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 detailed assessments of people’s needs prior to accepting to deliver care and support to them. They checked that the service was right for them and could meet their needs safely and achieve positive outcomes for them. Care needs assessments looked at people’s background, histories, family, social networks, likes, dislikes, and their medical, care and support needs. Staff told us the information helped them understand people, their interests and how their care and support would be delivered effectively. Care records showed people and their families were 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. Before accepting a care package, they ensured the service was appropriate for each individual by reviewing staff skills, experience, and the person’s specific needs and priorities. 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 in meeting their nutritional requirements, assessing the level of assistance needed with preparing food, drinks, and eating. Each person was encouraged to design their own menu based on their preferences, likes, and dietary needs. People had their own food cupboards, and records showed that staff assisted them with shopping and meal preparation where required.

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 collaborated with other services and professionals to ensure people received effective and timely care. Each individual 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, supporting seamless transitions and ensuring that people’s needs were consistently met. 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 remain well. One relative told us, “They look after my loved one well because they know them. They take them to the doctors, dentist and other appointments.”

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 workers. Staff members that we spoke with understood people’s health needs and told us how they supported people to 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.

A relative shared with us, “My loved one has a support plan. We have regular meetings with staff to review their progress and update me on how they are doing.” We examined records of keywork sessions, which showed staff engaging with people about their goals, addressing any issues they encountered, and checking on their overall well-being. We also noted that staff held meetings with professionals to review individuals’ progress and health. Where regular monitoring was required, such as tracking weight, food intake, and fluids, this was carried out consistently and documented appropriately.

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

People, and their relatives where necessary, gave their consent to the care and treatment they received, and people’s liberty was promoted in line with legal guidance. One person commented, “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 noted in their care plans and who supported them with decision making. Where people had been assessed as lacking capacity to make a decision, relatives and relevant health or social care professionals were involved to make best interests’ decisions on the person’s behalf. We saw best interest decisions made in relation to specific aspects of their care.

Staff had completed training in the Mental Capacity Act (MCA) and DoLS (Deprivation of Liberty Safeguards) and understood their responsibilities to obtain consent from people in line with the MCA. One staff member told us, “We support people’s ability to make their own decision, and we encourage this by offering choices is a good way they understand.” One professional commented, “I have directly observed staff being deployed to adhere with risk assessment and DOLs when out in the community.”