Nutrix Homecare

Updated 30 March 2022

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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection team consisted of one inspector.

The service had a manager registered with the CQC. 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

We gave the service two working days' notice of the inspection because the service provides care to people in their own homes and we wanted to make sure that management were available on the day of the inspection site visit.

We visited the office location on 22 February 2022.

What we did before the inspection

We reviewed information we had received about the service since it was registered with the CQC. The provider completed a Provider Information Return (PIR). The PIR is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. The PIR also provides data about the organisation and service. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.

During the inspection

During the site visit we spoke with the registered manager and the compliance officer.

We reviewed a range of records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including audits, policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We spoke with two relatives of children who were receiving personal care and support about their experience of the care provided. We spoke with two care staff. We looked at three people’s care records. We also looked at training data, quality assurance records, policies and procedures. We also obtained feedback from two care professionals that had worked with the provider.

Updated 30 March 2022

About the service

Nutrix Homecare is a domiciliary care agency registered to provide personal care to people in their own homes. The service provides support to people of different abilities. At the time of inspection, the service provided care to three children who 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.

People’s experience of using this service:

Relatives involved with the care and support that their family member received from the agency spoke positively about their experience. Care and support was personalised to the person's individual needs. The person's privacy, dignity and independence was promoted.

Appropriate medicines management and administration processes were in place. We found that some Medication Administration Records (MARs) and prescribed 'as and when required' medicines (PRN) protocols lacked some information. We have made a recommendation in respect of this.

People were protected from abuse. Staff had received training on how to safeguard people and children were aware of the procedure to follow if they suspected that people were subject to abuse.

People were supported by care staff that they knew, who arrived on time and always stayed their full allocated time. Recruitment processes ensured that only care staff assessed as safe to work with vulnerable people and children were employed.

People's care needs were risk assessed and care plans provided staff with the information to manage the identified risks.

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.

The provider had taken measures to prevent and control the spread of COVID-19 and other infections.

The provider had a complaints policy and procedure in place. Management were open and transparent throughout the inspection and responded to any requests positively.

Management monitored aspects of the quality of the services through audits and checks.

Staff told us they were well supported by management. They were confident that management would address any concerns around their personal development and the safety of people who use the service.

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

Rating at last inspection and update

The service was registered with us on 11 September 2020 and this is the first inspection.

Why we inspected:

This was a planned comprehensive inspection to review the key questions, Safe, Effective, Caring, Responsive and Well-led and rate this service.

Why we inspected

The inspection was prompted because the service has not had an inspection and a rating since it was first registered with us.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.