SPDNS Nurse Care Community Interest Company (CIC)

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

The service had strong vision and values which placed the importance on people being fully involved in all aspects of care, where independence was promoted.

People told us staff were outstandingly caring, proactively identifying unmet needs and supporting these to be met in creative ways. They told us staff often going the extra mile to support them.

People were protected from abuse by staff who had a good understanding of how to protect vulnerable adults.

Medicines were managed safely. Care managers carried out comprehensive assessments of people's needs and risks to people's health were identified and managed safely in line with people's preferences.

The service made sure there were enough staff in place to manage people's needs. All staff had undergone a robust recruitment and induction process to ensure they had the skills needed to care for people well.

Staff promoted people's independence in line with people's choices. People who lacked capacity to make decisions had undergone appropriate assessments involving loved ones and other nominated people such as power of attorney for health and welfare.

Staff made sure people had access to fluids when they were not present. All staff had been trained in good food hygiene.

The service provided an excellent training programme to staff by a dedicated training manager. People commented staff had the right skills. Additional training was sourced when needed.

Care plans were task orientated, however small care teams which knew people well, ensured care provided

to people was person centred and daily notes demonstrated this.

Staff supported people to maintain relationships with loved ones, and the local community to avoid social isolation.

The registered manager had robust systems in place to manage complaints. People told us they felt confident that any concerns would be managed well.

Staff were trained in end of life care. The service worked alongside carers groups to offer respite to loved ones. This meant people were supported to remain at home if they wished.

Staff and people told us the service was well managed.

Robust governance processes were in place which informed the quality of the service and when improvements were needed.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.