Top Carers Nursing and Domiciliary Care Agency

Top Carers Nursing and Domiciliary Care Agency is a domiciliary and nursing care service. The service provides personal and nursing care to people living in their own homes. At the time of the inspection four people were receiving personal care and no people received nursing care. 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 the inspection some people were receiving support which did not include personal care and the provider also supplied staff to care homes and hospitals. We did not review the care they received as it is outside our regulatory remit.

The provider assessed risks to people to ensure staff had clear guidance to follow to reduce these risks. People's medicines were managed safely and the registered manager carried out frequent checks of this. Staff were well trained in medicines management with assessments to check they were competent. Staff received formal and informal supervision with good recording systems so the provider could check the support staff received. The provider had a good system of audits in place to check people received the right standard of care.

The provider checked staff were suitable to work with people by undertaking the necessary recruitment checks. There were enough staff to support people safely and staff timekeeping was good. Staff followed suitable infection control practices, including the safe use of personal protective equipment (PPE) to reduce the risk of COVID19 transmission, and received training on this.