Nyadowa Care

Updated 14 May 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

This inspection was completed by 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 13 April 2022 and ended on 22 April 2022. We visited the location’s office on 14 April 2022.

What we did before the inspection

We reviewed information we had received about the service. We sought feedback from the local authority and professionals who work with the service. 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 three people who used the service and four relatives about their experience of the care provided. We spoke with three members of staff including care workers and the registered manager.

We reviewed a range of records. This included three people’s care records and numerous medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.

Updated 14 May 2022

About the service

Earls Farmhouse is a domiciliary care agency providing personal care to people living in their own homes. The service provides care visits or live in care for people. The service was supporting seven people with personal care at the time of this inspection.

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

People and relatives were positive about the support they or their family member received at the service. One person said, ‘‘I am so happy with everything about the service. [Staff] go out of their way to make sure I am well looked after.’’

Staff were trained in safeguarding and knew how to keep people safe from abuse. Risk assessments were in place to guide staff how to support people safely in all aspects of their support needs. There were enough staff to support people safely and people’s care visits happened on time and lasted the correct duration. People were supported safely with their medicines. Staff were trained in infection prevention and control (IPC) and had access to adequate supplies of personal protective equipment (PPE).

People’s needs were assessed before they used the service to ensure staff could meet their preferences. Staff had training and supervision to help them be effective in their job roles. People were supported in line with their dietary needs if this was needed. Staff supported people to access health professional support if this was needed. 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.

People received kind and compassionate care from staff who had gotten to know them well as individuals. Staff encouraged people to make choices about their support and promoted their independence if this was people’s choice. Staff respected people’s privacy and dignity.

The registered manager focused on people’s preferences to help ensure they received personalised care. Staff communicated well with people and supported them to stay in contact with their family and friends. There was a complaints policy in place and people knew how to raise concerns. Plans were in place to support people at the end of their life.

The registered manager was aware of short falls at the service regarding some of the systems they used. They were also in the process of setting up systems to improve the governance of the service. There was a positive culture at the service and staff were dedicated and passionate about supporting people. People and their relatives were supported to feedback about the service. The staff team worked well with other professionals to support good outcomes for people.

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

Rating at last inspection

This service was registered with us on 15 January 2021 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Follow up

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