KMX Nursing Agency

We inspected the service against ‘Right Support, Right Care, Right Culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. We found the provider was meeting the values of ‘Right support, right care, right culture.’

Improvements had been made to the accessibility of care related records. The provider was now using an electronic care management system which allowed staff to access all appropriate documentation. People and/or their relatives were involved as much as possible in formulating their support plans and risk assessments. People were enabled to take positive risks which managers assessed to enhance their safety. People were supported to go out to work, college and attend places that interested them.

The management team’s quality assurance system was effective in most areas; however, improvements were needed to ensure records remained consistent. Relatives, staff and professionals spoke highly of the management team’s visibility and openness. The provider now had full oversight and systems to monitor and analyse incidents and accidents.

Staff were recruited safely, trained and supervised to provide appropriate support for people. Staff demonstrated skills and aptitude to ensure people were receiving care in line with their needs. People’s medicines were managed safely by trained staff. Staff understood their duty and role in safeguarding people from the risk of harm or abuse.

People were supported to live healthy lives and their overall wellbeing was a priority for the provider. Staff and managers monitored people’s health and wellbeing outcomes and sought professional advice where concerns were identified. Professional involvement and instructions were documented in people’s care records for staff to follow.

Staff and managers were skilled, trained and aware how to understand and respond to challenges and barriers to care people may face. The management team enlisted support from professionals to respond to incidents and promote positive outcomes for people.

People received person-centred care by staff who treated them with dignity and respect. People’s relatives commented on their kind and caring approach. Staff told us they were happy working at the service and felt valued by the management team.

There was an open culture at the service, people were able to feedback and make changes to their support. Professionals told us staff and managers worked collaboratively with them and appropriately shared concerns. Staff were consulted and kept informed of changes in people and within the service.

At the last inspection the provider was not displaying their CQC rating on the website as required but this has been rectified.