We carried out a review of the data available to us about Namron Care Provider Ltd on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Namron Care Provider Ltd, you can give feedback on this service.
Namron Care Provider Ltd is a domiciliary care service that provides personal care and support for people in their own homes. The service can provide care for adults of all ages and covered Lincoln and surrounding areas.
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. At the time of our inspection the service was providing support for 34 people.
People’s experience of using this service and what we found
There were systems and processes in place to identify and manage risks associated with people’s care. There were organisational governance processes in place to monitor the quality of the service.
People were supported by sufficient numbers of staff who had been recruited safely.
People received their medicines from staff who had been trained appropriately. Where people used specialist equipment, staff had been trained to meet their needs.
Staff had received training on infection prevention and control (IPC). Information and guidance on infection control measures were available for staff and people.
People and their relatives told us they felt safe with the staff who supported them. Staff had received safeguarding training and were able to demonstrate their understanding and responsibilities to reduce the risk of harm to people.
People and staff provided positive feedback on the management of 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
The last rating for this service was good (published 13 August 2019).
Why we inspected
We received concerns in relation to the management of the service, staff recruitment and IPC concerns. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well-led sections of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Namron Care Provider Ltd on our website at www.cqc.org.uk.
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.
Namron Care Provider Limited is a small domiciliary care agency and provides care and support to people living in their own homes. At the time of inspection, the service was supporting 33 people.
People’s experience of using this service and what we found
People continued to receive a good service. They were safe from harm. Staff were recruited safely and kept people safe from the risk of abuse. Peoples risks were safely mangled. There was enough staff to support people’s needs. People received their medicines as prescribed and staff followed good infection control practises.
Staff were well trained and well supported by the provider. They provided people with the right care based on a thorough assessment of their needs and preferences. 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 delivered kind and compassionate care and respected people's individual choices and preferences. Staff championed people’s privacy and dignity and encouraged their independence in all aspects of life.
The service benefitted from a registered manager and a management team who maintained checks on how well the service was provided. Documents held in the office were secure to ensure confidentiality of people's information.
The service continued to meet the characteristics of good in all areas.
For more details, please see the full report which is on the CQC's website at www.cqc.org.uk.
Rating at last inspection
The last rating for this service was Good (published 04 January 2017).
Why we inspected
This was a planned inspection based on the previous rating.
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.
Namron Care Provider Ltd provides personal care and support for people in their own homes. At the time of our inspection the service was providing personal care support for 16 people in the city of Lincoln and its surrounding villages.
The service is owned and operated by a company and run by three directors, one of whom was the registered manager. They were involved in the day to day running of the service. 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. In this report when we speak about both the company and the registered manager we refer to them as being, ‘the registered person or persons’.
Staff knew how to respond to any concerns that might arise so that people were kept safe from harm. People had been helped to avoid the risk of accidents and the arrangements in place to support people with their medicines were managed safely. There were enough staff employed by the service to carry out the visits they needed to undertake. Background checks had been completed for new staff to make sure they were appropriate to work with people who the service cared for.
Staff had received training and guidance and they knew how to support people with the care assessed as needed. People had been assisted to eat and drink enough and they had been supported to receive all of the healthcare assistance they needed. Staff were supported to speak out if they had any concerns and good team work was promoted by the registered persons.
People were treated with kindness and compassion. Staff recognised people’s right to privacy and promoted their dignity. Confidential information was kept private.
CQC is required by law to monitor how registered persons apply the Mental Capacity Act 2005 (MCA) and to report on what we find. The registered manager and staff had received training in this subject and this enabled them to help people make decisions for themselves. When people lacked the capacity to make their own decisions the principles of the Mental Capacity Act 2005 and codes of practice were followed. This helped to protect people’s rights by ensuring decisions were made that were in their best interests.
People had been consulted about the care they wanted and needed to receive and staff worked together with people and relatives who were involved in their care.
Some quality checks had not been consistently completed to make sure that people reliably received all of the care they needed. Arrangements for receiving people’s feedback were in place but not robustly managed.
We previously carried out an announced comprehensive inspection of this service on 12, 13 and 14 May 2015. During this inspection we found that the provider was not meeting the standards we expected and there was a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This was because the systems in place to assess and monitor the quality of the service were not effective.
After the inspection, the registered provider wrote to us to say what they would do to meet the legal requirements in relation to the breach.
We undertook this focused inspection on 28 January 2016 in order to check that the registered provider had followed and completed their plan and to confirm that they now met the legal requirements. During this inspection we found the provider had made improvements in the specific areas we had identified.
This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Namron Care Provider Ltd on our website at www.cqc.org.uk
Namron Care Provider Ltd provides care for people in their own homes. At the time of our inspection the service was providing care for four people and covered the geographical areas of the city of Lincoln and its surrounding villages.
There was a registered manager in post who was also the registered provider of the service. For the purpose of this report we refer to the registered manager as the provider. 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.
On the day of our inspection we found that the existing arrangements in place to monitor the quality of the service had been strengthened in order to keep improving the quality of care people received. Audits were in place to check the work being completed by staff. These checks were more effective in identifying and quickly responding to issues they identified at an earlier stage.
This was an announced inspection carried out over three visits made on 12,13 and 14 May 2015.
There was a registered manager in post who was also the provider of the service. 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.
Namron Care Provider Ltd provides care for people in their own homes. At the time of our inspection the service was providing care for 32 people and covered a 20 mile radius around the city of Lincoln and its surrounding villages.
During our inspection we found there was a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This was because the systems in place to monitor the quality of the service were not effective. Although individual complaints had been investigated and quality checks had been completed they had previously not effectively identified and resolved these problems. You can see what action we told the registered persons to take at the back of the full version of this report.
Staff were caring and positive relationships had been developed between people and staff. Staff understood the Mental Capacity Act 2005 and people told us staff asked for permission before providing support to them. Staff treated people with respect and helped them maintain their dignity and people were supported by staff to make their own decisions and choices.
The registered provider had information about how people could access independent advocacy services and staff were aware of their responsibilities relating to confidentiality.
Staff had completed safeguarding training and had access to guidance. They were able to recognise if people were at risk and knew what action they should take. The registered provider had taken action when people had been identified as at risk. However, their approach to identifying, recording and managing risk was inconsistent.
The registered provider completed appropriate pre-employment checks before any new staff member started to work for the service. Staff received an induction when they started employment with the provider. Staff were sufficiently trained and supported by the registered provider to undertake their roles and there was sufficient staff to provide people’s care. However, the staff providing care to people was not always consistent with their timings and available when people required care.