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Archived: Nobilis Care Oldham

Overall: Requires improvement read more about inspection ratings

22b Salmon Fields, Royton, Oldham, OL2 6HT (0161) 505 1970

Provided and run by:
Nobilis Care South Limited

All Inspections

5 April 2023

During an inspection looking at part of the service

About the service

Nobilis Care Oldham is a domiciliary care agency. It provides personal care to people living in their own houses and flats. It provides a service to older people and younger adults with various needs. At the time of this inspection 200 people were 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

Medicine recording systems were not robust. Medicine records were not always complete and some were poorly maintained. People’s risk assessments in relation to their care lacked detail and were not always updated.

We received mixed feedback from people and their relatives in relation to people receiving regular staff members for their visits.

Auditing systems were not always robust and auditing processes had not picked up on the discrepancies we found during this inspection. Governance systems required improvement.

Staff had received training in safeguarding people. People were protected from the risks of abuse and staff were trusted to keep them safe. 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.

Recruitment checks were robust to ensure staff were suitable to work with vulnerable adults. The provider had systems in place to monitor staffing levels and ensure people received their visits. Staff received training in infection prevention and control and personal protective equipment [PPE] was readily available to them.

Person-centred care was promoted. The registered manager and staff demonstrated a commitment to people, and they displayed person-centred values. The registered manager worked effectively in partnership with other health and social care organisations and networks to build connections and achieve better outcomes for people using the service.

Staff praised the registered manager and the wider management team within the service, they felt supported in their roles.

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 12 May 2021).

Why we inspected

We received concerns in relation to the management of medicines, staffing arrangements and management support. 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.

We found no evidence during this inspection that people were at risk of harm from these concerns. However, we have found areas that needed improvement in relation to record keeping and auditing functions.

The overall rating for the service has changed from good to requires improvement based on the findings of this inspection.

Enforcement

We have identified a breach in relation to maintaining accurate records and operating robust auditing systems.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.

26 March 2021

During a routine inspection

About the service

Nobilis Care Oldham is a domiciliary service which provides personal care to people living in their own houses and flats. At the time of this inspection the service was supporting approximately 190 people.

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

Systems were in place to recruit staff safely. Staff had awareness of safeguarding and knew how to raise concerns. People who used the service had detailed risk assessments in place about how to keep them safe. Medicines were administered safely and appropriate infection control procedures were followed by staff.

Staff received the training and support they needed to carry out their roles effectively, with regular supervisions undertaken to provide ongoing support. People told us they received appropriate support to maintain good nutrition and hydration. 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.

We received positive feedback from everybody we spoke with about the quality of care provided. Staff promoted people's independence and treated them with dignity and respect. People were involved in making decisions about their care and involved in reviews to ensure their care plans met their needs and supported them to achieve outcomes.

People who used the service had detailed care plans in place which provided staff with information about the tasks they needed to complete to meet people’s care needs. Where any complaints or concerns had been raised, systems were in place to respond appropriately. The service had good links with other organisations when supporting people with end of life care.

Everybody we spoke with said the service was well-led. Staff felt well supported to undertake their roles and there were appropriate systems in place to monitor the quality of service provided to ensure good governance. Feedback was sought at regular intervals to enable the service to continually improve.

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

Rating at last inspection and why we inspected

This service was registered with us on 29 June 2020 and this is the first inspection we had undertaken at this location.

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.