Nation Home Care Limited

Updated 16 June 2022

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

The inspection team consisted of one inspector.

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 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 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 18 May 2022 and ended on 20 May 2022. We visited the location’s office on 18 May 2022.

What we did before the inspection

We reviewed information we had received about the service since it was registered with the CQC. 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

During the visit to the office we met and spoke with the registered manager/director of Nation Home Care Limited. We reviewed a range of records which related to people's individual care and the running of the service. These records included two people's care records, four staff personnel records, medicine administration records and policies and procedures relating to the management and quality monitoring of the service.

The two people using the service were unable to speak with us, so we spoke with two of their relatives to obtain feedback about their experience of the service. We also spoke with one care coordinator and four care workers.

Updated 16 June 2022

About the service

Nation Home Care Limited is a domiciliary care agency registered to provide personal care to people in their own homes. The service provides care and support to adults who have varied needs. These include older people, some of whom live with dementia and and/or sensory impairments. At the time of inspection there were two people using the service 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.

People’s experience of using this service and what we found

People’s relatives spoke highly of the care and support that people received from Nation Home Care Limited. They spoke positively about the service provided by the care agency and told us they felt it was managed well and would recommend it. People were treated with respect and dignity. They received personalised care that met their needs and preferences.

Systems were in place to protect people from abuse. These included safeguarding policies and appropriate training for staff. Personalised risk assessments helped to keep people safe and supported their independence. Suitable infection control practices were in place. These helped to prevent and control the spread of infections including COVID-19.

When people needed support with their medicines, this was provided by staff who received medicines training and had their competency to administer medicines assessed.

People were supported by regular care staff who had a good understanding of people’s individual care needs and preferences. Staff arrived on time and stayed the agreed amount of time.

Recruitment and selection policies and procedures helped to ensure that only suitable staff were employed to provide care and support to people using the service.

People’s care plans provided the information and guidance staff needed to ensure people’s individual needs were met in the way they wanted.

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.

Effective quality checks monitored the service provided to people and ensured that improvements were made when shortfalls were found

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

The service was registered with us on 03 October 2020 and this is the first inspection

Why we inspected

This was a planned comprehensive inspection to review the key questions, Safe, Effective, Caring, Responsive and Well-led and rate this service.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.