Date of Assessment: 13 June 2025. The service is a domiciliary care provider supporting older people and adults of all ages living with dementia, mental health conditions, sensory impairments, and physical disabilities. There were sufficient staff with the appropriate skills, qualifications, and experience to meet people's needs. Individuals were treated with kindness and compassion, and managers ensured that staff received regular supervision. Medicines were managed safely, and people were protected from harm. The provider ensured staff received the necessary training so they could care for people appropriately. The service was rated good overall at their last assessment in September 2024, the rating remains good for this assessment.
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First comprehensive inspection of Nation Home Care Limited, a small domiciliary care agency supporting two people, rated Good across all five key questions. Inspectors found safe, effective, person-centred care delivered by reliable, well-trained staff with robust risk management, medicines competency and quality monitoring.
Strengths
· People's relatives spoke highly of the care and support and would recommend the service
· Personalised, detailed and regularly reviewed risk assessments kept people safe
· Staff received medicines training with competency assessments and observations
· Reliable regular staff who arrived on time and stayed the agreed amount of time; no missed visits
· Robust recruitment including DBS checks before staff started working
Quality-Statement breakdown (22)
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; supporting people to live healthier lives and access healthcare servicesGood
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: 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, understanding quality performance, risks and regulatory requirements; continuous learning and improving careGood
well-led: Engaging and involving people using the service, the public and staff; working in partnership with othersGood