26 May 2022
During a routine inspection
GreenSquareAccord Nottingham County is a service providing personal care to people living in their own homes. It provides long term, short term, and respite care to people within the community. At the time of our inspection, the service supported 263 people.
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
The care and support people received was safe. People received support from teams who worked in specific geographical locations to ensure they received care from a consistent staff team, who had the skills and experience required to care for people effectively.
People's needs were assessed before the package of care commenced. People and their relatives told us they were included in assessments; reviews and their consent had been obtained.
Staff were recruited safely. New staff shadowed peoples care so they were fully trained and supported prior to working independently.
People were cared for by trained and experienced staff who received regular supervision and competency checks, One person told us, “The staff who visit are so kind and caring, they have been coming so long they are like family to us.”
Where people where supported to administer medicines, this was done safely. Staff completed relevant paperwork and engaged with other medical professionals.
People, relatives and staff felt the management team were approachable, open and transparent. Relatives said they had confidence in staff to perform the health task associated with the complex needs of people and knew when to seek advice and support from other medical professionals.
The provider had a robust complaints procedure and communicated in an open and transparent way. Complaints were acknowledged and acted upon. Lessons learned documentation was produced and communicated with staff to ensure continuous improvement.
The provider liaised with health and social care professionals to maintain people's health. People's capacity to make their own decisions was assessed. 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.
For more details, please see the full report which is on the CQC website at
Rating at last inspection
The last rating for the service was good, published on 10 September 2019.
Why we inspected
Since the last inspection report, the provider has merged two geographical locations and undergone rebranding from Direct Health-Nottingham and Direct Health- North Notts to the current GreenSquareAccord Nottingham County brand on 19 January 2021. This is the first inspection under this rebranded provider.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.