About the service Nurseplus UK is a domiciliary care service providing personal care to people in their own homes. Not everyone who used the service received personal care. This is help with tasks related to personal hygiene and eating. Where people receive personal care we also consider any wider social care provided. At the time of the inspection the service was supporting a total of four people, but only two people received support with personal care.
People’s experience of using this service and what we found
People told us they felt safe using the service. Systems were in place to protect people from the risk of harm or abuse. Where people needed support with medicines, access to healthcare and to eat and drink, this was managed well.
People and their representatives told us the service had managed the COVID-19 pandemic well, however screening measures of visitors needed to improve to ensure office staff were protected from the risk of catching and spreading infection.
We have made a recommendation about working safely in domiciliary care.
People using the service had specific care packages with a dedicated staff team. This ensured they received a consistent and reliable service. The recruitment and selection process ensured the right staff were matched to people’s preferences and personality. Staff were provided with the training they needed to carry out their roles, but required additional training to meet people’s specific needs, including people living with a brain injury.
We have made recommendation about staff training.
People were treated with dignity, respect and kindness. Staff understood their responsibilities to respect people's right to privacy, confidentiality and to promote their independence. 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.
Although no one using the service required end of life care at the time of this inspection, systems were in place to ensure people received the right support to have a comfortable, dignified and pain-free death.
People and their representatives spoke positively about the management of the service. Staff intuitively provided care in line with the values of the company. Staff described Nurseplus UK as a good company to work for, with good teamwork, good team morale and a transparent culture.
The registered manager told us they regularly reviewed the quality of the service via audits and conversations with people, their representatives and staff to assess what was working well, and what needed to improve. The registered manager worked in partnership with other health professionals, family members, advocates and case managers to ensure people received joined up care and support.
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 23 July 2020 and this is the first inspection.
Why we inspected
This was a planned inspection.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.