11 October 2023
During an inspection looking at part of 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.