McNaha Care

Updated 20 May 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection was carried out by 1 inspector.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats, as well as hospital or care home settings.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations. At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave a short period of notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

What we did before the inspection

The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.

We reviewed information we held about the service, this included statutory notifications they had submitted in relation to accidents or incidents.

During the inspection

We looked at the care plans for 3 people. We also reviewed medication information and daily notes. We checked the recruitment files for 5 staff. We spoke with 3 staff. This included the registered manager, office staff and care staff.

We reviewed a variety of other documentation related to the agency, such as staff training, incidents and accidents, staff meeting minutes and governance systems and processes.

Following the inspection, we spoke with 2 relatives to obtain their views on the care being provided to their family member and 2 care staff. We also received feedback from 1 healthcare professional involved in 1 person’s care.

Updated 20 May 2023

About the service

McNaha Care is a domiciliary care agency providing personal care to younger as well as older people in their own homes or in other settings, such as a hospital or a care home. Everyone who used the service received personal care from the agency. 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. At the time of our inspection, 3 people were receiving a care package from the agency.

People’s experience of using this service and what we found

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

At the time of the inspection, the location did not care or support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.

Right Support:

People were receiving care that supported them to make their own decisions and be involved in their care. 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 to stay safe and were cared for by staff who went through a robust recruitment process. People were supported as individuals. This included providing food or medicines in an appropriate way, or communicating with people in a way they understood.

Right Care:

People received person-centred care. Staff had developed good relationships with people and demonstrated a respectful and kindly approach towards them. Staff followed people’s care plans to help ensure that care was effective and safe and staff were provided with specific training to assist with this.

Right Culture:

The registered manager had a clear vision on where they wanted to take the service. She developed tailored care packages for people who had complex and specific needs. Staff enjoyed working for the service and told us they were supported. The registered manager understood their regulatory requirements and knew that if care did not go to plan, they had a duty to apologise. There were strong links between the service and external agencies which ensured joined up 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 14 March 2022 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.