Nanny Care Services Ltd

Updated 23 November 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 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 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 not a registered manager in post.

Notice of inspection

We gave the service 24 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or would be in the office to support the inspection.

Inspection activity started on 26 August 2022 and ended on 21 September 2022. We visited the location’s office on 8 September, 9 September and 16 September 2022.

What we did before the inspection

We reviewed information we held and had received about the service since the time of registration. We used information gathered as part of monitoring activity dated 5 August 2022 to help plan the inspection and inform our judgements. We sought feedback from the local authority, safeguarding team and other professionals who work with the service. We checked information held by Companies House and the Information Commissioner’s Office. We checked for any online reviews and relevant social media, and we looked at the content of the provider’s website. Due to technical problems, the provider was not able to complete a Provider Information Return (PIR). A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We were unable to speak with the person who uses the service or their relative. We spoke with the manager. We were unable to speak with the nominated individual about their oversight of the service. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We contacted the local authority safeguarding and commissioning team. We reviewed a range of records. This included four people’s care records (some who no longer use the service), medicines administration records and three staff personnel files. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 23 November 2022

About the service

Nanny Care Services Ltd is domiciliary care agency providing personal care in the community. At the time of our inspection there was one person using the service.

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

People did not sustain abuse or neglect; however, the manager’s knowledge of safeguarding processes was not sufficient. People’s risk assessments contained basic information but had not been reviewed regularly to document any changes. There were enough staff deployed to ensure the care for the person using the service, but no documented contingency plan for absence. People were satisfactorily protected against infections.

People’s preferences, likes and dislikes were not always recorded in detail. Staff training was completed. Staff supervisions were on file, but these were for prior staff and no recent ones for the remaining care worker. People’s consent was obtained correctly, however the manager did not have a satisfactory understanding of the Mental Capacity Act 2005 principles.

There was prior positive feedback about the care and support provided by the service. People and relatives had contributed to the formation of support plans; recent updates with them was not documented.

People’s care plans contained a mixture of task-based and person-centred information. However, the plan was not updated in a timely way. There was an appropriate complaint system in place.

An effective governance system is not in place. The provider has not effectively assessed, documented and mitigated risks. They did have not have an effective system in place to measure compliance with regulations and legal obligations. There was no registered manager in place, but an application was received after our inspection.

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 www.cqc.org.uk

Rating at last inspection

This service was registered with us on 21 January 2021 and this is the first inspection.

Why we inspected

The inspection was completed to provide the first rating for the location.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.