We carried out a review of the data available to us about Nash Homecare on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Nash Homecare, you can give feedback on this service.
Nash Homecare is a domiciliary care agency providing care and support to people in their own homes. There were 70 people being supported with personal care at the time of our inspection.
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:
People told us the care they received was invaluable and enabled them to remain both independent and maintain their dignity and respect. Staff had formed meaningful relationships with people which enhanced the care provided to them. Care was provided by a staff team who were enthusiastic and committed to providing exceptional care.
Staff knew people well and were instinctively able to provide care that was based on people’s choices and preferences. People were valued and listened to by staff who involved them in developing their care. Where complaints were raised these were swiftly managed and responded to.
People told us the service was safe and they felt at ease with the care provided. Risks associated with providing care to people were identified and managed safely.
People received care at the time and length agreed and were not rushed. Where people had assistance with their medicines, they received them when required.
Infection prevention and control (IPC) measures were effectively operated to keep people safe during the COVID-19 pandemic.
People’s needs were assessed before care was provided. People felt staff were trained and supported well and provided effective care. Where people required assistance with eating and drinking staff did so and sought support from healthcare professionals when 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.
Managers were aware of their responsibilities, were approachable, listened and acted. They had embedded and promoted an open and honest staff team culture to deliver personalised care to people. The staff team worked well within this culture and treated people equally well. Audits and governance systems were in place, although some further development was required around implementing improvements. People, relatives and staff were fully involved in how the service was run and their voice was listened to and acted upon.
Rating at last inspection
The last rating for this service was Good [published 8 September 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 reinspection programme. If we receive any concerning information we may inspect sooner.
The service had a registered manager 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 and associated Regulations about how the service is run.
This was the first inspection since the service was registered on 7 September 2015.
People told us they received care and support that met their individual needs. People were involved in the development, planning and review of their care. Staff knew people well and treated them with dignity and respect. Care plans were personalised and contained detailed information about people’s support needs and risk assessments were detailed and provided staff with appropriate information to ensure risks that were managed effectively to help keep people safe. Staff were aware of how to safeguard people and respond to any concerns in relation to suspected abuse. Medicines were managed safely.
People were supported by sufficient numbers of staff who had been recruited through a robust recruitment process which helped ensure staff were suited to work in this type of service. Staff received an induction when they commenced their employment at the service and received on-going training and support. Staff were well supported through individual supervisions, team meetings and had regular contact with office staff.
People were encouraged and supported to make their own decisions and to retain their independence where possible and their choices and views were respected. Their views were obtained through varies processes which were in place to obtain feedback. People’s complaints were recorded and investigated along with many compliments.
The provider demonstrated they had systems and processes in place to monitor and improve the service to achieve a consistently good standard of care and support for people who used the service. There was a call monitoring system in place and spot checks were carried out which ensured visits to people were provided at the planned times.