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Archived: Nationwide Care Services Ltd (Oxford)


Inspection carried out on 11 February 2014

During a routine inspection

We spoke with nine people who used the service and two people’s relatives. We also reviewed seven peoples care files. We spoke with eight care staff and reviewed nine staff files. We also reviewed documents made available to us by the manager. There were 29 people supported by the service at the time of our inspection. The Registered manager named on this report was no longer in position at the time of our inspection but was still the individual registered as the manager with CQC. The incoming manager was finalising their registration process.

People’s privacy, dignity and independence were respected. Care workers explained the importance of respecting people’s privacy and dignity, one care worker told us, “respecting people’s dignity is very important, it must be hard not being able to do things for themselves, I am very respectful of that”.

People’s needs were assessed and care and treatment was planned and delivered in line with their individual care plan. Care files we reviewed contained initial assessments and care plans that were regularly reviewed and supported, where appropriate, by risk assessments.

Care staff we spoke with had a good understanding of safeguarding and how to identify abuse. We saw training records that showed care staff were regularly trained. The manager told us, “we use real life examples because that’s where the best learning comes from and people then understand the importance of safeguarding”.

Care staff received appropriate professional development. We reviewed care staff records that showed care staff were attending regular certified training such as Manual Handling, Parkinson, Dementia and Health and Safety. Care staff were also able, from time to time, to obtain further relevant qualifications.

The provider monitored the quality of the service. There has been a change of manager since our last inspection. This manager along with their team had identified a number of changes and we were shown evidence that these changes were in process and ongoing. The manager told us, “when I took over there were a number of cultural and practical issues that needed improvement”. We reviewed a ‘strategy plan’ which showed the manager had already identified a number of areas that needed improvement.

Inspection carried out on 19 March 2013

During a routine inspection

During our inspection we spoke with four people using the service and one relative. People told us that they thought that the agency provided a good service. One person said “I am very happy with the care, they are very nice people”.

We also looked at records and spoke with five staff. One member of staff told us “I enjoy it, I find it rewarding, we have a good team”

We saw that the provider had a detailed and robust recruitment process which ensured that the needs of people who used the service were met by staff who were appropriately qualified and able to do the job.

People told us that in general they felt that staff had enough time to spend with them, one person said “they work hard.” The manager told us that they allowed enough space in the rotas to allow for sickness and annual leave.

We saw that the provider had a quality assurance process in place. One member of staff told us “I work as hard as I can to maintain the quality of care.”

People told us that they knew how to make a complaint. The provider had an effective system in place to address any complaints that were made.