The 'Nottingham’ is run by Gracious Health Solutions Limited which can provide nursing and personal care to adults living in Nottingham. At the time of our inspection, one person was receiving a service.

This inspection place on 22 August 2018 and was the first inspection of the service. We announced the inspection to make sure the registered manager was available.

There were two registered managers in place and one was available during the inspection. 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.

People received safe and effective care from staff. Staff had a good understanding of the various types of harm and their roles and responsibilities in reporting any safeguarding concerns.

Risks to the person’s individual needs and their home environment had been assessed. Staff had information available about how to meet this person’s needs, including action required to reduce and manage known risks.

There were sufficient numbers of staff to meet the person’s care needs. Staff were recruited safely. Staff received regular training and supervision and were able to reflect on the care and support they delivered and identified further training requirements.

The person receiving a service did not need any support with their prescribed medicines. Staff had received training in supporting people with their medicines.

The person receiving support had their rights protected under the Mental Capacity Act 2005. The person was supported to eat and drink sufficient amounts to meet their nutritional needs. External health professionals were involved in the person’s care when required.

The person’s care plans reflected their individual needs and personal wishes. They and their relative were involved in the development of their care plans and these were reviewed regularly.

The service encouraged feedback from the person receiving a service. A complaints process was in place. The person receiving a service and their relative felt able to make a complaint and felt confident that staff would respond appropriately.

The person and their relative were satisfied with all aspects of the service provided and spoke positively of both staff and management team. The person received care and support from kind, caring and compassionate staff, who respected their privacy and dignity at all times.

The person and their relative had confidence in the registered managers and the way the service was run. There were systems in place to monitor and improve the quality of the service provided. The vision and values of the staff team were person-centred and made sure people were at the heart of the service.