Nash Alliance Ltd

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.

We found improvements to how people's care plans and risk assessments were reviewed and recorded to ensure they reflected people's needs.

Improvements had been made to how the quality of the service was monitored and improved. Quality assurance checks, observations of staff practices and feedback from people and their relatives were used to identify areas that required further development and drive improvement across the service.

Notifications of deaths of people using the service were being sent to us.

People and their relatives spoke positively about the quality of care and support they received from the service. We heard descriptions such as "Very good", "Can't fault them" and "No complaints at all".

Staff understood their role to report any concerns or incidents to the nominated individual and their responsibility to protect people from abuse and harm.

Safe medicines management and infection control practices were used.

There were enough staff available to ensure people's care and support needs were met. The nominated individual worked alongside staff and monitored their care practices and skills.

People and their representatives told us they usually received telephone calls if staff were going to be significantly delayed.

Staff told us they felt well supported and received regular supervision sessions from the nominated individual.

People were supported to have enough to eat and drink as required.

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.