28 June 2022
During a routine inspection
Nurse International Limited is a domiciliary care service providing personal care to people who live in their own homes. The service is registered to support people with a variety of needs including dementia, learning disability and physical disabilities. At the time of the inspection the service was supporting one person.
People’s experience of using this service and what we found
Systems and records needed to be formalised and implemented to demonstrate how the quality of the service was monitored. Formal systems needed to be put in place to show how staff performance was monitored and how staff were supported in their role. Records needed to be improved to ensure they were detailed and covered all potential risks and reflected the tasks people needed support with.
People were supported by staff that understood their individual needs and had been trained and understood how to protect people from abuse. Systems were in place to reduce the risk of infection.
People received a consistent and reliable service from staff who were described as caring, friendly and supportive. Staff felt supported in their role. Relatives told us they were happy with the service provided, and they knew who to contact if they had any concerns.
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.
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 29 September 2015 but did not provide a regulated activity to people in the community until May 2019 and this was the first inspection.
Why we inspected
This was a planned inspection.
Enforcement
We have identified breaches in relation to the lack of formalised quality assurance systems in place to monitor the service being provided.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will continue to monitor information we receive about the service, which will help inform when we next inspect.