Complete Nursing Services Ltd

Complete Nursing Services Ltd is a domiciliary care service providing personal care to adults including those living with dementia and physical disabilities. At the time of this inspection there were 13 people using the service who were receiving personal care. The service's offices are in Alvaston, Derby.

The service was previously inspected on 21 September 2017 where it was rated as 'Requires Improvement'. There were no breaches but some areas were in need of improvement. These improvements have now been made which support our new rating of 'Good'.

The service had a registered manager. This is a person who has registered with the Care Quality Commission 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.

People and relatives told us the service was safe and the staff trustworthy and reliable. Care workers knew the people they supported well and understood where they might be at risk and what do to if they had concerns about their safety. The service was never short of care workers and people always got the support they needed.

People and relatives made many positive comments about the caring nature of the managers and care workers. The staff team was stable and established which meant people had regular care workers they could get to know well. People were involved in making decisions about their own care and support and contributed to or wrote their own care plans. They were treated with dignity and respect and their privacy maintained.

Care workers assisted some people with their medicines. People and relatives said there had been no issues with this and they were satisfied people's medicines were managed safely. Care workers protected people from infection by wearing protective clothing, including disposable aprons and gloves, and keeping the home environment clean for them.

People and relatives said care workers had the skills and experience they needed to provide effective care and support. Care workers said they were satisfied with the range of training opportunities available to them. Records showed care workers completed a range of general and specific training courses to ensure they could meet people's needs.

Care workers supported some people with their meals and information about people's diets and how their food was to be prepared was in their care plans. Care workers supported people to access healthcare services where necessary and people and relatives said they knew what to do and who to contact if a person

was ill. Improvements have been made to the way in which people and their families, where applicable, consented to the care and support provided in line with the principle of the Mental Capacity Act 2005.

People and relatives told us the service provided high-quality care. The positive culture of the service and its focus on people having a say in their own care and support was evident. The managers were knowledgeable about all the people using the service and their care and support needs. They told us they wanted the service to remain small as this did not want to lose this close contact with people, relatives, and care workers.

The managers carried out a series of audits and checks to ensure the service was running effectively. People told us the managers kept in regular contact with them to ensure they were engaged and involved with the service. Care workers said the managers were supportive and caring. Managers and care workers continuously learnt, improved and innovated to ensure the sustainability of the service.

The five questions we ask about services and what we found