safe:Insufficient evidence to rateeffective:Insufficient evidence to rateresponsive:Insufficient evidence to ratewell-led:Insufficient evidence to rate
J. Nissi Health Care and Medical Rehabilitation Ltd received an 'Insufficient evidence to rate' outcome across all inspected key questions following a targeted inspection, as all care packages ceased during the inspection period. Multiple recommendations were made regarding medicines management, risk assessment, care planning, and person-centred care, with no quality assurance systems in place and limited evidence of safe, personalised care delivery.
Concerns (8)
moderate
Medication management
: “within the provider's medicines policy there was no definition of what "prompting" entailed.”
moderateCare planning: “Care plans were not personalised, and they provided limited information and guidelines for staff so they could meet people's needs and preferences.”
moderateCare planning: “there was limited information recorded about people's protected characteristics and people's overall health and medical history.”
moderateGovernance: “The service did not have quality assurance systems in place to monitor service delivery.”
moderateConsent / capacity: “we were unable to determine if the provider had the correct assessments in place to support people who lacked capacity.”
moderatePerson-centred care: “there was no information about the people's background, family, likes, dislikes and hobbies which could provide staff with context.”
minorEnd-of-life care: “the provider did not have a section within the care plan to record any relevant information regarding people's wishes.”
minorRecord keeping: “The registered manager was not recording people's oral health needs which meant staff would not know what people's daily oral healthcare was.”
Strengths
· Processes in place for the reporting of accidents and incidents.
· Nutritional and hydration needs were assessed and recorded within care plans.
· An MCA policy was in place.
· A registered manager was in post at the time of inspection.
Quality-Statement breakdown (9)
safe: Using medicines safelyInsufficient evidence to rate
safe: Assessing risk, safety monitoring and managementInsufficient evidence to rate
safe: Learning lessons when things go wrongInsufficient evidence to rate
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawInsufficient evidence to rate
effective: Supporting people to live healthier lives, access healthcare services and supportInsufficient evidence to rate
effective: Ensuring consent to care and treatment in line with law and guidanceInsufficient evidence to rate
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesInsufficient evidence to rate
responsive: End of life careInsufficient evidence to rate
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsInsufficient evidence to rate