We carried out a review of the data available to us about Nexus Care Services on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Nexus Care Services, you can give feedback on this service.
Nexus Care Services is a large domiciliary care agency registered to provide personal care to people living in their own homes. The service provides personal care to both older and younger adults, people with dementia or who have a physical disability. At the time of our inspection there were 97 people using the service.
Not everyone who used the service received personal care. In this service, the Care Quality Commission can only inspect the service received by people who get support with personal care. This includes help with tasks related to personal hygiene and eating. Where people receive such support, we also consider any wider social care provided.
People’s experience of using this service and what we found
People told us they felt safe with staff. Staff were recruited in a safe manner and pre employment checks were completed. People had risk assessments in place to reduce known risk and staff were aware of these. People were supported to take their medication by staff. Staff received medication training and regular competency checks. Staff understood how to mitigate the risk of cross infection and staff told us personal protective equipment was readily available. Following incidents and accidents the management team carried out investigations and carried out action plans to reduce the risk of reoccurrence.
Staff had received an induction before they started working with people and there was evidence on-going training was taking place. Pre-assessments were completed with people and their relatives when they joint the service. The provider would work with other health professionals when needed. Staff supported people with their eating and drinking.
People said staff were kind to them and encouraged their independence. People knew how to make a complaint if they were not happy and we saw evidence when a complaint was made an investigation was carried out. Care plans outlined people’s needs; however, they were not regularly reviewed.
People and staff views were sought regarding the service and quality of care received. Staff felt supported by the provider. The provider had effective governance systems in place and audits were regularly completed.
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.
For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk
Last rating and update
This service was registered with us on 22 February 2021 and this is the first inspection.
The last rating for the service at the previous premises was good, published on 9 April 2019.
Why we inspected
We were prompted to carry out this inspection due to concerns we received about the lack of detail in risk assessments, care plans not being up to date and concerns regarding staffing. A decision was made for us to inspect and examine those risks. We found no evidence during this inspection that people were at risk of harm from these concerns.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.