TLCareServices Limited

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

This is the first assessment for this newly registered service. This key question has been rated good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

The relative we spoke with told us they were involved in the assessment of their family member’s needs. They said, “[Name of provider] came out to assess [person's] needs, she listened to us about him and we have reviews so we can say how things are going.”

People’s needs were regularly reviewed and assessed to ensure any changes were documented and staff were aware of any changes to their support needs. Care plans reflected people’s individual needs, likes and dislikes. For example, where people required their drinks to be made in a certain way, this was recorded and staff we spoke with were aware.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

Staff had received training in relation to supporting autistic people or people with a learning disability. This was in line with our ‘Right support, right care, right culture’ guidance.

The provider worked with external agencies, such as healthcare partners to ensure people’s care was supported by current best practice guidance. This included guidance within care plans relating to people’s communication or mobility needs and involved working with GP’s and social workers.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

There was an established system in place to support the staff team to work together effectively. They shared information about changes in people’s needs, or any concerns, in the form of care logs and handover information. Staff told us they had the information they required when there were changes in people’s needs. The provider also worked in partnership with other agencies to meet people’s needs. These included local pharmacies, GP’s and health and social care teams.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

Staff understood people’s health needs and knew how to raise concerns if they felt someone had become unwell or needed support from a healthcare professional. Information about people’s health was recorded in their care plans, and these were reviewed and updated where people’s needs had changed.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

People’s care was regularly reviewed to ensure it met their expectations. Records showed the provider was in regular contact with people who received support or their relatives. Where people felt changes were needed to their care, or it was not being provided in line with their wishes, the provider had taken action to make the necessary changes.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

Care plans included information about people’s mental capacity to make specific decisions. Staff had received training in the Mental Capacity Act 2005 and staff we spoke with were knowledgeable about people’s ability to make their own decisions. Staff shared examples with us of how they ensured people were consenting to the support they provided. This included asking people in advance of providing care and checking they were happy while they were supporting people with their personal care needs.