We carried out a review of the data available to us about Triple Care Healthcare Services 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 Triple Care Healthcare Services, you can give feedback on this service.
Triple Care Healthcare Services is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. It provides a service to older adults and younger disabled adults. At the time of our inspection Triple Care Healthcare Services were supporting 34 people.
Not everyone who uses the service may receive 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 positive about the support and care they received from the staff at Triple Care Healthcare.
Care plans gave staff enough information to provide care and support that met people’s preferences. We have made a recommendation about increasing the detail in end of life care plans so that staff would have a better understanding of the impact of people’s religious or faith-based needs.
People told us they felt safe with the staff. Staff understood their roles and responsibilities in keeping people safe from harm, for example by managing risk without compromising people’s rights. People were safe because, where necessary, their medicines were managed by staff in a safe way. There were enough staff to meet people’s needs. People told us that staff arrived on time and stayed the allocated time.
Staff received training and supervision to ensure they kept up to date on best practice and had the skills to meet people’s individual needs. Staff worked with other health care agencies to ensure people were supported to remain healthy.
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 told us they were supported by kind and caring staff that took time to get to know them as individuals. People were involved in day to day decisions on the care they received.
Where complaints had been received these had been responded to in a positive way, and changes had been made to address the concerns that had been raised.
Quality monitoring systems were in place, and the provider completed various audits to assist them in monitoring and helping them to identify how to improve people's experiences. People told us they felt the service was well managed.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection (and update)
The last rating for this service was requires improvement (published 27 October 2018). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This was a planned inspection based on the previous rating.
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.
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. It provides a service to older adults and younger disabled adults. At the time of our inspection Triple Care Healthcare Services were supporting 34 people.
There was a registered manager in post who supported us 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.
Risks to people were not always adequately assessed and reviewed to ensure people's individual
needs were being met safely. This meant that staff did not always have the guidance they required to support people safely. Although some areas of people’s medicines were managed well risks regarding people’s medicines were not consistently reviewed. People’s legal rights were not always protected as the principles of the Mental Capacity Act 2005 (MCA) were not always followed. The providers quality assurance systems had not identified these issues as structured audit systems were not in place. People’s records were detailed although not always organised to allow staff to access information quickly.
The provider followed safe recruitment processes and there were sufficient numbers of staff to meet people's needs. People told us they felt safe and were confident in the staff supporting them. Staff had received training in safeguarding and were aware of their responsibility to report concerns. Safe infection control procedures were followed by staff. A contingency plan was in place to ensure that people's care could be provided safely in the event of an emergency.
Arrangements were in place to train, supervise and provide induction to staff. Staff told us they felt supported by the provider and could call for assistance at any time. People’s needs were assessed prior to the service commencing support to ensure they could be met. People were supported to access care from healthcare professionals where required. Staff were aware of people’s dietary needs and preferences.
People were supported by staff who respected their dignity and maintained their privacy. People were supported to make choices and decisions about their care and their independence was respected. People and their relatives told us that staff treated them with kindness and understanding.
Personalised care plans were in place and people’s care was regularly reviewed. People received their care from a consistent staff team who knew their needs and preferences. People told us they were confident to raise any issues about their care. The service were in the process of supporting staff to gain knowledge and skills in supporting people at the end of their life. There was a complaints policy in place and there was evidence that complaints had been recorded, investigated and responded to.
The service had some systems in place to monitor the quality of service people received. Regular unannounced spot checks were completed to assess staff skills and ensure people were happy with their care. Surveys were sent to people and their relatives and concerns acted upon. The service liaised with external agencies to make improvements to the service. Staff told us they felt supported and listened to.
During the inspection we identified three breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of the report.