All inspections: Caring Hands Nottingham Ltd

We carried out our on-site inspection on 12 February 2025, with calls to people and their relatives made off-site on 14 February 2025. This inspection was announced. Caring Hands Nottingham is a care at home service, providing support to adults of all ages, some of whom may live with a physical disability or sensory impairment and people living with dementia. At the time of the inspection, the service was supporting 68 people with their personal care needs. Caring Hands Nottingham Limited was previously inspected on 7 February 2024 and rated Good. We reviewed evidence categories under Safe and Well Led.

The provider was previously in breach of the legal regulation in relation to fit and proper persons employed. Improvements were found at this inspection and the provider was no longer in breach of this regulation.

Managers investigated incidents robustly. There were enough skilled staff with the right qualifications and experience. Managers made sure staff received training & appraisals to maintain high-quality care. Staff managed medicines well & involved people in planning any changes.

Most people were involved in their assessments, but some people and relatives felt they had not been involved, mainly when changes had occurred. Staff reviewed assessments taking account of people’s communication, personal and health needs. Staff worked with relevant agencies involved in people’s care for the best outcomes and smooth transitions when moving services.

People were treated with kindness and compassion. Staff protected their privacy and dignity. Staff obtained consent from people before providing personal care.

Leaders & staff had a shared vision and culture based on learning & trust. Staff felt they were treated equally, free from bullying or harassment. Staff understood their roles and responsibilities. There was a culture of continuous improvement with staff given appropriate training and resources.

Caring Hands Nottingham Limited is a domiciliary care agency providing personal care and support to older people and younger adults with a physical disability or sensory impairment and people living with dementia. At the time of the inspection, the service was supporting 35 people with their personal care needs.

Caring Hands Nottingham Limited was previously inspected on 22 July 2021 and rated Good, (report published 20 August 2021.) We carried out our on-site assessment on 21 February 2024. This was an announced assessment. The provider was told an assessment was going to be undertaken 24 hours beforehand.

During this assessment we looked at 24 quality statements; Learning culture; Safe systems, pathways and transitions, Safeguarding; Involving people to manage risks; Safe and effective staffing; Medicines Optimisation; Assessing Needs; Kindness, compassion and dignity; Treating people as individuals; Workforce wellbeing and enablement; Person centred care; Providing Information; Listening to and involving people; Planning for the future; Shared direction and culture; Capable, compassionate and inclusive leaders; Freedom to speak up; Workforce equality, diversity and inclusion; Governance, management and sustainability; Partnerships and communities; Independence, choice and control; Responding to people’s immediate needs; Equity in experiences and outcomes and Governance, management and sustainability. We assessed all of these quality statements at this visit.

About the service

Caring Hands Nottingham Ltd is a domiciliary care agency. It provides personal care to people living in their own homes. Not everyone who used the service received personal care. The Care Quality Commission (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. At the time of our inspection, one person was receiving a personal care service.

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

There were systems in place to monitor the quality and safety of the service, management carried out regular checks.

Medicines were managed safely. Staff were trained in medication and had their competency assessed.

There were enough staff to effectively meet the current packages of care which supported people’s needs. People were supported safely and any risk regarding their care was assessed. Staff were aware of how to report any concerns about neglect or abuse and were confident if they raised a concern It would be addressed.

People were supported by a regular team of care staff and said they generally received their calls on time. People were confident care staff had received appropriate training to meet their needs; we saw this was in line with current guidelines.

People’s care was provided by kind and caring staff and people told us they treated them with respect. People's individual risk assessments and care plans reflected individual needs and were reviewed regularly.

The provider worked in partnership with other agencies to make sure people received the right care and support.

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.

Staff had access to sufficient supplies of Personal Protective Equipment (PPE) and received regular updates from the provider on the management of risks related to COVID-19.

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

This service was registered with us on 8 August 2018 and this is the first inspection.

Why we inspected

This was the first comprehensive ratings inspection of the service. The inspection was prompted in part due to concerns received about the service regarding safeguarding. A decision was made for us to inspect and examine those risks.

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.

Caring Hands Nottingham Ltd

All Inspections

During an assessment under our new approach

During an assessment under our new approach

22 July 2021

During a routine inspection