Nobilis Care IOW Ltd

Updated 7 March 2023

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 Health and Social Care Act 2008.

Inspection team

This inspection was conducted by one inspector and one Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave the service 36 hours' notice of the inspection. This was because we needed to be sure that the provider or registered manager would be in the office to support the inspection.

Inspection activity started on 22 February 2023 and ended on 28 February 2023. We visited the office location on 22 February 2023.

What we did before the inspection

We reviewed the information we had received about the service, including the previous inspection reports and notifications. Notifications are information about specific important events the service is legally required to send to us.

The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with the registered manager for Nobilis Care (IOW) Ltd, the quality assurance manager and five staff members employed by the provider. We also spoke with 7 people who use the service and 3 relatives. We received feedback from 7 health and social care professionals. We reviewed a range of records, including 4 people's care records and a range of risk assessments. Two staff files were reviewed in relation to recruitment. A variety of records relating to the management of the service, including audits, policies and procedures were also reviewed.

Updated 7 March 2023

About the service

Nobilis Care IOW Ltd is a domiciliary care agency. The service provides support and personal care to people who live with dementia, older people, people with mental health needs and younger adults in their own homes. 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 139 people were receiving a regulated activity from the service.

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

People told us they received safe care. People were supported by staff in a safe way and risks were assessed, managed and monitored. People received their medicines as prescribed and infection control risks were managed effectively. There were sufficient numbers of consistent staff available to meet people's needs.

People and relatives spoken with were confident in the staff's abilities and thought they had the right skills to look after them. People described staff as kind, caring and respectful.

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.

There was a person-centred culture within the service and people were placed at the centre of their care.

The management team were open and transparent and understood their regulatory responsibilities. There were systems and processes in place for assessing, monitoring and improving the quality of the care provided by the service.

The management team kept in regular contact with people, checking if they were happy with the service they received and if any changes were needed. The service worked well with other partners, organisations and commissioners.

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 requires improvement (published 2 September 2022).

Why we inspected

This inspection was prompted by the previous rating of the service. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Nobilis Care IOW Ltd on our website at www.cqc.org.uk.

Follow up

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