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Date of assessment: 24 June to 1 July 2025. Nottingham DCA (trading as United Response) is a domiciliary care agency providing personal care and support to children, older and younger adults with a physical disability, people living with dementia, autistic people, people with a learning disability, people with sensory impairment and people living with mental health conditions. At the time of the assessment, the service was supporting 9 people with their personal care needs. We undertook this assessment due to the length of time since the provider’s last inspection. Nottingham DCA was last rated good (published 27 July 2019). We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. Care plans were developed in partnership with people, their loved one and relevant professionals where needed. People were supported to plan aims and goals which were of importance to them. The provider had clear quality monitoring processes in place and sought regular feedback from staff and people to ensure care and support remained person centred and safe, however records did not always reflect peoples feedback or input.
npm run etl:reports -- --location 1-1931997555.Date of assessment: 24 June to 1 July 2025. Nottingham DCA (trading as United Response) is a supported living service providing support to children, older people and younger adults with physical disability, people living with dementia, autistic people, people with a learning disability, people with sensory impairment and people living with mental health issues. At the time of the assessment, the service was supporting 35 people with their personal care needs. We undertook this assessment due to age of the previous rating. Nottingham DCA was last rated good (published 27 July 2019). We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. We found a breach of the legal regulation in relation to governance. Care plans lacked specific detail and guidance for staff about people’s individual health conditions and the level of support they needed. Actions and support undertaken by staff were not always documented accurately or in a timely manner. However, we found no evidence that people had come to any harm from this. Staff knew people well and had formed trusting, open relationships where staff knew how and when to provide care despite the lack of written guidance. We have asked the provider for an action plan in response to the concerns found at this assessment.
npm run etl:reports -- --location 1-1931997555.npm run etl:reports -- --location 1-1931997555.npm run etl:reports -- --location 1-1931997555.