Nexus Support Ltd

People continued to receive safe care. Staff knew how to keep people safe from harm and people told us they felt safe. There were enough staff to support people safely. People told us they were supported by consistent staff and received their medicines on time and in the right way. Staff had received training in infection control and had access to personal protective equipment. Accidents and incidents were noted and trends were monitored.

People continued to receive effective care, from a small team of staff who were, skilled and competent in meeting people's individual needs. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice. Staff supported people to maintain a healthy diet, in line with their assessed needs, and to access health care if this was needed.

People received care from staff who were kind and caring. People had positive relationships with staff and were confident in the service to be able to meet their needs in a kind and compassionate way. People were supported and encouraged by staff to make decisions as to how their needs were met. Staff understood the importance of respecting people's privacy dignity and independence.

Staff continued to support people in a responsive way. Assessments and support plans were in place which identified what was important to people and how they should be supported. The support people received was centred around them, and they were involved in any decisions made. The provider had systems in place to resolve complaints appropriately. The service needed to develop their approach toward end of life care. We have made recommendations about complaints and end of life care.

The service continued to be well managed. The registered manager was approachable and people knew them well. Spot checks and audits were completed to ensure the quality of the service was maintained. There was a strong value base to ensure that workers were caring and compassionate. People, and their family members were actively encouraged to provide feedback on the service and staff worked well as a team in an open and supportive manner. Everyone spoke positively about the service and the quality of the support being provided.

More information is in the detailed findings below.