We carried out a review of the data available to us about Access 2 Care Nottingham 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 Access 2 Care Nottingham Ltd, you can give feedback on this service.
People’s experience of using this service:
People felt safe and the provider assessed risks to the health and wellbeing of people who used the service and staff. Where risks were identified action was taken to reduce the risk where possible.
Recruitment processes were in place to make sure, that people were protected from staff being employed who were not suitable.
Medicines were handled safely by staff who had been assessed as competent to do so.
People received effective and timely care from staff who were well trained and supervised.
People felt the service they received helped them to maintain their independence where possible.
People said that staff were caring and respected their privacy and dignity.
People received care that was planned with them to meet their individual 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; the policies and systems in the service supported this practice.
People knew how to complain and knew the process to follow if they had concerns.
People's right to confidentiality was protected and their diversity needs were identified and incorporated into their care plans where applicable.
Rating at last inspection: The service was previously inspected in January 2016 and was rated as Good.
Why we inspected: This was a planned comprehensive inspection in line with our inspection programme.
Follow up: We will continue to monitor all information we receive about this service. This informs our ongoing assessment of their risk profile and ensures we are able to schedule the next inspection accordingly.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
We carried out an announced inspection of the service on 6 January 2016.
Access 2 Care Nottingham Ltd provides personal care to people in their own homes. At the time of our inspection the service was providing the regulatory activity of personal care to 38 people.
The service is required to have a registered manager in post. 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. At the time of our inspection the service had a registered manager.
People told us they felt the care workers provided safe and effective care. Care workers had a good understanding of the various types of abuse and their roles and responsibilities in reporting any safeguarding concerns. Additionally, they had received safeguarding adults training and had available to them a safeguarding policy and procedure.
People’s individual needs were assessed and care plans and risk plans developed to inform staff how to meet people’s needs. Information was reviewed for changes and communicated to care workers.
CQC is required by law to monitor the operation of the Mental Capacity Act 2005 (MCA) and to report on what we find. This is legislation that protects people who are unable to make specific decisions about their care and treatment. It ensures best interest decisions are made correctly and a person’s liberty and freedom is not unlawfully restricted. Care workers understood the principles of MCA. At the time of our inspection people who used the service had mental capacity to consent to their care and support. The provider had a MCA policy but a procedure was required to inform staff of the correct action to take if a person lacked capacity to consent.
People spoke highly of the care workers and complemented them on their approach. They referred to them as kind and caring and said that their privacy and dignity was maintained.
The provider ensured there were sufficient care workers employed and deployed appropriately. There was a system in place that monitored visits by care workers that identified late or missed calls. On the whole people received visits from regular care workers. No concerns about visit times being met or the duration of visits were raised. Safe recruitment checks were in place that ensured people were cared for by suitable care workers.
People who used the service that we spoke with said they found care workers to be competent and knowledgeable. People were supported appropriately with their food and drinks. Support was provided with people’s healthcare needs and action was taken when changes occurred.
Care workers were appropriately supported, which consisted of formal and informal meetings to discuss and review their learning and development needs. Care workers additionally received an induction and ongoing training. Care workers were positive about the leadership of the service and were clear about the vision and values of the service.
The provider had checks in place that monitored the quality and safety of the service. The provider had notified us of important events, which registered providers are required to do.