from skilled, knowledgeable staff who had been given appropriate training. Staff had regular supervision to help maintain and develop their skills and knowledge.
Staff were aware of the legal protections in place to protect people who lacked mental capacity to make decisions about their care and support.
Plans were in place to support people to eat and drink enough to maintain their health and welfare. People were supported to access healthcare services, such as GPs and specialist nurses.
Care workers had developed caring relationships with the people they supported. People were encouraged to take part in decisions about their care and support and their views were listened to. Staff respected and supported people's independence, privacy, and dignity.
Care and support were based on assessments and plans which took into account people's abilities, needs and preferences. The provider had a system in place to identify early signs of deterioration in people's conditions or wellbeing.
The provider maintained an open, responsive culture and had robust arrangements in place for investigating and responding to complaints and concerns.
Systems were in place for monitoring efficiency and quality within the service so that improvements could be made.