This inspection took place on 10 January 2016 and was announced. We gave the provider 48 hours' notice that we would visiting their office as we wanted to make sure that the registered manager would be available on the day of our inspection. The service was last inspected in February 2014 and was meeting all the regulations that we reviewed at the time.

Prestige Nursing - Worthing is a domiciliary care service providing personal care and support to people living in their own homes. The office is based in the town of Worthing and the service currently provides care and support to people living in East and West Sussex. At the time of our inspection there were 55 people using the service. People's packages of care varied dependent upon their needs.

The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission 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.

People received a service that was safe. People were safe from harm because staff were aware of their responsibilities regarding abuse and, knew how to report any concerns. There were enough skilled and experienced staff to safely provide assessed levels of care. Recruitment checks were carried out before staff worked with people to ensure they received care from suitable staff. Risks to people were assessed and action taken to manage these. Where people needed help with medicines they were protected from risks because medicines were safely managed.

Staff received the training, supervision and support required to effectively meet people's needs. The registered manager and staff understood the principles of the Mental Capacity Act (MCA) 2005 and, worked to ensure people's rights were respected. Staff ensured people received assistance from other health and social care professionals when required. Staff supported people to eat and drink where required.

People received care and support from caring staff who knew them well. Staff provided the care and support people needed and treated them with dignity and respect. People and, where appropriate, their families were actively involved in making decisions about their care and support.

People received person centred care and support. The service listened to the views of people using the service and others and made changes as a result.

The registered manager and senior staff provided effective leadership and management. They communicated effectively with people, their relatives, staff and other health and social care professionals. Quality monitoring systems were used to further improve the service provided.