SecuriCare (Medical) Ltd provide a nursing service in the community for patients requiring support with stoma care.

We have not rated this service because we do not currently have a legal duty to rate this type of service or the regulated activities it provides.

We inspected, but have not rated, all elements of the five key questions including whether the service was safe, effective, responsive, caring and well led.

SecuriCare (Medical) Ltd is registered in respect of:

• Regulated Activity: Treatment of disease, disorder or injury.

We found the following areas of good practice:

• SecuriCare demonstrated patients were at the centre of their service delivery and developments
• Stoma care nurses had the skills, competencies and knowledge to carry out their role independently. The specialist nurses demonstrated expertise in all aspects of stoma care.
• Patients were able to access support and advice from SecuriCare nurses when required.
• Nurses provided compassionate care to patients, treating them with dignity and respect.

However, we also found the following issues that the service provider needs to improve:

• Details of the process for duty of candour were not included in the governance policy or other policies.
• Not all staff were trained to level 2 safeguarding children. This did not meet the standards for safeguarding children set out in the intercollegiate document (Royal College of Paediatrics and Child Health standards for safeguarding competencies for health care staff)
• The safeguarding lead for the organisation was only trained to level 2 safeguarding children. This did not meet the standards for safeguarding children set out in the intercollegiate document.
• The provider had limited systems for monitoring performance against national guidance and regulations.

Following this inspection, we told the provider that it must take some actions to comply with the regulations and that it should make other improvements, even though a regulation had not been breached, to help the service improve. We also issued the provider with one requirement notice. Details are at the end of the report.