Nationwide Community Care Limited - 35 Mede Way

At our last inspection in January 2016 and we rated this service good. At this inspection we found that the service remained good.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

This service was provided in line with the values that underpin the 'Registering the Right Support' and other best practice guidance. These values include supporting people with choice, promotion of independence and inclusion. People using the service were supported to live as ordinary a life as any other citizen.

Staff understood the need to protect people from harm and the steps they should take if they suspected abuse. Staff were aware of their responsibilities to keep people safe and we saw that they look steps to protect people and reduce the likelihood of harm. Medicines were safely stored and there were clear systems in place to ensure that people received their medicines as prescribed.

There were sufficient numbers of staff available to keep people safe and meet their needs. The staff team was stable and they worked in a flexible way, according to people's needs and preferences. Recruitment procedures were thorough and reduced the likelihood of the service employing individuals who were unsuitable to work in this type of service.

People were supported by staff who had been trained and were well motivated and supported. Staff had a good understanding of healthy eating and we saw that they sought advice appropriately from health professionals and followed their recommendations.

People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible. Staff had been provided with training in the Mental Capacity Act (MCA) 2015 and Deprivation of Liberty Safeguards (DoLS) and understood the principles of consent and best interests. The MCA and DoLS ensure that, where people lack capacity to make decisions for themselves, decisions are made in their best interests according to a structured process.

People were supported by staff who knew them well and treated them with kindness. Care plans were

person centred, detailed and informative. Daily recordings were undertaken along with handovers to ensure good communication and continuity of care.

People were supported to have a full life and maintain relationships with those important to them.

The manager provided strong leadership and was visible and accessible. Quality assurance systems were in place to monitor the delivery of care and safety of the service. Actions were taken where areas for improvement were identified.

For a more comprehensive report regarding this service, please refer to the report of our last visit dated January 2016.

The five questions we ask about services and what we found