You are here

Teasdale Healthcare Ltd Requires improvement

Reports


Inspection carried out on 10 March 2017

During a routine inspection

This inspection took place on 10 and 30 March 2017 and was announced on both days.

Teasdale Healthcare Limited is registered to provide personal care to people over 18 living in their own homes, and provided personal care to 95 people at the time of our inspection.

The service had a registered manager in post. ‘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.’

People’s complaints were not responded to in accordance with the company’s own complaints procedures. People were not always confident to complain.

People did not always receive their care visits at the time they needed them. People sometimes received care visits which were late and not as they wished.

People did not always receive kind and caring support. People were not always involved in the planning of their own care and support. Some relatives of people were consulted about care decisions. However, the records did not always show what legal authority they had to represent people's views.

We found quality assurance systems were in place but these were not always effective in identifying the areas of improvement required in the service. Where some issues and concerns were identified these were not investigated and resolved in a timely way in order to ensure people were receiving the care they required.

People who used the service told us they felt safe. Care staff knew how to recognise and report abuse. The provider had a safe system for recruitment and made sure that required checks were carried out before new staff started work.

People were supported to eat and drink enough to help keep them healthy. Staff understood people's food preferences and acted in accordance with their wishes. People had access to health and social care professionals when required.

We found that although there were systems and processes in place to monitor the quality and safety of the service they had not been working effectively. This was because people's concerns about late and missed calls were not identified and dealt with in a timely manner.

During the inspection we found one breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we have asked the provider to take at the back of this report.

Inspection carried out on 11 March 2015

During a routine inspection

This inspection took place on 11 March 2015 and was announced. This was the first inspection of the service. The service provides personal care to people in their own homes.

A registered manager was in post. 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.

People were supported to be as independent as possible. Assistance was offered to prompt people to take their prescribed medicines safely.

People’s risks were assessed. Staff carried out support in a safe way whilst they ensured that people’s independence was promoted.

We found that there were enough suitably qualified staff available to meet peoples assessed needs. Staff received an induction and regular training which ensured they had the knowledge and skills required to meet people’s needs. Staff felt supported by the registered manager.

People were involved in their care and consented to their plans of care and their treatment. The principles of the Mental Capacity Act 2005 were followed. The Mental Capacity Act 2005 sets out requirements to ensure that decisions are made in people’s best interests when they lack sufficient capacity to be able to do this for themselves.

People’s health and welfare needs were met and any concerns acted upon.

People told us staff treated them in a caring and kind way and respected their dignity. Staff listened to people wishes and supported them to make choices about their care.

People told us that staff knew how they liked there care provided. The provider considered people’s individual needs and made changes which ensured they received their care in a way they preferred.

People told us they knew how to complain and the provider had an effective system in place to record and respond to complaints.

The provider promoted an open culture. People felt the management were approachable and that they listened to them. People were encouraged to feedback their experiences and these were acted on to improve the quality of care provided.

We found that the provider was developing systems to monitor the quality of the service provided to ensure the service was effectively delivering the standards of care and treatment people needed.