- Homecare service
Total Health Support and Training Services Limited
Report from 31 October 2024 assessment
Contents
Ratings
Our view of the service
Date of assessment 11 November 2024 to 18 November 2024. On the day of the assessment there were 78 people being supported in their own homes by the service. This was a responsive assessment as there had been concerns raised about how risks were managed for people. Concerns raised included poor governance, a lack of learning from accidents and incidents, staff not being adequately trained and the ineffective management of medicines. During the inspection we found concerns relating to the management of risk and the governance and oversight of the service We assessed a small number of quality statements from the safe, and well-led key questions and found areas of concern. The scores for these areas have been combined with scores based on the key question ratings from the last inspection our overall rating remains requires improvement. We found governance systems and risk assessments were in place. However, they were not always effective in identifying and mitigating risks. There were sufficient staff deployed to support people and keep them safe and robust recruitment process were in place. Medicines were managed appropriately, and people received their medicine as prescribed The service had a management team who worked well together. There was a clear management structure which aided the smooth running of the service. Staff worked well together and told us they felt supported by the management team. Learning from accidents, incidents and events was shared and used to improve the service.
People's experience of this service
People told us they felt safe. Relatives said staff were caring and kind. Relatives also confirmed that communication was good, and they were kept informed of any changes. People told us staff understood their needs and were able to support them effectively. Staff knew how to identify and report concerns. Systems were in place to record, report and investigate any concerns