Updated 26 April 2019
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection was carried out by one adult social care inspector.
Service and service type:
This service is a domiciliary care agency. It provides personal care to people living in their own homes. Not everyone using this service receives regulated activity; CQC only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection:
We gave the service 48 hours' notice of the inspection visit to be sure the registered manager would be available to speak with us. We also requested to pre-arrange telephone calls with people who used the service.
This inspection took place on the 05 and 6 March 2019. On the first day of our inspection we spoke with people supported by the service by telephone. On the second day we visited the office and also spoke with staff.
What we did:
Before our inspection we completed our planning tool and reviewed the information we held on the service. This included notifications we had received from the provider, about incidents that affected the health, safety and welfare of people supported by the service and previous inspection reports.
As part of the inspection we used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.
During the inspection we spoke with seven people who received support from Total Living Care and six members of staff including the registered manager.
To gather information, we looked at a variety of records. This included care plan records relating to two people who received support from Total Living Care. We also looked at other information related to the management of the service. We did this to ensure the management team had oversight of the service and they could respond to any concerns highlighted or lead in ongoing improvements.