Nissi Care Solutions

Updated 9 March 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

This inspection was carried out by 1 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 houses and flats.

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

This inspection was announced. We gave the service 48 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 14 February 2023 and ended on 21 February 2023. We visited the location’s office on 16 February 2023.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. 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 this information to plan our inspection.

During the inspection

We spoke with 5 people and 11 relatives about their experiences of care received. We also spoke with 7 members of staff and the registered manager. We reviewed care records for 5 people, 4 staff recruitment files, incidents and accidents, risk management, quality monitoring records, staffing schedules and team meeting minutes.

Updated 9 March 2023

About the service

Nissi Care Solutions is a domiciliary care agency providing personal care to people in their own homes. The service provides support to older people, younger adults, people with a learning disability, people living with dementia and a physical disability and people with sensory impairment. At the time of our inspection there were 53 people using the service.

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

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.

Right Support:

People’s visits had been scheduled with minimal travel time for staff. This meant staff were at risk of running late or having to leave slightly earlier. People’s feedback about timings and duration of visits was mixed but most felt this was an area that could be improved. Quality monitoring systems were in place to identify any areas for development; however, they had not captured people’s feedback about visits and duration of visits.

People were protected from the risks of abuse as staff understood their responsibilities to report any concerns. Risks to people’s safety had been assessed and updates carried out when needed. Safe recruitment checks were being carried out prior to staff starting work.

Right Care:

People were supported to take their medicines safely. People’s needs with regards to medicines were recorded in their care records. People’s communication needs were recorded, and guidance given on how to communicate effectively with people. Systems were in place to make sure staff followed good infection, prevention and control guidelines.

Right Culture:

Staff told us there was an open culture at the service, they felt able to voice their views about any issues or concerns. The provider met regularly with staff to discuss good practice and changes to people’s needs. People’s preferences about how they wanted their care delivered were recorded in their records. Senior staff monitored care notes to make sure staff were following the care planning.

The registered manager was open and transparent during the inspection. They responded to feedback and were keen to improve the service where needed. Staff worked with healthcare professionals to make sure people’s health needs were met.

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

Rating at last inspection

The last rating for this service was good (published 15 November 2017).

Why we inspected

This focused inspection was prompted by a review of the information we held about this service. We have reviewed safe and well-led at this inspection.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Nissi Care Solutions 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.