Updated 23 March 2019
The inspection:
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team: This consisted of two adult social care inspectors.
Service and service type: Nubah Social Care is a domiciliary care agency. It provides personal care to people living in their own homes in the community. It provides a service to younger disabled adults and children. At the time of the inspection the service was supporting 12 people in the London Boroughs of Newham, Redbridge and Hackney. Not everyone using Nubah Social Care receives a regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided. At the time of the inspection only one person was receiving personal care. However, four people were being assessed by their local authorities for personal care to be added to their current package of care. People were also supported out in the local community.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection: We gave the provider 72 hours’ notice because we needed to ensure somebody would be available to assist us with the inspection.
Inspection activity started on 5 February and ended on 15 February 2019. We visited the office location on 5 February 2019 to see the registered manager, office staff and to review care records and policies and procedures.
What we did:
Before the inspection we reviewed information we had received about the service since their registration. We also contacted the local authority commissioning and contract monitoring teams. We used all this information to plan our inspection.
During the inspection:
• We reviewed four people’s care plans
• Four staff recruitment files
• Staff training files
• Staff supervision records
• Audits and records related to the management of the service
• We looked at a variety of policies and procedures developed and implemented by the provider
• We spoke with 10 staff members. This included the registered manager, the director, a field care supervisor and seven care workers.
After the site visit, we spoke with five relatives as people were too young or unable to communicate with us over the telephone. We also contacted a health and social care professional who worked with people using the service for their views and feedback.