Prime Care Support Limited

At our last inspection we identified breaches in relation to people’s safe care and treatment. At this assessment improvements had been made and the service is no longer in breach of regulations. People gave us mixed feedback about how safe they felt being supported by staff and staff consistency. We also found some inconsistencies related to safety where staff did not always effectively record how people had been supported. However, for the most part people were supported safely at the service and staff knew how to keep people safe. Staff followed safe medicines administration and infection prevention control (IPC) practices.

People’s care records did not always fully document the support they needed or what support other professionals were currently giving them, making it harder for people to have effective consistent support. However, people’s needs were thoroughly assessed when they started using the service. The staff team worked well together and worked well with other professionals to support good health outcomes for people. People were supported within the principles of the Mental Capacity Act (MCA).

People were mostly positive about the support they had from the staff team. Staff were described as kind and caring. However, some people and relatives said they were not always involved in discussions about their care and support. Staff enjoyed working with and supporting people and spoke about them kindly with dignity and respect.

People received person centred care from a staff team who knew them well as individuals. However, some people told us they would prefer a more consistent staff team, and some care plans could have contained more detail about how to support people with their specific support needs.

At our last inspection we identified breaches in relation to good governance. At this assessment improvements had been made and the service is no longer in breach of regulations. The registered manager and provider were passionate about the service and had made and sustained a number of improvements since our last assessment. Audits were still not completely effective in finding and making improvements in all areas of the service. However, the registered manager and provider were open and honest about where improvements could still be made and sent us evidence of where they had already started to implement these improvements based on our feedback.