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Inspection Summary


Overall summary & rating

Good

Updated 26 March 2019

About the service:

Tendring Care is a domiciliary care service that provides support and personal care to older people in their owns homes within the Clacton area. At the time of our inspection the service was supporting 24 people with personal care.

People’s experience of using this service:

At our last inspection in December 2017, the service was rated requires improvement overall. The key questions for safe, effective, caring, responsive and well led were rated requires improvement. There were breaches of Regulation 9: Person centred care, Regulation 10: Dignity and respect, Regulation 12: Safe care and treatment, Regulation17: Good Governance and Regulation 18: Staffing of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. During this inspection, we found improvements had been made.

The registered manager had implemented new systems to record any checks that had been completed on people's care records, daily logs and medication administration records. They had also completed regular observations on staff competency to deliver effective person-centred care. Some staff observations had not been recorded, however staff confirmed that these were carried out on a regular basis. We made a recommendation in relation to this.

People told us they felt they received care in a safe way. Individual risks to people and the environment had been identified and assessed and measures put in place to manage them and minimise the risk of harm occurring. Staff showed a good understanding of their roles and responsibilities for keeping people safe from harm.

Medicines were managed safely by trained staff who ensured that people received medicines at the right time.

Sufficient numbers of suitably qualified and skilled staff were deployed to meet people's individual needs.

Staff had received a range of training and support to enable them to carry out their role safely. People told us they received the right care and support from staff who were well trained and competent at what they did.

Staff were motivated to deliver care in a person-centred way based on people's preferences and likes. Staff treated people with kindness, compassion and respect and ensured that people's dignity was maintained at all times.

People spoke positively about the care and support they received. People told us they received support from regular staff who knew them well. They told us staff always arrived on time and stayed the right amount of time.

People's needs and choices were assessed and planned for. Care plans identified intended outcomes for people and how they were to be met in a way they preferred. People received support to maintain good nutrition and hydration and their healthcare needs were understood and met.

Records relating to consent for care were accurately completed and people told us they were always offered choice and control over the care they received. Care was delivered in a personalised way which was in line with information recorded in people's care plans.

People and family members knew how to make a complaint and they were confident about raising concerns should they need to. They were confident that their complaint would be listened to and acted upon quickly.

The leadership of the service promoted person centred care and a positive culture within the staff team. People, family members and staff all described the registered manager as supportive and approachable.

The registered manager showed they were working hard to improve on the service and displayed knowledge and understanding around the importance of working closely with other agencies and healthcare professionals where needed.

Rating at last inspection:

Requires improvement (Report published 21 February 2018)

Why we inspected:

This was a planned comprehensive inspection based on the rating from the previous inspection.

Follow up:

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-

Inspection areas

Safe

Good

Updated 26 March 2019

The service improved to good.

Details are in our Safe findings below.

Effective

Good

Updated 26 March 2019

The service improved to good.

Details are in our Effective findings below.

Caring

Good

Updated 26 March 2019

The service improved to good.

Details are in our Caring findings below.

Responsive

Good

Updated 26 March 2019

The service improved to good.

Details are in our Responsive findings below.

Well-led

Good

Updated 26 March 2019

The service improved to good.

Details are in our Well Led findings below.