# Premier Community

*Operated by Premier Nursing Agency Limited.*

Premier Community is a CQC-regulated home-care agency in Mansfield.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Good |
| Safe | Good |
| Effective | Good |
| Caring | Good |
| Responsive | Good |
| Well-led | Good |

Rating published: 20/12/2024

## Practical info

- Postcode: NG19 7DW
- Registered manager: Hind, Lynsey
- Local authority: Nottinghamshire
- Region: East Midlands
- City: Mansfield
- Last CQC check: 20/Dec/2024 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: The service had developed positive community links including support for food banks and hospices.
  - Published: 2023-03-03
- Finding
  - Evidence: The registered managers understood their legal responsibilities including duty of candour and statutory notifications.
  - Published: 2023-03-03
- Finding
  - Evidence: Derbyshire North East area received generally positive feedback from staff and people.
  - Published: 2023-03-03
- Finding
  - Evidence: The provider worked collaboratively with health and social care professionals, receiving positive feedback from professionals.
  - Published: 2023-03-03
- Finding
  - Evidence: Infection control measures were highlighted throughout care plans and staff wore appropriate PPE.
  - Published: 2023-03-03
- Finding
  - Evidence: Risks associated with care delivery, environment and individual needs had been assessed and documented, including high-risk needs such as catheter care.
  - Published: 2023-03-03
- Finding
  - Evidence: Robust pre-employment checks including DBS checks were in place for safe recruitment.
  - Published: 2023-03-03
- Finding
  - Evidence: People felt safe with carers and staff knew how to protect people from risks and abuse; safeguarding processes were effective.
  - Published: 2023-03-03
- **end_of_life_care** _(minor)_
  - Evidence: The provider had an 'end of life' policy in place which was well written, but in the records, we checked we found no evidence of the advised care planning around end of life having been put into practice.
  - Published: 2023-03-03
- **incident_learning** _(minor)_
  - Evidence: Staff told us they were not made aware of outcomes from concerns they had raised; therefore, we cannot be confident lessons were shared amongst the staff team.
  - Published: 2023-03-03
- **staff_training** _(minor)_
  - Evidence: Without in-person training I felt somewhat unprepared when I first started.
  - Published: 2023-03-03
- **communication_with_families** _(moderate)_
  - Evidence: We have no contact from the office, I phoned them once and they never called me back, so I don't bother now.
  - Published: 2023-03-03
- **complaints_handling** _(moderate)_
  - Evidence: If I try to ring the office I can't get to speak to the manager and if I email the office I get no reply. I have complained about timings of visits – they are never on time – but nothing improves.
  - Published: 2023-03-03
- **supervision_appraisal** _(moderate)_
  - Evidence: Staff told us they did not have regular supervisions and there were inconsistencies in the support they received from management.
  - Published: 2023-03-03
- **record_keeping** _(moderate)_
  - Evidence: Records we checked contained out of date information regarding people's medicines. Staff were not guided by the provider to record all types of medicine support.
  - Published: 2023-03-03
- **care_planning** _(moderate)_
  - Evidence: Care records were not always kept up to date to reflect people's current choices and requirements. I've sent concern reports in regarding changes that need to be amended on individual's care plans which don't get actioned.
  - Published: 2023-03-03
- **medication_management** _(moderate)_
  - Evidence: People who were prescribed medicines which were time specific or required a set amount of time between doses were not always supported to take these as prescribed.
  - Published: 2023-03-03
- **governance** _(critical)_
  - Evidence: The provider failed to ensure they had effective quality monitoring measures in place, failed to act on feedback received and failed to ensure they kept complete and contemporaneous records.
  - Published: 2023-03-03
- **person_centred_care** _(critical)_
  - Evidence: The provider failed to ensure care was planned and delivered in a personalised way. This was a breach of regulation 9 of the Health and Social Care Act 2008.
  - Published: 2023-03-03
- **missed_or_late_visits** _(critical)_
  - Evidence: The carers are never on time, they can be late or early. I've had numerous meetings with the agency about it. They say they can't do anything about it as they are understaffed.
  - Published: 2023-03-03
- **staffing_levels** _(critical)_
  - Evidence: The provider had failed to ensure they had enough suitably trained staff to deliver care as planned. This was a breach of regulation 18 of the Health and Social Care Act 2008.
  - Published: 2023-03-03

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-213682363

HomeCare Compass is an independent guide and is not affiliated with the CQC.