Background to this inspection
Updated
3 July 2019
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team
The inspection team consisted one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider would be in the office to support the inspection.
Inspection activity started on 5 June 2019 and ended on 7 June 2019. We visited the office location on 6 June 2019.
What we did before inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with two people using the service and one relative to ask about their experience of care. We spoke with the nominated individual. The nominated individual is responsible for supervising the management of the service. We also spoke with two care staff.
We looked at four people's care records, multiple medication records, minutes of staff meetings and information relating to the quality and management of the service, including compliments received, and systems for managing complaints.
Updated
3 July 2019
About the service
Trucare (uk) Ltd is a service providing personal care to people in their own homes. The service supports older and younger people who may live with dementia, mental health needs, physical disabilities or sensory impairments. Fifteen people were in receipt of care at the time of the inspection.
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.
People’s experience of using this service and what we found
People were supported by a consistent staff team and had developed strong bonds with the staff who cared for them. People said staff were compassionate and interested in their welfare. Staff encouraged people to make their own choices, recognised people’s right to independence and treated people with dignity and respect.
Staff promoted people’s safety by helping them to reduce risks they experienced. People and their relatives told us they could rely on staff providing the care agreed, including support to manage medicines they needed to remain well. People benefited from receiving a service where learning was taken from any incidents.
People were involved in planning their care, which reflected people’s wishes. Staff supported people to ensure their preferences were met as their needs changed. Compliments regarding the quality of care provided at the end of people’s lives had been received. People were confident if they made any complaints these would be addressed.
People were assisted to have enough to eat and drink, and see other health professionals, so they would enjoy the best health possible. 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, relatives and staff were positive about the management of the service and were encouraged to make suggestions for developing it further. The provider understood their responsibilities, checked the quality of the care provided and worked with other organisations to drive through improvements to people’s care.
Why we inspected
This was a planned inspection based on the previous rating.
Rating at last inspection
The last rating for this service was Good (published 01/06/2016).
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk