14 March 2023
During a routine inspection
Nikee Healthcare Services is a domiciliary care agency. It provides personal care to people living in their own homes. At the time of the inspection there were 2 people using the service. It provides a service to people living with dementia, with a learning disability or autistic spectrum disorder, mental health condition, physical disability, sensory impairment, older people, people who misuse drugs and alcohol, people with an eating disorder, and younger adults.
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. 'Right support, right care, right culture' is the guidance Care Quality Commission (CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.
People’s experience of using this service and what we found
Right Support
People were happy with the care they received. The registered manager met with people and their relatives to review how care was received and made changes if required. Detailed assessments of a person's needs were completed before they started to receive care and support. Staff had the necessary training to carry out their roles. People’s care plans contained the necessary information to provide person centred care. People received care from regular staff which meant they knew people well and knew what was important to them.
Right Care
We made a recommendation to the provider to review their practice to ensure they were following national guidance for the safe administration of medicines. There were appropriate processes for the recruitment of care workers. The provider had effective processes in place to safeguard people from the risk of harm.
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.
Right Culture
The quality assurance and governance processes in place needed to be strengthened as they had not addressed issues, we found with the care people received. We made a recommendation to the provider to review their practice to ensure they are following national guidelines. Following our inspection feedback, the registered manager booked training to update their practice and procedures. People, relatives, and staff were positive about the registered Manager.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was inspected but we had insufficient evidence to rate (published 13 November 2018) Following the inspection, the service was dormant till November 2021.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Nikee Healthcare Services on our website at www.cqc.org.uk.
Recommendation
We made two recommendations to the provider to review their medicine practice and to ensure they were working within best practice guidelines for supporting people with a learning disability and autism.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.