Nisacraftcare

Updated 16 September 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

This inspection was carried out by 1 inspector.

Service and service type

This service is a domiciliary care agency. It provides personal care and support to people living in their own homes within a supported living environment. Supported living is a purpose-built or adapted single household accommodation. The accommodation is rented and is the occupant's own home. People's care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people's personal care and support service. The service also provides an outreach service to support people in the community with social activities and events.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave the service 48 hours’ notice of the inspection. This was because we needed to be sure that the provider or registered manager would be in the office to support the inspection.

Inspection activity started on 24 August 2023 and ended on 4 September 2023.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke in person to the registered manager and the management team. We spoke with 3 relatives and 4 support workers to get their experience and views about the care provided. We reviewed a range of records. This included 3 staff training records and 3 people's care plans and risk assessments. We looked at 3 staff recruitment files, medicine records, quality assurance records and audits. We talked about the culture of the service and the overall management of the service.

Updated 16 September 2023

About the service

Nisacraft Care is a domiciliary care service providing personal care to people living in their own homes. This includes older people, people with dementia, people with a physical disability, learning disabilities or autistic spectrum disorder and mental health. At the time of our inspection there were 11 people using the service.

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 were safe and protected from avoidable harm. There were processes in place to safeguard people from abuse. Staff knew how to report any concerns to the risk of abuse. Risks to people's health, safety and well-being were assessed and support developed to remove or reduce the risk. People received their medicines as prescribed. Staff had access to appropriate Personal Protective Equipment (PPE) such as face masks and disposable gloves and aprons when required. People were supported by staff who had been safely recruited.

People's care needs were assessed and reviewed. Staff completed training to know how to care for people effectively. 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.

The registered manager had a system of quality assurance checks in place to monitor the safety and effectiveness of the service provided. The registered manager and management team were committed to providing a high standard of care to the people they supported and understood their responsibilities to them. People, their relatives and staff members spoke highly of the registered manager and told us that they were always available and supportive.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating last inspection

The last rating for this service was good (published 14 December 2021).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Nisacraft Care Limited on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.