Nexxus Care (Staffordshire)

The service was split into two parts; enablement and domiciliary care. For those receiving enablement support, this was short, intensive package of care, to support people when discharged from hospital. Those in receipt of a domiciliary care needed longer term support to help them remain in their own homes.

People were protected from harm by staff who were confident to recognise, and report abuse, and processes were in place to support staff to share concerns. Senior staff worked efficiently and professionally with external professionals to ensure people were safeguarded.

People, who required support to manage their medicines received appropriate and safe support and risks to people's health and wellbeing were continually identified and reviewed. Risks were proactively managed.

People received largely consistent support from a staff team who were well trained and knowledgeable to meet individual needs. Staff provided a flexible and responsive service to accommodate people's changing needs.

Staff were safely recruited to ensure they were appropriate, and a good match, to support people who used the service. Staff were well supported by managers and colleagues to deliver good care.

People's needs were assessed and documented, and care plans were detailed so staff could deliver effective support based upon individual needs. People's individual cultural, social and dietary needs were assessed and supported effectively and in line with their preferences.

Staff worked with health and social care professionals proactively to ensure consistency and ensure people received appropriate and safe support.

Staff were kind, caring and respectful, promoting people's privacy, dignity and encouraging their independence.

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.

Staff sought people's consent before supporting them and decisions about people's care and treatment were made in line with law and guidance.

People knew how to raise a concern and felt listened to by staff and the registered manager. Information could be made available in different formats to make it accessible. Staff had regular opportunities to share their views about the service.

People, relatives and social care professionals felt the service was well managed. Systems and processes were in place to enable the provider, and the registered manager, to monitor the quality and effectiveness of the service.