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SPDNS Nurse Care Community Interest Company (CIC) Good

Inspection Summary


Overall summary & rating

Good

Updated 12 March 2020

About the service

SPDNS is a domiciliary care agency which offers nursing care, personal care, end of life care and companionship to support people living in their own home. At the time of this inspection the service was supporting approximately 90 people with personal care.

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.

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

The registered manager had developed excellent links with local charities, hospice teams and health and social care professionals and this enhanced the quality of people’s lives.

The service had strong vision and values which placed the importance on people being fully involved in all aspects of care, where independence was promoted.

People told us staff were outstandingly caring, proactively identifying unmet needs and supporting these to be met in creative ways. They told us staff often going the extra mile to support them.

People were protected from abuse by staff who had a good understanding of how to protect vulnerable adults.

Medicines were managed safely. Care managers carried out comprehensive assessments of people’s needs and risks to people’s health were identified and managed safely in line with people’s preferences.

The service made sure there were enough staff in place to manage people’s needs. All staff had undergone a robust recruitment and induction process to ensure they had the skills needed to care for people well.

Staff promoted people’s independence in line with people’s choices. People who lacked capacity to make decisions had undergone appropriate assessments involving loved ones and other nominated people such as power of attorney for health and welfare.

Staff made sure people had access to fluids when they were not present. All staff had been trained in good food hygiene.

The service provided an excellent training programme to staff by a dedicated training manager. People commented staff had the right skills. Additional training was sourced when needed.

Care plans were task orientated, however small care teams which knew people well, ensured care provided to people was person centred and daily notes demonstrated this.

Staff supported people to maintain relationships with loved ones, and the local community to avoid social isolation.

The registered manager had robust systems in place to manage complaints. People told us they felt confident that any concerns would be managed well.

Staff were trained in end of life care. The service worked alongside carers groups to offer respite to loved ones. This meant people were supported to remain at home if they wished.

Staff and people told us the service was well managed.

Robust governance processes were in place which informed the quality of the service and when improvements were needed.

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.

Rating at last inspection

The last rating for this service was good (published 10 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.

Inspection areas

Safe

Good

Updated 12 March 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 12 March 2020

The service was effective.

Details are in our effective findings below.

Caring

Outstanding

Updated 12 March 2020

The service was exceptionally caring.

Details are in our caring findings below.

Responsive

Good

Updated 12 March 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 12 March 2020

The service was well-led.

Details are in our well-Led findings below