13 August 2014
During a routine inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service and to provide a rating for the service under the Care Act 2014.
The last inspection took place on 21 November 2013, during which, we found there were no breaches in the regulations. This inspection was announced. We contacted the provider two days before our inspection to ensure that someone would be available to meet with us at the registered office.
There is a registered manager in post at this service. A registered manager is a person who has registered with the Care Quality Commission to manage the service and has the legal responsibility for meeting the requirements of the law; as does the provider.
Nexus Support Limited provides personal care for people living in their own home and who have a learning disability or multiple complex needs. At the time of the inspection 20 people were using the service.
People received support to meet their needs and this ensured their welfare and safety. Relatives of people who used the service told us they were very happy with the care and support provided by the service. Relatives told us that the support provided was flexible to meet their family member’s needs.
The CQC is required by law to monitor the operation of the Mental Capacity Act 2005 (MCA), Deprivation of Liberty Safeguards (DoLS) and to report on what we find. We found that people who used the service had their capacity to make day-to-day decisions about their care formally assessed.
Staff were supported to perform their role and responsibilities to support people safely and to an appropriate standard. We found that appropriate systems were in place to ensure that suitable staff were recruited and employed at the service to meet people’s needs. Newly employed staff received an induction, supervision and received opportunities for training.
Planning and delivery of people’s care met their needs and ensured their welfare and safety. People’s personal care needs were assessed and recorded. People’s care plans showed how risks to their health and wellbeing were being minimised to ensure their safety. We found that people’s healthcare needs were considered and people were supported to access relevant healthcare professionals where required.
Relatives and staff confirmed that people’s privacy and dignity were respected and upheld at all times.
There were appropriate systems in place to deal with comments and complaints. The service had a complaints policy and procedure in place and this included a system for recording and responding to any complaints received. Relatives told us that they felt confident and able to raise issues or concerns.
People knew the provider and found them to be approachable. Relatives and representatives of external organisations told us that the service was well-led. There were systems in place to check the quality of care and service that people received.