Archived: Nurse Plus and Carer Plus (UK) Limited

Updated 11 January 2017

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 registered 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 22 November 2016 and was announced. This was to ensure someone would be available to speak with us and show us records. One Adult Social Care inspector carried out this inspection.

Before we visited the service we checked the information we held about this location and the service provider, for example, inspection history, safeguarding notifications and complaints. A notification is information about important events which the service is required to send to the Commission by law. We also contacted professionals involved in caring for people who used the service, including commissioners and safeguarding staff. We used this information to inform our inspection.

Before the inspection, the registered provider completed a Provider Information Return (PIR). This is a form that asks the registered provider to give some key information about the service, what the service does well and improvements they plan to make. We used this information to inform our inspection.

During our inspection we spoke with five people who used the service and three family members. We also spoke with the registered manager, quality assurance advisor and three care workers.

We looked at the personal care or treatment records of five people who used the service. We also looked at the personnel files for five members of staff and records relating to the management of the service, such as quality audits, policies and procedures.

Updated 11 January 2017

This inspection took place on 22 November 2016 and was announced. This was to ensure someone would be available to speak with us and show us records.

Nurse Plus and Carer Plus (UK) Limited provides care and support for people living in their own homes. On the day of our inspection there were 157 people using the service.

The service had a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission (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.

Nurse Plus and Carer Plus (UK) Limited was last inspected by CQC on 17 September 2013 and was compliant with the regulations in force at that time.

Accidents and incidents were appropriately recorded and investigated. Risk assessments were in place for people who used the service and staff and described potential risks and the safeguards in place. Staff had been trained in safeguarding vulnerable adults. Procedures were in place to ensure people received medicines as prescribed.

There were sufficient numbers of staff on duty in order to meet the needs of people who used the service. The registered provider had an effective recruitment and selection procedure in place and carried out relevant checks when they employed staff. Staff were suitably trained and received regular supervisions and appraisals.

The registered provider was working within the principles of the Mental Capacity Act 2005 (MCA).

People were protected from the risk of poor nutrition and staff were aware of people’s nutritional needs.

People who used the service and family members were complimentary about the standard of care from staff at Nurse Plus and Carer Plus (UK) Limited. Staff treated people with dignity and respect and helped to maintain people’s independence by encouraging them to care for themselves where possible.

Care records showed that people’s needs were assessed before they started using the service and care plans were written in a person centred way.

People were able to take part in activities based on their likes and interests and to help meet their social needs.

People who used the service and family members were aware of how to make a complaint and the registered provider had an effective complaints procedure in place.

Staff felt supported by the registered manager and were comfortable raising any concerns. People who used the service, family members and staff were regularly consulted about the quality of the service. Family members told us the management were approachable and understanding.