14 December 2023
During an inspection looking at part of the service
Nationwide Care Services Limited (Derby) is a domiciliary care agency. The service provides personal care to a range of people including people living with dementia, learning disability and or autism needs and mental health needs. At the time of our inspection there were 134 people using the service.
People’s experience of using this service and what we found
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.
Based on our review of the key questions, safe and well-led the service was able to demonstrate how they were meeting underpinning principles of “Right Support, Right Care, Right Culture.”
Right 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 care: People’s care needs had been assessed with risks identified and actions taken to reduce these. People received safe care and the provider checked to ensure staff were suitable to work at the service. Medicines were managed in line with good practice.
Right culture: The service worked to provide people with person-centred care and involved them in their care decisions. The provider looked to continuously learn and improve people’s care and actively monitored the quality and safety of care.
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 23 October 2020).
Why we inspected
We received concerns in relation to the care people received. As a result, we undertook a focused inspection to review the key questions of Safe and Well-led only.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has not changed following this inspection. We found no evidence during this inspection that people were at risk of harm from this concern. Please see the Safe and Well-led sections of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘All inspection reports and timeline’ link for Nationwide Care Services Limited (Derby) on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.