Nexus Care Services received an overall Good rating across all five key questions at its first inspection, with 97 people using the service at the time. Two minor issues were noted: care plans were not consistently reviewed on schedule, and some CQC statutory notifications had not been submitted, though the provider took immediate corrective action during the inspection.
Concerns (2)
moderate
Governance
: “Systems in place were not always effective in ensuring all required incidents were consistently reported to CQC. The managing director took immediate action and notifications were submitted during the inspection.”
minorCare planning: “Care plans outlined people's needs; however, they were not regularly reviewed.”
Strengths
· People felt safe with staff and risk assessments were completed to reduce known risks
· Staff received medication training and regular competency checks ensuring safe administration
· Safe recruitment practices including DBS checks were in place for all staff
· Effective incident investigation processes with learning shared across the organisation
· Provider organised additional social events such as coffee mornings and luncheons promoting wellbeing
Quality-Statement breakdown (20)
safe: Systems and processes to safeguard people from the risk of abuse; Assessing risk, safety monitoring and managementGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
safe: Staffing and recruitmentGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies to provide consistent, effective, timely careGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversity; involving people in decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised careGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
responsive: Meeting people's communication needsGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: Engaging and involving people using the service, the public and staff, fully considering their equality characteristicsGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Working in partnership with others; Continuous learning and improving careGood