Nomase Care Ltd - Chadwell Heath

Updated 14 November 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 Care Act 2014.

Inspection team

The inspection was carried out by one inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own homes.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave the service 24 hours’ 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.

Inspection activity started on 9 October 2023 and ended on 18 October 2023. We visited the location’s office on 11 October 2023.

What we did before the inspection

We reviewed the information we already held about the service, this included their last inspection report and notifications. A notification is information about incidents or events that providers are required to inform us about. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all of this information to plan our inspection.

During the inspection.

During the inspection, we spoke with the registered manager, service manager and quality support officer. We reviewed documents and records that related to people’s care and the management of the service.

We reviewed 5 staff files, which included pre-employment checks and 5 care plans which included peoples support needs and risk assessments. We looked at other documents such as quality assurance records.

We also spoke with 7 people who used the service, 8 relatives of people who used the service and 5 staff members.

Updated 14 November 2023

About the service

This service is a domiciliary care agency based in the London Borough of Barking & Dagenham. The service provides personal care to adults 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.

At the time of our inspection, the service provided personal care to 24 people.

People’s experience of using this service

Robust risk assessments were in place to ensure people received safe care at all times. This included risk assessments for people with specific health conditions. Medicines were being managed safely. Systems were in place to manage accidents and incidents.

Systems were in place to ensure staff attended care calls on time. Pre-employment checks were carried out to ensure staff were suitable to support people safely. Systems were in place for infection control.

Quality assurance systems were in place to identify shortfalls and take prompt action to ensure people always received safe care. Feedback was sought from people and staff to make improvements to the service.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The previous rating was Requires Improvement, this service has been in Special Measures since our last inspection on 4 July 2023 [published 11 August 2023] due to their rating of Inadequate under Well-Led. We found breaches of regulation on risk assessments and good governance.

During this inspection, the provider demonstrated that improvements have been made.

Why we inspected

We undertook this focused inspection to check if the service had made improvements on the breaches of legal requirements found at the last inspection. This report only covers our findings in relation to the key questions of Safe and Well-led, which contain those requirements. The service continued to be in 'special measures'. We do this when services have been rated as 'Inadequate' in any key question over two consecutive inspections since being placed on special measures. The ‘Inadequate’ rating does not need to be in the same question at each of these inspections for us to place services in special measures. The service does not have an Inadequate rating in any key questions now and has come out of special measures.

For those key questions not inspected and rated, we used the ratings awarded at the last comprehensive inspection to calculate the overall rating. The overall rating for the service remains Requires Improvement.

We have found evidence that the provider had made improvements and met the requirement notices. Please see the Safe and Well-Led sections of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Nomase Care Ltd - Chadwell Heath on our website at www.cqc.org.uk.

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.