Trent Nursing

Updated 3 September 2022

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

The inspection was carried out by one inspector.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own homes.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave a short period of notice before 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. Inspection activity started on 20 July 2022 and ended on 02 August 2022. We visited the location’s office on 21 July 2022.

What we did before the inspection

We reviewed information we had received about the service. We sought feedback from professionals who work with the service. 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 to the registered manager, a director and four staff members. We also spoke to two relatives and a case manager about their experiences of the service.

We reviewed three people’s care plans and risk assessments, two of these were written by third parties who supported with the management of the care and one was written by the provider. We also reviewed three staff recruitment files and a range of other written records.

Updated 3 September 2022

About the service

Trent Nursing Care is a homecare service providing regulated personal care. The service provides support to younger adults and children. 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 our inspection there were four people using the service and three of these people were supported with personal care, which included both children and adults. The provider worked in partnership with case management agencies and other providers to deliver bespoke packages of care.

People’s experience of using this service and what we found

The provider did not always have full oversight of the care being provided for people. Where people’s support was provided in partnership with third parties, formal arrangements had not been made for the provider to have up to date information on the support their staff were providing.

We have made a recommendation about implementing formal processes and policies when working with partner organisations to provide care for people.

People were supported to receive medicines safely but some more specific information was needed about medicines administration. The registered manager took action to ensure this was in place during the inspection.

People were protected from avoidable harm and staff knew how to raise concerns about poor practice. Risks to people were assessed safely. Relatives felt people’s support was safe. Staff were recruited safely. People were protected from the risk of infection and lessons were learned when incidents took place.

Although staff knew people’s needs one person’s care plan information required more specific information about how they were supported. This was updated immediately by the registered manager. People and relatives were included in the care planning process.

Staff received extensive training to provide specialised support for people. People were supported effectively with their nutrition and hydration needs. Staff worked very closely with other agencies to provide tailored support for people.

Staff genuinely cared for the people they supported. Relatives told us people were supported with kindness. People were supported to retain the dignity and independence. People were supported o express their views on their care.

One person’s personal history was not recorded in their care plan, but staff knew their personal preferences in depth. People were supported to access the community and things they wanted to do. People’s communication needs were met by the staff.

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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 10 October 2020 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.