Nanny Care Services Ltd

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.