# Nomase Care Ltd - Chadwell Heath

*Operated by Nomase Care Ltd.*

Nomase Care Ltd - Chadwell Heath is a CQC-regulated home-care agency in Romford.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Requires improvement |
| Safe | Good |
| Effective | Requires improvement |
| Caring | Requires improvement |
| Responsive | Requires improvement |
| Well-led | Good |

Rating published: 28/06/2023

## Practical info

- Postcode: RM6 6AX
- Registered manager: Orok, Roselyn
- Local authority: Barking and Dagenham
- Region: London
- City: Romford
- Last CQC check: 14/Nov/2023 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: Service exited Special Measures following sustained improvements across Regulations 9, 12, 17 and 18
  - Published: 2023-12-07
- Finding
  - Evidence: Infection control systems in place with PPE provided and used consistently by staff
  - Published: 2023-12-07
- Finding
  - Evidence: Effective engagement with people and staff through surveys, spot checks and staff meetings for continuous improvement
  - Published: 2023-12-07
- Finding
  - Evidence: Quality assurance audits covering care plans, risk assessments, medicines and staff files, with spot checks on staff performance
  - Published: 2023-12-07
- Finding
  - Evidence: Comprehensive pre-employment checks including DBS, identity verification and references
  - Published: 2023-12-07
- Finding
  - Evidence: Digital call monitoring system in place to verify staff attendance and duration; no missed calls reported
  - Published: 2023-12-07
- Finding
  - Evidence: Medicines administered safely with staff trained and competency-assessed; previous MAR concern resolved
  - Published: 2023-12-07
- Finding
  - Evidence: Robust risk assessments in place covering health conditions, falls, mobility and skin integrity following previous breach of Regulation 12
  - Published: 2023-12-07
- Finding
  - Evidence: Systems were in place to obtain feedback from people and relatives for continuous improvement.
  - Published: 2023-08-11
- Finding
  - Evidence: Staff had been trained in safeguarding adults and infection control with access to PPE.
  - Published: 2023-08-11
- Finding
  - Evidence: Care plans were person-centred and included people's preferences, background and support needs.
  - Published: 2023-08-11
- Finding
  - Evidence: Pre-employment checks were robust to ensure staff were suitable to support people safely.
  - Published: 2023-08-11
- Finding
  - Evidence: Robust systems were in place to ensure staff attended care calls on time, with significant improvement in timekeeping since last inspection.
  - Published: 2023-08-11
- **incident_learning** _(moderate)_
  - Evidence: Failure to take robust action when identifying shortfall during audits meant there was a risk it may happen again.
  - Published: 2023-08-11
- **record_keeping** _(moderate)_
  - Evidence: The audit findings did not record the action that had been taken to ensure risks of reoccurrence was minimised such as if staff required further training on medicines.
  - Published: 2023-08-11
- **governance** _(critical)_
  - Evidence: These audits did not identify the shortfalls we found at the inspection.
  - Published: 2023-08-11
- **medication_management** _(moderate)_
  - Evidence: For one person in March 23, staff did not sign the Medicine Administration Chart (MAR) for the whole month.
  - Published: 2023-08-11
- **care_planning** _(critical)_
  - Evidence: Risk assessments continued not to be completed in relation to people's health conditions such as people at risk of stroke, heart disorder, respiratory failure and diabetes.
  - Published: 2023-08-11

### responsive

- Finding
  - Planning personalised care to ensure people have choice and control and to meet their needs and preferences
  - Published: 2023-08-11

### safe

- Finding
  - Preventing and controlling infection
  - Published: 2023-08-11
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2023-08-11
- Finding
  - Staffing and recruitment
  - Published: 2023-08-11
- Finding
  - Using medicines safely
  - Published: 2023-08-11
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2023-08-11

### well_led

- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2023-08-11
- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2023-08-11
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2023-08-11
- Finding
  - Working in partnership with others
  - Published: 2023-06-28
- Finding
  - Duty of candour
  - Published: 2023-06-28
- Finding
  - Engaging and involving people, staff and continuous learning
  - Published: 2023-06-28

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-3831279297

HomeCare Compass is an independent guide and is not affiliated with the CQC.