Archived: Complete Nursing and Care Solutions Limited

Complete Nursing and Care Solutions provides a domiciliary support service to enable predominantly older people to continue living at home. The service no longer provides a nursing agency service. When we inspected the service provided support with personal care to 52 people living in the Daventry and surrounding villages area of Northamptonshire.

A registered manager was in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.

People benefited from a service that was appropriately managed so that people received their service in a timely and reliable way. People also benefitted from receiving personal care and support from trained staff that were caring, friendly, and responsive to people’s changing needs. People’s right to make day-to-day choices about how they preferred their care and support to be provided was respected and this was reflected in their agreed care plans.

People were supported in their own home by staff that were able to meet their needs safely. Staff were able to demonstrate that they understood what was required of them to provide people with the safe support they needed to remain living independently in their local community. There were sufficient numbers of staff employed to meet people’s assessed needs. People were protected from the risks associated with the recruitment of staff unsuited to the role by the provider’s recruitment procedures. Comprehensive risk assessments were also in place to reduce and manage the risks to people’s health and welfare.

People had the guidance they needed to raise concerns or make a complaint. There were procedures in place to ensure complaints were appropriately investigated and action was taken to make improvements to the service when necessary.

We found that care and welfare was well organised and people received the support they required. We found that background checks had been completed on staff before they provided personal care. We also found that the provider received and acted on feedback to improve the service and had a suitable complaints procedure in place. We found that staff did not have an adequate training programme in place for their role.

We spoke with two people who worked for the service who both told us that they felt well supported. One staff member told us that they thought that The Gables provided an excellent service for the people who used it.

We found that people had care plans in place to meet their needs. We spoke with people who used the service about their care and confirmed that the care that was detailed in their care plans was what was being provided. We found that the provider had policies in place to ensure that people were protected from the risks of abuse.

We had concerns that not all staff had received an annual appraisal or regular supervision and training. We were not able to find evidence that the provider regularly monitored and assessed the quality of the service that they provided.