Nema Home Care Limited

Updated 23 August 2023

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 carried out by 3 inspectors 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 service.

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 a registered manager in post.

Notice of inspection

We gave the service 48 hours' notice of the inspection. This was because we needed to be sure the registered manager would be in the office to support the inspection. Inspection activity started on 19 July 2023 and ended on 31 July 2023. The inspection visits took place on 19 July 2023.

What we did before inspection

We reviewed information we had received about the service since the last inspection. 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 the registered manager and 10 members of staff. We reviewed a number of records including 11 people's care plans, medicine records and daily records, 5 staff members recruitment files, rotas, policies, and systems for governance. We spoke with 14 people and 5 family members to understand their experiences of receiving support. As part of a direct monitoring call on 21 June 2023, we also received feedback from 35 people. We obtained feedback from 4 professionals who had knowledge of the service.

Updated 23 August 2023

About the service

Nema Home Care Limited is a domiciliary care service providing personal care to people living in their own homes. At the time of our inspection there were 142 people using the service.

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.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

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

Right Support:

Staff had training on how to recognise and report abuse and they knew how to apply it. Medicines were managed safely. Risks to people were assessed and there were plans in place to mitigate risks. People were supported by regular, consistent staff who knew them and their needs well. The provider recruited staff safely.

Right Care:

Staff promoted equality and diversity in their support for people. They understood people’s cultural needs and provided culturally appropriate care. People’s needs were assessed prior to using the service and care was focused on the person. Staff received an induction and ongoing training to equip them for their role. People’s care, treatment and support plans reflected their range of needs, and this promoted their wellbeing. People's communication needs were assessed and understood by staff.

People were involved in the planning of their care and support. 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.

Right Culture:

People received good quality care, support and treatment because trained staff could meet their needs and wishes. Staff evaluated the quality of support provided to people, involving the person, their families, and other professionals as appropriate. Staff worked with health and social care professionals to support people's health and social care needs.

The registered manager had developed a quality assurance system encompassing all aspects of the service delivery. Staff told us they felt supported by the registered manager.

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

Rating at last inspection

The last rating for this service was good (published 13 December 2017).

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.