Background to this inspection
Updated
15 June 2019
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. This inspection was planned to check whether the provider was meeting the legal
requirements and regulations associated with the Act, to look at the overall quality of the service, and to
provide a rating for the service under the Care Act 2014.
Inspection team.
The inspection team consisted of one inspector.
Service and service type.
Prestige Care 247 Ltd is a domiciliary care service. It provides personal care to people living in their own homes. Not everyone using Prestige Care 247 Ltd received the regulated activity; the Care Quality Commission (CQC) only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. Where they do, we also take into account any wider social care provided. At the time of our inspection, 19 people were receiving personal care.
The service had a manager registered with the Care Quality Commission. This means that they and the
provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection.
The inspection was announced. We gave the service two days’ notice of the inspection visit because the service is small, and the manager is often out of the office supporting staff or providing care. We needed to be sure that they would be in.
Inspection site visit activity started on 05 June and ended on 10 June 2019. We visited the office location on
05 June to see the manager and office staff; speak with care staff and to review care records and policies and procedures. We spoke with people receiving care and their relatives on 07 and 10 June 2019.
What we did.
The provider completed a Provider Information Return (PIR). This is information we require providers to
send us to give some key information about the service, what the service does well and improvements they
plan to make. The provider returned the PIR in September 2018, we took this into account when we made judgements in this report.
During this inspection we spoke with three people who received personal care, and three relatives. We also received feedback electronically from one relative. We spoke with the provider, registered manager, business manager and four members of care staff.
We reviewed four people's care records and three staff files. We reviewed other documents relating to the management of the service such as audits, rota’s and training records.
Updated
15 June 2019
About the service: Prestige Care 247 Ltd is a domiciliary care service that was providing personal care to 19 people at the time of the inspection.
Prestige Care 247 Ltd is registered to provide care to children, younger adults, older people, people with
dementia, physical disability, people with a learning disability or autistic spectrum disorder and people that misuse drugs and alcohol.
People's experience of using this service.
People remained happy with the care and support they received. They had developed positive relationships with staff and the management team who kept them safe from harm or abuse. People received their medicines on time and were supported by staff that had been safely recruited, had adequate training to meet their needs and a good knowledge of risks associated with providing their care.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive ways possible; the policies and systems in the service supported this practice. Their independence was promoted, and they received individualised support from staff that knew them
well. People were supported to eat and drink enough and to attend healthcare appointments when needed.
People had personalised plans of care in place to enable staff to provide consistent care and support in line with people’s personal preferences. Care hours were provided as people requested them and the service was flexible to people’s changing needs. People knew how to raise a concern or make a complaint and felt confident these would be addressed.
People told us they were supported by staff that were kind and caring and promoted their independence. People told us they were well treated; needs relating to equality, diversity needs, privacy and dignity were respected, and people were fully involved in all decisions about their care.
People knew the management team by name. The management team were in regular contact with people receiving care to seek feedback on their care experience and to ensure any issues were promptly addressed. The management team had a good oversight of the service. Quality assurance systems and processes enabled them to identify areas for improvement. The management team were passionate about providing person centred care.
The service met the characteristics for a rating of “good” in all the key questions we inspected. Therefore, our overall rating for the service after this inspection was “good.”
Rating at last inspection: Good (Report published 20 October 2016). The rating has remained the same.
Why we inspected: This was a planned inspection based on the previous rating.
Follow up: We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk