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Inspection Summary

Overall summary & rating


Updated 14 April 2021

About the service

Nested Support is a domiciliary care agency providing personal care to people living in their own homes. The service supported eight people at the time of the inspection, all being supported with 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 cared for in a safe manner. The service had a safeguarding policy and procedure in place. Staff attended safeguarding training and were confident in identifying and reporting abuse. Risks to people’s health and wellbeing were suitably managed. Staff were recruited safely. There was good infection control practice in the service including up to date COVID-19 guidance.

Staff acknowledged and respected people’s needs and choices. All care plans we reviewed were person centred. Peoples food and drink preferences were recorded clearly in their care plans. The staff team were supported with regular supervision, spot checks and meetings. Technology was used to ensure open communication with health care teams.

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.

People were supported by staff who were caring and kind. Feedback from people and relatives was consistently positive. Creative and innovative use of technology ensured open and transparent communication between people, their relatives, carers and relevant professionals. Staff support respected people’s privacy and dignity.

Care and support plans were reviewed and updated as people’s needs changed. People were treated as individuals and their choices were respected. People, relatives and staff felt they would feel confident to speak with the registered manager if they had any concerns.

People, relatives and staff felt that the service was consistently well-led. The registered manager had created a culture of quality person-centred care. There were clear and effective governance and accountability arrangements. We found proactive engagement with people, relatives, staff, health care professionals and community groups.

For more details, please see the full report which is on the CQC website at

Rating at last inspection

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

Why we inspected

This inspection was required because the service has been registered and carrying out regulated activities since August 2019, not yet inspected due to COVID-19 pandemic restrictions.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care service inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

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.

Inspection areas



Updated 14 April 2021

The service was safe.

Details are in our safe findings below.



Updated 14 April 2021

The service was effective.

Details are in our effective findings below.



Updated 14 April 2021

The service was caring.

Details are in our caring findings below.



Updated 14 April 2021

The service was responsive.

Details are in our responsive findings below.



Updated 14 April 2021

The service was well-led.

Details are in our well-Led findings below.