Premier Nursing Limited

Premier Nursing Limited provides personal care to people living in their own homes in the community. It provides support to older people and people living with dementia. At the time of the inspection 28 people were receiving personal care. This service provided both planned visits to people's homes and a live-in service.

People's experience of using this service:

At a care visit observation, we identified that one person had a missed call, which resulted in medication not being given. Whilst the impact to the person was low, it is vital the provider ensures oversight of care calls.

People's care documentation did not always record information about people's preferences in relation to their end of life care wishes.

People told us they felt safe and knew who to contact if they had any concerns. Systems supported people to stay safe and reduce the risks to them. Staff knew how to recognise signs of abuse and what action to take to keep people safe. There was enough staff to support people safely and the registered manager had safe recruitment procedures and processes in place. A person told us, "I was already aware of their professionalism and knew I would feel safe with them."

Staff were trained in administering medicines. People knew what their medication was for and told us they felt reassured by the support with their medicines. People were protected by the prevention and control of infection. Staff wore gloves and aprons when supporting people.

People were supported to maintain their health and had support to access health care services when they needed to. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People received kind and compassionate care. People and relatives told us staff treated them with kindness and we observed friendly interactions when attending a care visit. One person told us, "Before my wife became ill, I researched every care provider, Premier Ltd shone out above the rest as the most caring, professional, friendly and efficient organisation."

People received person centred care that was responsive to their needs and people and relatives knew how to raise a complaint.

Quality assurance systems were in place to monitor the service and drive improvements.

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