T Lives Healthcare Ltd

Updated 2 September 2026

Date of assessment: 11 to 24 September 2026. We visited the service on 11 September 2026 and reviewed additional information and evidence remotely.

T Lives Healthcare Ltd is a domiciliary care agency providing personal care to people in their own homes. At the time of our assessment, the provider supported 2 people.

The provider did not always have effective systems to ensure people received safe, effective and consistently responsive care. Care plans, risk assessments and medicines records contained gaps, inaccuracies and contradictory information. Staff did not always have clear written guidance about how known health conditions and risks should be monitored, managed or escalated. Consent arrangements were not consistently evidenced, and contingency and emergency plans did not always explain how people’s support would continue safely when circumstances changed or regular staff were unavailable.

Governance and quality assurance systems had not identified or addressed these concerns before our assessment. This increased the risk staff would not have reliable information and that people could receive unsafe or inconsistent care. The service was in breach of regulations relating to safe care and treatment and good governance.

Despite these concerns, people and relatives were generally positive about their care. They described regular staff as caring, respectful and supportive. People felt safe, were treated with dignity and were supported to make choices, maintain their independence, and follow routines that were important to them. Staff understood safeguarding and escalation procedures and worked with relatives and health and social care professionals when people’s needs changed.

The provider responded to our feedback by introducing new audits, risk assessments, medicines reviews, contingency plans and service improvement processes. However, these changes were recent, and there was not yet sufficient evidence they were embedded or had resulted in sustained improvement.

At this assessment, we identified 2 breaches of legal regulation relating to safe care and treatment and good governance. We have asked the provider for an action plan in response to the concerns found at this assessment.

Updated 2 September 2026

People and relatives were generally positive about the care and support provided by regular staff. They described staff as caring, respectful and supportive, and said they felt safe with staff who knew them well. One person said, “I never feel rushed. [Staff] make me a drink before I start the day. The [staff] are amazing.” People valued the consistency of regular staff and the trusting relationships that had developed.

People told us regular staff understood their routines and preferences and supported them to maintain independence. This included assistance with personal care, medicines and daily activities, while respecting people’s choices and helping them remain connected with those important to them. People knew how to raise concerns and felt able to seek support from relatives, representatives or the provider. One relative described how a concern had been addressed promptly when it was raised.

However, people’s experiences were not always consistent when their regular staff were unavailable. Feedback indicated that alternative staffing arrangements could create uncertainty, and one person said occasional delays meant they had to wait for essential support, although visits remained within the agreed timeframe. Some people and relatives had not seen their care plans, and feedback showed written information did not always accurately reflect people’s current needs. These experiences were consistent with our findings that care planning, contingency arrangements and information-sharing systems required improvement to ensure people received consistently safe, personalised and responsive support.