9 May 2022
During a routine inspection
Nobilis Bristol provides care to people in their own homes. 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 happy with the care they received. Relatives provided positive feedback and were satisfied with the staff that supported their family member. It was evident that positive relationships were built between staff and people they supported.
The service was safe. There were sufficient staff available to meet people’s care needs and safe recruitment procedures were in place. This included gathering references and Disclosure and Barring Service (DBS) checks. Spot checks took place to ensure staff were performing as expected. Staff received training to enable them to care for people safely. This included safeguarding training so that they were able to identify and report signs of abuse.
The service was effective. Staff worked with health and social care professionals to ensure people’s needs were met. There was information contained in people’s care records to direct staff where to report concerns. For example, there were contact details available for GPs and district nurses. Staff were satisfied with the support and training they received; there were plans to develop the training further by creating a dedicated training room in the office.
The service was caring. People and their relatives told us staff were kind and provided good support, treating them with dignity and respect. The provider operated a scheme whereby each month, they chose a person to receive two extra hours of care, free of charge to enable them to undertake an activity they would otherwise be unable to do.
Support was responsive and could be flexible in accordance with people’s need. Care plans were personalised, providing details about the person’s life and individual needs. When end of life care was being provided, staff worked with professionals such as the local hospice.
The service was well led. There was an open and transparent culture within the service. The registered manager took concerns seriously, investigated them and reported back to the family concerned. There was a system in place to monitor the quality and safety of the service provided and this was effective in identifying shortfalls.
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.
Rating at last inspection
This service was registered with us on 23 February 2021 and this is the first inspection.
Why we inspected
We inspected the service in order to check standards and provide them with a rating.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk