We carried out a review of the data available to us about Tuckam Care on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Tuckam Care, you can give feedback on this service.
Tuckham Care is a domiciliary care agency providing personal care and support to people living in their own homes.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided. At the time of the inspection five people were receiving personal care from the service.
People’s experience of using this service and what we found
People told us staff helped them to feel safe. Relatives confirmed this and spoke highly of the service. People told us staff arrived on time and stayed for the duration of scheduled visits.
Staff had a good understanding of the signs and symptoms that could indicate people were experiencing abuse or harm and knew how to raise concerns internally and externally.
People had personalised and up to date risk assessments which included control measures required to help them minimise the risks in their lives without being restrictive. These were put in place before care commenced.
There were enough staff to support the number of people they visited. The registered manager was keen to ensure new packages of care were only taken on if there were sufficient staff to support this.
People received their medicines on time and as prescribed. People and records confirmed this.
The provider was using personal protective equipment effectively and safely. Staff competency checks included this.
Accidents and incidents were recorded and analysed. Lessons learnt were shared via encrypted staff handsets, supervision and team meetings.
People had an initial assessment prior to them receiving a service. This captured their needs, abilities and their preferences.
People expressed confidence in staff ability to meet their needs. Staff told us they felt well trained. Spot checks covered areas including timeliness, moving and handling, medication competency, communication and care notes.
Staff understanding about the Mental Capacity Act 2005 (MCA) informed the way they supported people. This included the importance of seeking consent before offering help. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People and their relatives told us staff were kind, caring and sensitive to their needs. Daily notes confirmed people’s right to decline or influence the amount of support they wished to accept.
Staff understood the importance of helping to maintain people's privacy and dignity. They provided examples of when they did this. Staff supported people to be as independent as possible.
People had personalised and up to date care plans. These contained the information staff required to meet people's needs. This included how they like to spend their time and who with.
People were supported to make decisions by staff who understand the importance of offering choice in all aspects of the care and support provided. People’s communication needs were assessed, recorded and supported.
The service had an up to date complaints policy. People and relatives told us they knew how to complain and were confident they would be listened to.
Although the service was not supporting any people with end of life care needs at the time of the inspection, they had done this previously and had received positive feedback.
Staff spoke positively about the culture of the service and said they enjoyed working for Tuckam Care. Staff said they felt valued and recognised.
People, relatives and staff spoke positively about the registered manager.
The service worked in partnership with others to provide good care, treatment and advice to people. This included working with a community hospital to support people’s timely and safe discharge home.