Trent Nursing

At the time of our inspection there were four people using the service and three of these people were supported with personal care, which included both children and adults. The provider worked in partnership with case management agencies and other providers to deliver bespoke packages of care.

We have made a recommendation about implementing formal processes and policies when working with partner organisations to provide care for people.

People were supported to receive medicines safely but some more specific information was needed about medicines administration. The registered manager took action to ensure this was in place during the inspection.

People were protected from avoidable harm and staff knew how to raise concerns about poor practice. Risks to people were assessed safely. Relatives felt people's support was safe. Staff were recruited safely. People were protected from the risk of infection and lessons were learned when incidents took place.

Although staff knew people's needs one person's care plan information required more specific information about how they were supported. This was updated immediately by the registered manager. People and relatives were included in the care planning process.

Staff received extensive training to provide specialised support for people. People were supported effectively with their nutrition and hydration needs. Staff worked very closely with other agencies to provide tailored support for people.

Staff genuinely cared for the people they supported. Relatives told us people were supported with kindness. People were supported to retain the dignity and independence. People were supported o express their views on their care.

One person's personal history was not recorded in their care plan, but staff knew their personal preferences

in depth. People were supported to access the community and things they wanted to do. People's communication needs were met by the staff.

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.