18 July 2022
During an inspection looking at part of the service
About the service:
Nomase Care Ltd is a domiciliary care agency which provides personal care and support to people living in their own homes and in supported living settings.
Not everyone who used the service received personal care. The Care Quality Commission (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 84 people were receiving support with personal care either in their own homes or in supported living settings.
People’s experience of using this service
Right support
People living in supported living settings received care and support in a safe, clean, well equipped, well-furnished and well-maintained environment that met their sensory and physical needs. People had a choice about their living environment and were able to personalise their rooms. People were encouraged and supported to identify and take part in activities and pursue interests that were tailored to them. Where appropriate, staff enabled people to take positive risks. Staff communicated with people in ways that met their needs.
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.
Right Care
People received kind and compassionate care. Staff protected and respected people's privacy and dignity. They understood and responded to their individual needs and promoted equality and diversity in their support for people. Relatives told us their family members were happy, safe and comfortable at the service. We observed positive interactions between people and staff which corresponded to feedback we received. One relative told us, “Whenever I visit [family member] is smiling and happy. I can’t thank staff enough.”
Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it. There was enough appropriately skilled staff to meet people's needs and keep them safe.
Right culture
People received good quality care and support because trained staff could meet their needs and wishes. People led active lives because of the ethos, values, attitudes and behaviours of the management and staff.
We have identified some issues with the provider’s system for scheduling and monitoring care visit times. We have made a recommendation about this.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
At the last inspection, the service was rated as requires improvement (Report published 30 April 2021) and there were breaches of regulations. The provider completed an action plan after the last inspection to show what they would do and by when to improve.
Why we inspected
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led and part of the key question Effective. For those key questions not inspected, we used the ratings awarded at the last comprehensive inspection to calculate the overall rating. The overall rating for the service has changed from ‘Requires Improvement’ to ‘Good’ based on the findings of this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Nomase Care Ltd on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.