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.