Source · CQC inspection
Nicholas House
Provider Home Group Limited
Type Social Care Org
Region East
Last inspected 3 May 2023
Overall rating: Inadequate View full CQC report
Domain ratings
Safe
Inadequate
Effective
Inadequate
Caring
Inadequate
Responsive
Inadequate
Well-led
Inadequate
Earlier inspection findings
Must-do actions (12)
Must-do action 1 of 12
Must do
Responsive
The provider must ensure that all people are supported to make choices to have appropriate control of their daily care to meet their preferences, are always supported to engage in activities they wished to enjoy or be part of the community, and are always able to communicate or express themselves appropriately.
Must-do action 2 of 12
Must do
Caring
The provider must ensure that all service users are treated with dignity and respect, staff always ensure the privacy of the service user, and support their autonomy, independence and involvement in the community of the service user.
Must-do action 3 of 12
Must do
Effective
The provider must ensure that care and treatment of service users is always provided with their consent and in line with the principles of the MCA 2005.
Must-do action 4 of 12
Must do
Safe
The provider must ensure that all service users are protected from abuse and improper treatment, systems and processes are consistently operated effectively to investigate, immediately upon becoming aware of, any allegation or evidence of such abuse, and care or treatment for service users is not provided in a way that intends to control or restrain a service user which is not a proportionate response.
Must-do action 5 of 12
Must do
Effective
The provider must ensure that the nutritional and hydration needs of service users, including preferences and provision of appropriate nutrition, are consistently met.
Must-do action 6 of 12
Must do
Well-led
The provider must ensure that the registered provider acts in an open and transparent way with relevant persons when notifiable events occur.
Must-do action 7 of 12
Must do
Safe
The provider must ensure people's medicines are safely managed and administered in line with the prescriber's intentions, staff are competent to manage and administer these medicines, and leadership identifies the improvements needed.
Must-do action 8 of 12
Must do
Safe
The provider must ensure care and support is provided in a safe way for people, and people live in a clean environment that protects them from the risks of infection.
Must-do action 9 of 12
Must do
Safe
The provider must ensure people are supported by a consistent staff team, and the staffing structure supports the delivery of person-centred care to people to support their independence and keep them safe from harm.
Must-do action 10 of 12
Must do
Effective
The provider must ensure the registered manager carries out assessments of staff competence, and people are not placed at risk by staff who have not been sufficiently trained or offered adequate support.
Must-do action 11 of 12
Must do
Effective
The provider must ensure that although people's needs are assessed, their physical, mental health and social needs are supported in line with legislation, standards and evidence-based guidance.
Must-do action 12 of 12
Must do
Well-led
The provider must ensure that systems and processes are in place to ensure the safe and effective delivery of the service, and effective systems are in place to ensure service users' needs are met effectively.
Previous inspection
| Rating | Requires Improvement |
| Type | Inspection report |
| Actions | 3 must-do 1 should-do |
4 repeated