Operated by Nissi Business Solutions Ltd

Nissi Care Solutions

GoodRated 3 Sept 2023Home care · Swindon

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CQC Key Questions

Safe

Requires improvement

People are protected from abuse and avoidable harm.

Effective

Good

Care achieves good outcomes and quality of life.

Caring

Good

Staff treat people with compassion, dignity, respect.

Responsive

Good

Services are tailored to people's needs.

Well-led

Good

Leadership and culture support quality care.

What inspectors found

24 findings

Other

Note9 Mar 2023
Quality monitoring systems in place including spot checks, surveys and senior staff oversight of care notes.
Note9 Mar 2023
Effective partnership working with GPs, community nursing, occupational therapists and social workers.
Note9 Mar 2023
Positive, inclusive workplace culture with staff from diverse backgrounds feeling welcomed and supported.
Note9 Mar 2023
Registered manager was open, transparent and responsive to feedback during the inspection.
Note9 Mar 2023
Incidents and accidents were reviewed and learning shared with staff through supervisions and team meetings.
Note9 Mar 2023
Risk assessments were in place and updated as needed, covering moving and handling, skin integrity and environmental hazards.
Note9 Mar 2023
Robust infection prevention and control systems; staff had full PPE supplies and relevant training.
Note9 Mar 2023
Medicines were managed safely with staff trained and assessed for competence in administration.
Note9 Mar 2023
People felt safe with staff; safeguarding training was in place and staff understood their responsibilities to report concerns.
minormedication_management9 Mar 2023
Newer staff had been struggling with the electronic recording system so additional support was being provided to overcome this.
moderaterecord_keeping9 Mar 2023
Some staff had recorded a wrong entry on the medicines administration record when people had declined their medicine...staff had recorded the medicine was not available.
moderatecommunication_with_families9 Mar 2023
"The timings are quite erratic. Sometimes they'll ring [relative], sometimes they [staff] won't" and "There is no rotas so the timings are a bit up in the air."
moderatemissed_or_late_visits9 Mar 2023
staffing schedules had little or no travel time included...having no travel time allocated meant staff were either leaving a visit a few minutes early or arriving slightly late.

safe

Note9 Mar 2023
Learning lessons when things go wrong
Note9 Mar 2023
Preventing and controlling infection
Note9 Mar 2023
Using medicines safely
Note9 Mar 2023
Assessing risk, safety monitoring and management
Note9 Mar 2023
Systems and processes to safeguard people from the risk of abuse
Note9 Mar 2023
Staffing and recruitment

well_led

Note9 Mar 2023
Working in partnership with others
Note9 Mar 2023
Engaging and involving people using the service, the public and staff
Note9 Mar 2023
How the provider understands and acts on the duty of candour
Note9 Mar 2023
Promoting a positive culture that is person-centred, open, inclusive and empowering
Note9 Mar 2023
Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirements; Continuous learning and improving care