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Nash Alliance Ltd

Overall: Good read more about inspection ratings

Marble Hall, 80 Nightingale Road, Derby, DE24 8BF (01332) 742629

Provided and run by:
Nash Alliance Ltd

Latest inspection summary

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Background to this inspection

Updated 12 January 2024

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.

As part of this inspection, we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by one inspector and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care. The expert by experience did not attend the office. They spoke with 1 person and 5 people’s family members by telephone.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own homes.

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 2 days’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider who is also the registered manager would be in the office to support the inspection.

What we did before the inspection

We used the information the provider sent us in the provider information return. 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 reviewed information we received about the service since the last inspection. This included details about incidents the provider must notify us about. We contacted the integrated care board (ICB) who commission services from the provider. We used all of this information to plan our inspection.

During the inspection

We inspected the service on the 24 November 2023. We looked at 2 people’s care records to check that the care they received matched the information in their records. We spoke with the registered manager and 6 care staff and reviewed 4 staff files to see how staff were recruited and supported. We reviewed a range of medication administration records and records relating to the management of the service. We looked at the systems the provider had in place to ensure the quality of the service was continuously monitored and reviewed to drive improvement.

We spoke with 1 person and 5 people’s family members and 8 members of staff including the registered manager and administrator.

Overall inspection

Good

Updated 12 January 2024

About the service

Nash Healthcare Ltd is a domiciliary care agency. The service provides personal care to people living in their own homes in Derby City and surrounding areas. At the time of our inspection there were 17 people using the service.

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

People were protected from the risk of harm as staff knew the procedure to follow to report concerns. Assessments were completed and followed as staff had guidance to support people safely and records were up to date and completed. Incidents were reviewed to help identify lessons learnt.

Where needed people were supported in a safe way to take their prescribed medicine. The staff's suitability to work with people was established before they commenced employment. Enough staff were available to support people, and protect them from the risk of an acquired health infection, as PPE was worn when required.

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.

The quality and safety of the service was monitored on an ongoing basis. People’s views were gathered to help improve the service. The registered manager and staff team worked well with health care professionals.

For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk

Rating at last inspection:

The last rating for this service was good (published 09 May 2018).

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.