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This service was previously registered at a different address - see old profile

Inspection Summary

Overall summary & rating


Updated 6 July 2019

About the service

Total Community Care is a domiciliary care agency providing personal care to people living with spinal injuries or neurological conditions in their own homes throughout the United Kingdom. At the time of the inspection 55 people were receiving personal care.

People continued to be cared for safely and with compassion. Staff were appropriately recruited and there were enough staff to provide care and support to people to meet their needs.

Medicine systems were organised, and people were receiving their medicines as prescribed. The provider needed to strengthen the systems in place where people chose to administer their own medicines. We have made a recommendation about medicines management.

Staff had access to the support, supervision and training they required to work effectively in their roles. People's needs were assessed prior to them receiving the service to ensure that staff were able to fully meet their needs. Staff supported people to have a healthy balanced diet.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests. The systems in place for recording mental capacity assessments required strengthening; we have made a recommendation about mental capacity assessments.

Staff were caring, person centred and inclusive. People were treated with kindness, dignity and respect and staff spent time getting to know them and their specific needs and wishes.

People had personalised plans of care in place to enable staff to provide consistent care and support in line with people’s personal preferences. Staff encouraged people to follow their interests and people were supported to access many varied activities and interests.

Information was provided to people in an accessible format to enable them to make decisions about their care and support. People knew how to raise a concern or make a complaint and the provider had implemented effective systems to manage any complaints received.

There was no end of life care being delivered at the time of the inspection. However, the provider’s policies required further development to detail the support that staff would provide to people in preparing for the end of their life. We have made a recommendation about end of life care planning.

The service had a positive ethos and an open culture. The management team were approachable, understood the needs of people, and listened to staff. People that used the service and their relatives had the opportunity to feedback on the quality of the support and care that was provided. Any required improvements were undertaken in response to people's suggestions. There were effective systems in place to monitor the quality of the service and drive improvements.

For more details, please see the full report which is on the CQC website at

Rating at last inspection

The last rating for this service was good (published 19 November 2016).

Why we inspected

This was a planned inspection based on the rating at the last inspection.

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



Updated 6 July 2019

The service was safe

Details are in our Safe findings below.



Updated 6 July 2019

The service was effective

Details are in our Effective findings below.



Updated 6 July 2019

The service was caring

Details are in our Caring findings below.



Updated 6 July 2019

The service was responsive

Details are in our Responsive findings below.



Updated 6 July 2019

The service was well-led

Details are in our Well-led findings below.