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Archived: Naidcare

Overall: Good read more about inspection ratings

34 Bruces Wharf Road, Grays, Essex, RM17 6PF (01375) 808192

Provided and run by:
Naid Care Limited

Important: This service is now registered at a different address - see new profile

All Inspections

24 February 2016

During a routine inspection

Naid Care provides personal care and support to people in their own homes.

Following our inspection to the service in September 2015, an Urgent Notice of Decision was issued to the registered provider advising that no further admissions could be made to the service until 1 January 2016.

This inspection was completed on 25 February 2016 and 1 March 2016. There were three people using the service when we inspected.

A registered manager was not in post at the time of the inspection. 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. The service was managed on a day-to-day basis by the registered provider and a newly appointed manager. At the time of this inspection the newly appointed manager was awaiting a date for their ‘Fit Person’ interview.

Staff had a good understanding and knowledge of safeguarding procedures and were clear about the actions they would take to protect the people they supported. Risks to people’s health and wellbeing were appropriately assessed and managed to ensure their safety.

There were sufficient numbers of staff available to meet people’s needs. Appropriate recruitment checks were in place which helped to protect people and ensure staff were suitable to work at the service. Staff told us that they felt well supported in their role and were supervised at regular intervals.

Support plans were sufficiently detailed and provided an accurate description of people’s care and support needs. People were supported to maintain good healthcare and had access to a range of healthcare services. People were supported to be able to eat and drink satisfactory amounts to meet their nutritional and hydration needs.

Staff understood the requirements of the Mental Capacity Act 2005. Staff demonstrated how to apply the principles of this legislation to their everyday practice and to help ensure that peoples’ rights were protected.

People were treated with kindness and respected by staff. Staff understood people’s needs and provided care and support accordingly. Staff had a good relationship and rapport with the people they supported. People told us that they were treated with respect and dignity.

An effective system was available to respond to complaints and concerns. The provider’s quality assurance arrangements were much improved to ensure that they strived towards continued development, so as to provide a good quality service and to meet regulatory requirements.

1 September 2015, 4 September 2015, 7 September 2015 and 8 September 2015

During a routine inspection

Naid Care provides personal care and support to people in their own homes.

The inspection was completed on 1 September 2015, 4 September 2015, 7 September 2015 and 8 September 2015. At the time of the inspection there were six people who used the service.

The overall rating for this provider is ‘Inadequate’. This means that it has been placed into ‘Special measures’ by CQC. The purpose of special measures is to:

  • Ensure that providers found to be providing inadequate care significantly improve.
  • Provide a framework within which we use our enforcement powers in response to inadequate care and work with, or signpost to, other organisations in the system to ensure improvements are made.
  • Provide a clear timeframe within which providers must improve the quality of care they provide or we will seek to take further action, for example cancel their registration.

Services placed in special measures will be inspected again within six months. If insufficient improvements have been made such that there remains a rating of inadequate for any key question or overall, we will take action in line with our enforcement procedures to begin the process of preventing the provider from operating the service. This will lead to cancelling their registration or to varying the terms of their registration within six months if they do not improve. The service will be kept under review and if needed could be escalated to urgent enforcement action.

A registered manager was 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.

Appropriate arrangements were not in place to manage risks to people’s safety. Risks for people had not been identified or anticipated and people were at potential risk of receiving care and support that was unsafe and did not meet their needs.

Proper recruitment checks had not been completed on all staff before they commenced working at the service. Recruitment practices were not safe and had not been operated in line with the provider’s own policy and procedures.

Not all staff had received appropriate and up-to-date training to enable them to deliver care and support to people who used the service safely and to an appropriate standard. Formal arrangements were not in place to ensure that newly employed staff received a comprehensive induction, regular supervision or appraisal.

Information relating to people’s ability to consent to their care and support was not recorded and some staff members’ understanding relating to the Mental Capacity Act 2005 required improvement.

Care plans did not reflect current information to guide staff on the most appropriate care people required to meet their needs. Care plans had not always been reviewed as changes in people’s circumstances had changed.

The provider did not have an effective and proactive quality monitoring and assurance system in place to ensure that the service performed safely and to an appropriate standard so as to drive improvements.

Relatives told us that their member of family was kept safe. Staffing levels were suitable to meet people’s needs.

Relatives told us that their member of family was treated with kindness and consideration by staff and that they demonstrated a good knowledge and understanding of the people they cared for and supported. Relatives stated that their member of family was treated with respect and dignity. They also told us that they were confident that any areas of concern or complaints would be listened to and acted upon by the provider.

You can see what actions we told the provider to take at the back of the full version of the report.