Right Nurse Care Services

Not everyone who used the service received personal care. In this service, the Care Quality Commission can only inspect the service received by people who get support with personal care. This includes help with tasks related to personal hygiene and eating. Where people receive such support, we also consider any wider social care provided. There were three people who were receiving personal care at the time of this inspection.

The service was able to demonstrate how they were meeting underpinning principles of "Right Support, Right Care, Right Culture.

Right support: Staff helped to maximise people's choice, control and independence. People were able to choose how and where they spent their time, and staff supported people to make decisions if required. There were an adequate number of skilled staff to enable people to safely engage in activities of their choice. People were supported to achieve good outcomes.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. Staff and the registered manager regularly communicated with people's relatives. Where restrictions had been required, to keep a person safe, these had been appropriately reported to the appropriate authorities for authorisation.

Right care: Staff were knowledgeable and cared for the people they supported. They were enthusiastic and able to tell us about people's recent activities and achievements. Staff knew how to protect people from all forms of abuse and discrimination.

Right culture: Healthcare professionals were positive about the quality of the support provided to people, the impact upon their well-being and their quality of life. Families were regularly communicated with and updated about their loved ones.

The registered manager was also the provider. They had experienced challenges in being able to recruit staff of the required calibre to meet the complex needs of the people they supported. Staff were recruited safely and told us they felt well supported by the registered manager. Staff and people were able to obtain assistance day or night from a member of the on-call senior management team.

There were effective recording systems in place. All daily records and handover information, for the next shift, were recorded on email and sent via the registered manager to help ensure good communication and that all staff were aware of any changes that may have occurred.

Care plans contained adequate information regarding the person's needs. The service was working with a consultant to improve the setting of specific goals and outcomes for some people.

There were robust audit and quality assurance systems in place. Staff managed some people's money. There was a clear system in use where staff accounted for any money spent on behalf of a person.

Medicines were managed safely. All medicines were blister packed by a pharmacist. Staff ensured people always received their medicines as prescribed.

The service had received many compliments regarding the service provided to people.

For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk