Prime Nursing and Care

The registered manager and senior staff knew people very well. The registered manager carried out regular surveys and spot checks. Audits had been carried out, but these were not always recorded.

People were supported by regular staff, and the occurrence of experiencing late visits were minimal. People told us staff knew them well. People received their medicine at the right time and in the right way. The staff had access to protective equipment and had been trained in infection control.

Staff had been trained in a wide range of topics and told us they had an induction when they had started. People were supported to have as much choice and control over their lives and were supported in the least restrictive way possible. Policies and systems in the service support this practice.

People told us the staff were caring and treated them in a respectful and dignified way. Care plans were in place, which provided guidance for staff about how to deliver responsive care to people. At the time of the inspection, the service was not delivering care to people who were at the end of their life.

Detailed information relating to people's health needs had been retained within people's care plans. Further development was required specifying what oral health care was needed. We have made a recommendation about oral health care.

The registered manager completed a range of risk assessments, which were person centred and detailed. There were enough staff to deliver care to people, and systems were in place to monitor the frequency of late or missed care calls.

People told us they knew how to raise a complaint if they needed to but had no reason to complain about the service received. Compliments had been made about the service.

People told us the registered manager was easily contactable and that communication was good. The registered manager had not considered how the accessible communication could be applied and needed to

ensure that people had access to information in different formats which met their needs. We have made a recommendation about accessible communication.