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Inspection Summary


Overall summary & rating

Good

Updated 31 August 2019

About the service

Tendacare is a domiciliary care service providing personal care to 122 people at the time of the inspection.

Why we inspected

We had previously carried out an unannounced comprehensive inspection of this service on 3 and 4 December 2018. Two breaches of legal requirements were found: Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014: Good Governance and Regulation 18 of the CQC Registration Regulations 2009: Statutory Notifications.

The provider completed an action plan after the last inspection to show what they would do and by when to improve. We undertook this focused inspection to check they had followed their action plan and to confirm they now met the legal requirements. This report only covers our findings in relation to the Well- Led Key Questions which contain those requirements.

The ratings from the previous comprehensive inspection for the other Key Questions were not looked at on this occasion. The overall rating for the service is now Good in every Key Question with no breaches of Regulation.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Tendacare on our website at www.cqc.org.uk.

People’s experience of using this service and what we found

At the previous inspection, people were experiencing the delivery of good and safe care. This had continued, and we had no new concerns. The provider had addressed the need to clearly document people’s wishes and any consent issues.

People’s rights were protected and where people lacked the mental capacity to consent to care, the decision making process was now well recorded. The provider worked closely with people’s families, and those with legal authority, when any decisions were made in a person’s best interest.

People’s assessments now included an option to discuss their preferences for end of life care. This was done sensitively, and personal choice was always upheld. New records had been introduced to enable both essential and more personal information to be captured. This meant the service could demonstrate how they could be responsive in the event of illness or at end of life.

The service had a robust system for recording and reporting incidents, including the safeguarding of vulnerable adults. They had correctly notified the CQC of safeguarding concerns and they could evidence what actions were taken and how they involved the local authority to protect people from harm.

The service was well managed and there was good communication to support the smooth delivery of care. Improvements were being made, including the development of technology to support a more efficient service and to benefit people who received care. The service worked with other agencies to find people the support they needed and increase their health and wellbeing. There were established links and partnerships with other providers and local community services.

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 Good (published 16 January 2019). However, there were two breaches of Regulation found. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

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.

Inspection areas

Safe

Good

Updated 16 January 2019

The service was safe

Details are in our Safe findings below.

Effective

Good

Updated 16 January 2019

The service was effective

Details are in our Effective findings below.

Caring

Good

Updated 16 January 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 16 January 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Good

Updated 31 August 2019

The service was well-led.

Details are in our well-Led findings below.