Archived: National Quality Care Solutions Limited

National Quality Care Solutions Limited is a domiciliary care agency providing personal care to people in their own homes. At the time of inspection, the service was providing care to 31 people.

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 and their families were positive about the support provided by the service and felt engaged and involved in the care they received. A relative told us, “Staff are professional, respectful and very kind.”

There were enough safely recruited staff to support people safely. We had some feedback that rotas were not always clear. The registered manager was purchasing a new electronic system which would help produce more structured rotas and improve management processes. This would support the provider to grow the service in a sustained and safe manner.

There were effective checks to monitor the quality and safety of the service. The registered manager took prompt action when concerns were raised. They promoted a reflective and learning culture when things went wrong. They were developing improved systems to measure themes and log incidents and concerns over time.

The registered manager effectively and practically minimised risk across the service. Risk assessments were personalised, and care plans provided staff with clear guidance on how to support people safely. Safeguarding practices protected people from the risk of abuse. Staff supported people to take their medicines safely, and as prescribed.

The registered manager had worked tirelessly to reduce the risk of infection from COVID-19. They had supported people and staff well throughout the pandemic. As a result, they had not been able to set up some of the management systems as planned. However, their involvement in the day-to-day running of the service meant there was minimal impact on the quality of care people received.

Staff were well supported and told us they were proud to work for the service. The registered manager was enthusiastic about promoting staff skills. Staff received detailed guidance to help them support people effectively, in line with their preferences.

People received the necessary support to eat and drink. Staff worked well with external professionals to promote people’s wellbeing, referring for support when necessary.

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.

Staff supported people in a respectful manner, promoting their independence and choice. Care was personalised and adapted flexibly in response to people’s changing needs. Staff communicated with people in a way they understood. The registered manager promoted dignified end of life care.

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

Rating at last inspection

This service was registered with us on 08/04/2019 and this is the first inspection.

Why we inspected

This was a planned inspection of a newly registered service.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.