Background to this inspection
Updated
12 September 2016
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check 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.
This inspection took place on 6 June 2016 and was announced. The provider was given 24 hours’ notice because the location was a domiciliary care agency and we wanted to ensure there was someone available to assist us with the inspection. The inspection was carried out by one inspector.
Prior to our inspection we reviewed information we held about the service. This included information received and statutory notifications. A notification is information about important events which the provider is required to send us by law. We contacted some other professionals who have contact with the service and asked them for their views.
During the inspection we were unable to speak with any of the people who used the service but we did speak with seven relatives. We also spoke with four care workers, the clinical educator and the registered manager.
We considered information contained in some of the records held at the service. This included the care records for three people, staff training records, three staff recruitment files and other records kept by the registered manager as part of their management and auditing of the service.
Updated
12 September 2016
This announced inspection was carried out on 6 June 2016. NurtureCare Limited provides personal and ongoing healthcare to babies, children and young adults with complex health needs in Nottinghamshire, Leicestershire and Lincolnshire. On the day of the inspection there were 17 people using the service. At the time of our inspection NurtureCare Limited was making some changes to their registration. These included a change to their regulated activities and the location address.
The service had a registered manager in place at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People were supported by staff who understood the risks they could face and knew how to keep them safe. People were supported by staff who had been carefully introduced to contribute to their care. People were supported to take their medicines when they needed these.
People were provided with the care and treatment they needed by staff who were trained and supported to do so effectively. People’s care and treatment was provided once consent had been obtained in line with the relevant legislation.
People were cared for by staff who understood their health conditions and ensured they had sufficient nourishment.
People were treated with respect by staff who demonstrated compassion and understanding. People were provided with their care and treatment in the way requested by those acting on their behalf. People’s relatives were informed on how to express any issues or concerns they had so these could be investigated and acted upon.
People used a service which was flexible in accordance with their needs. The management team provided leadership that gained the respect of staff and motivated them as a team. There were systems in place to monitor the quality of the service and make improvements when needed.