Nomase Supported Limited

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

This is the first assessment for this newly registered service. This key question has been rated Good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

The service completed assessments of people’s needs before agreeing to provide care in their homes. Staff reviewed each person’s support needs, risks, and the level of staffing required to ensure the service could meet their needs safely. Assessments explored people’s backgrounds, family and social networks, interests, preferences, and their medical and personal care requirements. Staff told us this information helped them understand people better and deliver effective, personalised support. Care records showed that people and their families were fully involved in the assessment process.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

The provider worked in line with the principles of Right Care, Right Support and Right Culture within a home care setting. Before agreeing to a care package, the service checked that staff had the right skills, experience and capacity to meet each person’s individual needs and priorities safely. One professional told us, “The support provided by the staff effectively meets the needs of the service users. They support individuals in making choices about their care and how it is delivered, respecting their preferences and promoting independence.”

Staff supported people with their nutritional needs by assessing the level of help required to prepare food, drinks and meals. Where people needed assistance, this was clearly recorded in their care plans. Staff also contacted relatives if they had concerns about a person’s eating or drinking. Care records showed staff assisted with shopping and meal preparation when this formed part of a person’s agreed support.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

Staff worked with other services and professionals to ensure people received effective and timely care. People had a hospital passport, which they carried when transferred to hospital or moved between services. This document contained essential information about the person and their health needs. Relevant details were appropriately shared with other teams and services involved in their care. One relative told us, “We involve staff in upcoming appointments, so they know what is happening.” One professional told us, “Nomase worked closely the multidisciplinary team network. Staff met regularly with the wider network and communicated well e.g. in gathering support to help clients manage their finances and supporting clients to begin accessing the wider community and undertaking activities.”

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

People received support from staff where they required, to access healthcare services they needed to maintain their health.

Records showed staff accompanied people to attend health appointments. We saw that people had regular GP visits and staff supported them to attend. We noted too that staff supported people to attend review meetings with their psychologists and social worker. Staff members we spoke with understood people’s health needs and told us how they supported people access services when needed.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

Registered managers carried out spot checks to ensure staff were following care plans and delivering support as agreed. Regular review meetings were also held with people and their families to confirm they were receiving the outcomes they expected from the service.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

People, and their relatives, where appropriate, gave consent to the care and support they received, and their freedom to make their own choices was promoted in line with legal requirements. One person told us, “Yes, I have to make the decision of what I want, I tell them, and they help me with it.”

People’s capacity to make specific decisions was assessed and recorded in their care plans, including who supported them with decision making. Where people were assessed as lacking capacity, relatives and relevant health or social care professionals were involved in making best interest decisions. We saw best interest decisions documented for specific areas of care, and records showed when a person had a power of attorney in place.

Staff had completed training in the Mental Capacity Act (MCA) and understood their duty to obtain consent in line with the legislation. One staff member told us, “We support people’s ability to make their own decisions, and we encourage this by offering choices in a way they understand.”