Prestige Nursing Halesworth

At our last inspection of 8 December 2016, this service was rated requires improvement overall and in all of the key questions. There were breaches of Regulation 18: Staffing and Regulation 17: Good governance of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This was because improvements were needed in how the service was staffed and assessed and monitored. The service wrote to us to tell us how they planned to implement improvements. During this inspection of 26 November 2018, we found improvements had been made, there were no breaches of Regulation and the service was rated good overall.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.

There were systems in place designed to provide people with safe care. Improvements had been made in the staffing in the service and the ways that people's care visits were planned. Risks to people were managed, including risks from abuse and in their daily lives. The service had a recruitment drive in place to reduce any risks of missed and late visits. Care workers were recruited safely. Where people required support with their medicines, this was provided safely. The service learned from incidents to improve the service. There were infection control procedures in place to reduce the risks of cross infection.

People were provided with an effective service. Improvements had been made in how the service worked with the principles of the Mental Capacity Act 2005 relating to the storage of people's medicines. People were asked for their consent before any care was provided and their choices were documented. Care workers were trained and supported to meet the needs of the people using the service. Where people required assistance with their dietary needs, this was provided. People were supported to have access to health professionals where needed. The service worked with other organisations involved in people's care to provide a consistent service.

People received a caring service. People had positive relationships with their care workers. People's dignity, privacy and independence were respected and promoted. People's views were listened to and valued.

People were provided with a responsive service. People received care and support which was assessed, planned and delivered to meet their individual needs. People were provided with end of life care. The service worked in partnership with a community project to support people to die at home. A complaints

procedure was in place and people's concerns were addressed.

People were provided with a service which was well-led. There were systems in place to assess and monitor the service provided. Where improvements were identified actions were taken to address them.

The five questions we ask about services and what we found