Tring Care Limited

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

Well-led – this means we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture.

This is the first assessment for this newly registered service. This key question has been rated good.

This meant the service was consistently managed and well-led. Leaders and the culture they created promoted high-quality, person-centred care.

This service scored 68 (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 had a shared vision, strategy and culture. This was based on transparency, equity, equality and human rights, diversity and inclusion, engagement, and understanding challenges and the needs of people and their communities. The registered managers told us, “We put the service user first. We communicate with each other. We support the service user to be independent. We promote independence and give choice.”

The registered managers told us they have an open-door policy and encourage staff to speak to them about anything or any challenges they are having. The registered managers told us about how they wanted people to have a high standard of care and for them to be treated as they would wish their own loved ones to be.
 

Leaders did not always have the skills, knowledge, experience to lead effectively.
Both registered managers told us they were planning to complete their Level 5 NVQ’s and would continue to develop their skills with best practises.
During discussions with the registered manager, we were not assured that they understood areas around mental capacity and how to support people who may lack capacity.
 

The provider fostered a positive culture where people felt they could speak up and their voice would be heard.
Staff and people told us that they felt able to speak and raise concerns to the registered managers. Staff and people also knew where to report concerns if they were not satisfied with how the service dealt with them such as the local authority.
 

The provider valued diversity in their workforce. They worked towards an inclusive and fair culture by improving equality and equity for people who worked for them. There was a policy in place to protect staff from harassment and bullying and a focus on protected characteristics under the Equality Act. The registered manager had developed an inclusive workforce and recognised the value of diversity amongst the team.

The provider did not always have clear responsibilities, roles, systems of accountability or good governance.
We discussed the quality assurance process in place with the manager who understood that some improvements were needed to process and systems to ensure the safety and quality of the service provided could be fully monitored. We discussed the need to set up a robust quality assurance system, which would need to be in place if the company was to expand their care packages and their staff team. The registered managers told us that they were moving over to an electronic system that would support them to have better oversight and quality monitoring processes.
 

The service has not yet established partnership working but told us this is something they are working towards as the service grows and the needs arise.

The registered managers told us that although there had not been any incidents, accidents, complaints or safeguarding’s they would always share them with staff if they occurred so that the service could continually improve and develop positive outcomes for people.
The registered managers told us they shared information with staff and keep them up to date with lessons learnt and best practises. The service is moving to an electronic care system, and the process had already begun when we inspected. The registered managers told us that the new system will help to improve oversight and safety within the service.