About the service Care Solutions Nottingham is a domiciliary service providing care for people within their own homes. At the time of our inspection there were 16 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.
People’s experience of using this service and what we found
People were protected from the risk of abuse and neglect. Risks to people’s health were assessed and reviewed to reduce the risk of them experiencing avoidable harm. Changes to environmental risk assessments were made to ensure they included how to make people safe in an emergency. There were enough staff to provide safe care. Medicines were well managed. Staff followed infection control policies and procedures, including COVID-19 guidance to reduce the risk of the spread of infection. Accidents and incidents were recorded. Amendments to the recording process had been made to ensure sufficient detail was recorded and time was given to review the impact of decisions made to reduce risk.
People’s needs were assessed prior to them receiving personal care. Staff were well trained, supervised and encouraged to develop their roles. Where needed people were supported with their meals and to maintain a balanced diet. People were supported to lead healthy lives; this included attending appointments with other health organisations.
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.
People felt listened to, they were able to make decisions about their care and they found staff to be kind, caring and respectful. Care was provided in a dignified and respectful way. Independence was supported and encouraged wherever possible.
People’s received person-centred care. People were able to make choices about the way they wanted their care to be provided. Staff ensured people with a sensory impairment were provided with information in an inclusive way. Formal complaints had not yet been received. Policies were in place to handle them appropriately. People felt able to raise concerns with staff and management if needed.
The service was well-led. The manager was not registered with the CQC but did have a good understanding of the regulatory requirements of their role. The provider actively sought people’s feedback. People felt they had positive experiences when speaking with office-based staff. People told us they would recommend this service to others. Staff felt their views mattered.
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 13 November 2020 and this is the first inspection.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.