NISE Nursing Ltd received a Good rating across all five key questions at this August 2021 inspection, maintaining its previous Good rating from 2017. The service was praised by commissioners and professionals for consistent, compassionate, person-centred care with strong multi-agency collaboration and effective governance.
Strengths
· Consistent staffing with strong knowledge of individual needs, praised by commissioners and visiting professionals
· Robust safeguarding systems with proactive and responsive staff recognised by external professionals
· Highly personalised, detailed care plans regularly reviewed and co-produced with people and their representatives
· Strong multi-agency working with positive feedback from commissioners, therapists and other professionals
· Compassionate, motivated staff demonstrating genuine affection and commitment to quality care
Quality-Statement breakdown (24)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, 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 diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Supporting people to develop and maintain relationships to avoid social isolationGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: How the provider understands and acts on the duty of candourGood
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 staffGood
well-led: Continuous learning and improving care, working in partnership with othersGood
N.I.S.E. Nursing Limited's Leicester service was rated Good across all five key questions at its August 2017 inspection, demonstrating safe, person-centred care for its single service user. The only minor issue identified was that the registered manager's quality monitoring visits were not always formally recorded, which the manager agreed to address.
Concerns (1)
minorGovernance: “The registered manager visited the service to make checks, however these visits were not always recorded.”
Strengths
· Person felt safe and staff demonstrated clear understanding of safeguarding responsibilities and whistleblowing procedures
· Medicines were administered safely with MAR charts, appropriate training, and GP collaboration resulting in reduced dosages
· Staff promoted independence, dignity and respect, adapting communication to meet the person's individual needs
· Care was person-centred with the individual involved in planning and reviewing their own care
· Strong team working with 24-hour on-call support, regular supervision, and staff involvement in service development