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Archived: Total Care Nursing Limited Good

This service is now registered at a different address - see new profile

Inspection Summary


Overall summary & rating

Good

Updated 19 November 2015

This inspection took place on 14 September 2015 and was announced. At the last inspection in August 2013 we found the provider was meeting the regulations we looked at.

Total Care Nursing Limited is registered to provide personal care to people in their own home. At the time of the inspection, the service had a registered manager. 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 we spoke with told us they were very happy with the care they received and were complimentary about the staff who supported them. They told us the service was well managed. People consented to their care but where they lacked capacity a formal assessment was not always completed. People received assistance with meals and healthcare when required. People were involved in planning their care and, in the main, care and support needs were assessed and plans usually identified how care should be delivered.

People told us they felt safe. Staff understood how to keep people safe and told us any potential risks were identified. There were appropriate arrangements for the safe handling of medicines.

Everyone we spoke with said the staffing levels were good. People who used the service said the same care workers visited, staff always stayed the agreed length of time and their visit times suited their needs and wishes. Safe recruitment practices were followed.

Staff felt well supported by the management team but the provider did not have an effective system that ensured staff had completed all the training and support that equipped them with the skills and knowledge to do their job properly. Staff were confident people received good care and knew the people they were supporting very well.

People got opportunity to comment on the service and knew who to talk to if they wanted to discuss their care or raise a concern. The management team were familiar with people’s individual care packages and knew people who used the service and staff very well.

We found a breach of the Health and Social Care Act 2008 (Regulated Activities) regulations 2014. You can see the action we have told the provider to take at the end of this report.

Inspection areas

Safe

Good

Updated 19 November 2015

The service was safe.

People told us they felt safe. Staff knew what to do to make sure people were safeguarded from abuse.

There were enough staff to meet people’s needs and a robust recruitment process was followed before staff were employed by the agency.

There were appropriate arrangements for the safe handling of medicines.

Effective

Requires improvement

Updated 19 November 2015

The service was not consistently effective.

Staff felt well supported but the provider did not have a system that ensured staff had completed all the training that equipped them with the skills and knowledge to do their job properly.

People consented to care and support but where a person lacked capacity a formal assessment was not always completed.

People made decisions about their meals and healthcare. The service provided support when required.

Caring

Good

Updated 19 November 2015

The service was caring.

People were very complementary about the staff and told us their experience was positive.

People were involved in planning their care and support.

Staff knew the people they were supporting well and were confident people received good care.

Responsive

Good

Updated 19 November 2015

The service was responsive to people needs.

People told us the care they received was personalised.

People’s care and support needs were assessed and plans usually identified how care should be delivered.

People knew who to contact in the care agency if they needed to.

Well-led

Good

Updated 19 November 2015

The service was well led.

People told us the service was well managed.

The management team were familiar with people’s individual care packages and knew people who used the service and staff very well.

The service had a positive culture and defined quality from the perspective of the people who used the service and staff.