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Inspection Summary


Overall summary & rating

Good

Updated 16 January 2019

About the service:

Tendacare is a domiciliary care agency that was providing personal care to 115 people aged 65 or over and 15 people aged under 65 at the time of the inspection.

People’s experience of using this service:

People who received care from Tendacare told us they felt safe and supported by staff who visited them. Staff were punctual and consistent at carrying out visits with people in a person-centred manner. One person told us, “I’m very happy with the service. They are friendly, efficient and on time.” People were supported to continue living at home in a way that enabled them to be as independent as possible.

Although there was evidence the service had provided good end of life care, there was no information in care plans about people’s preferences for their end of life care. Following the inspection the service arranged for people’s preferences to be recorded in their care plans.

The service was not always well managed as some records and documents had not been completed. The provider had also failed to notify CQC of safeguarding incidents. However, staff and people we spoke to all agreed that the service was well led. People, staff and relatives were involved in helping the service improve.

Care plans were created with people and relatives to ensure they were person centred and tailored to peoples’ needs and routines. Staff were trained and supported to be effective carers in a collaborative team. Where needed, staff were quick to support people to have access to health care professionals such as occupational therapists or, when necessary, emergency services. One relative told us, “I chose them because they are good at concentrated care and they feel like a very personal agency.”

People and relatives described staff as caring and kind towards them. Staff were approachable and friendly with people they cared for and knew them well.

More information can be seen in the main body of the report for each Key Question below.

Rating at last inspection:

Good (15 June 2016)

Why we inspected:

This was a scheduled comprehensive inspection. We inspect all services rated as 'Good' every 30 months to ensure that we regularly monitor and review the quality and safety of the service people receive.

Follow up:

Following the inspection the registered manager sent us evidence to demonstrate compliance with the Mental Capacity Act, up to date reviews of end of life care and notifications that should have be sent to CQC.

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

Requires improvement

Updated 16 January 2019

The service was not always well-led

Details are in our Well-Led findings below.