Nuliving Homecare is a domiciliary care agency providing personal care to people in their own homes. At the time of our inspection there were 31 people using the service. 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
There were effective systems, processes and practices which kept people safe. Risks to people were assessed and these were effectively monitored, managed and updated when necessary. There were sufficient numbers of suitable and trained staff to support people appropriately. Medicines were administered safely by trained and competent staff. Good infection prevention and control (IPC) practices were in place, including detailed information to support staff. Clear processes were in place to identify and share any lessons learnt, and practices were reviewed and updated when required.
People's needs and choices were identified and met. Staff training was monitored, staff were supported to develop and received regular supervisions and competency checks. Where necessary people were supported and encouraged to eat and drink. Information sharing with other professionals was robust and ensured people's health needs were monitored and met. People had consented to all aspects of their care and support. Staff were knowledgeable about the Mental Capacity Act (MCA). 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.
Information in care documents showed people were treated with kindness and dignity. Robust checks were in place to ensure staff supported people with care. Care plans were person-centred and people had been involved in producing these. Care plans supported people's requests for privacy and dignity.
Care plans documented people's individual preferences and choices. Care notes showed these were respected and met. Prompt action was taken on people's concerns, these were well-documented, responded to and remedial action, where necessary, was taken.
A robust structure for ensuring staff delivered care within the organisation's culture and values was in place. The governance framework was clear about staff responsibilities, and this was translated across all aspects of the service. Actions, responsibilities, time-frames and outcomes were clearly documented and tracked. Regular engagement took place with people, relatives and staff. Consideration was given to learning and ensuring continuous improvement from this. The registered manager and staff were proactive in developing relationships with partner organisations.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 4 April 2022 and this is the first inspection.
Why we inspected
This inspection was undertaken because the service has not been inspected since it was registered.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.