Stourport Nursing and Homecare Limited

Updated 12 July 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection was carried out by 2 inspectors.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations. At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave the service 24 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

What we did before the inspection

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.

We used information gathered as part of monitoring activity that took place on 15 February 2023 to help plan the inspection and inform our judgements. We sought feedback from the local authority. We also requested feedback from Healthwatch to obtain their views of the service. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all this information to plan our inspection.

During the inspection

We spoke with 4 people using the service and 3 family members. We spoke with 6 staff members including the registered manager, and the provider. We reviewed a range of records in relation to people's care, including medication and care records. We also reviewed a range of records held by the service including, policies, staff training, rotas and recruitment records.

Updated 12 July 2023

About the service

Stourport Nursing and Homecare is a domiciliary care agency. They provide personal care to people living in their own houses and flats in the community. They provide a service to older adults and people who have dementia. At the time of our inspection 16 people received personal care in their own homes.

Not everyone who used the service received personal 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.

People’s experience of using this service and what we found

People’s risks were not always assessed and reviewed. Staff did not always have the required training to support people with complex health needs. Medicines were not always safely managed, records were not always effective. 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. Governance systems were not always effective in identifying when people's care plans had not been reviewed.

There was a positive culture throughout the service, people and families felt safe and were happy with the support provided to them. Feedback was gathered from people, staff, and relatives to help identify where improvements or changes needed to be made. The provider understood their legal responsibilities and when to be open and honest when things go wrong and worked in partnership with other agencies.

People were supported by staff that knew them well and were kind and caring in their approach. Relatives said they were happy with the care people received and had confidence in the registered manager. Staff had received training on how to recognise and report abuse and felt they could speak up and would be listened to. People were treated with dignity and respect and received a service that could be flexible to meet their changing needs. The provider involved people in the planning and reviewing of their care packages.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 5 January 2018).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection.

You can see what action we have asked the provider to take at the end of this full report.

Enforcement

We have identified breaches in relation to safe care and governance at this inspection.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.