11 August 2020
During an inspection looking at part of the service
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.
Not all packages of care had full staffing levels, however the service tried to cover shortfalls in staffing or gave parents notice if they were required to help provide care.
Staff were knowledgeable about the risk of abuse and how to report this however there were concerns that not all incidents were always reported.
Staff were given training for the role, they shadowed other staff and had competencies signed off for each child/young person they were caring for.
Risks to safety had been assessed and measures were in place to reduce risk.
Medicines were administered and recorded safely.
Systems were in place to ensure people were protected against the spread of infection, however staff were not always following these procedures. Action had been taken by the management team to address this.
Staff were recruited safely.
There were systems in place to learn lessons if things went wrong and to improve safety within the service.
There were quality monitoring systems and processes in place to monitor and improve the service.
Feedback from staff and families was collected and used to improve the service.
Families told us the service responded quickly to complaints.
Staff received supervision, and the service had various methods of communicating with staff in order to keep staff updated and informed
Most staff told us support from management and nurses was good.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for the service under the previous premises was Good published 11/2/2018.
Why we inspected
The inspection was prompted in part by notification of a specific incident. Following which a person using the service died. This incident is subject to an investigation. As a result, this inspection did not examine the circumstances of the incident.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
The overall rating for the service has remained Good. This is based on the findings at this inspection.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the Safe and Well led sections of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Nurture Care Ltd on our website at www.cqc.org.uk.
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.