This announced inspection took place on 10 July 2018. Mega Resources Nursing & Care – Head Office – Northamptonshire had recently moved offices and this was the first comprehensive inspection from their new location.

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. It is registered to support older people, people with dementia, younger adults and people with physical disabilities.

Not everyone using Mega Resources Nursing & Care – Head Office - Northamptonshire receives the regulated activity ‘personal care’; 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.

A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Improvements were required to ensure that people’s care plans were sufficient in all areas, particularly with specific care needs, or regarding end of life care. The times of people’s care visits were not clear and required improving to ensure transparency and consistency.

People received safe care and staffing arrangements were flexible to meet the needs of the people that were using the service at any one time. People received support with their medicines if they wished and safeguarding incidents were given appropriate attention.

People’s needs were fully considered before they began to use the service to make sure their needs could be met. People's consent was gained before their care was provided. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People were treated with dignity and respect and staff were able to get to know people by seeing the same people on a regular basis. People were encouraged to be independent and to make their own choices.

People had care plans in place which reflected their needs and these were regularly updated. Complaint procedures were in place for people to make a complaint, and these were fully investigated.

The provider had quality assurance systems in place to review the quality of the service and took action to make improvements where required. People and staff had opportunities to provide their feedback and this was fully considered and acted.