Background to this inspection
Updated
4 October 2017
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 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 Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 22 August 2017 and was announced. The provider was given 48 hours' notice because the location provides domiciliary care services and we needed to ensure that the manager would be available to assist with the inspection.
The inspection team consisted of one inspector. As part of the inspection we looked at the information we held about the service. This included statutory notifications, which are notifications the provider must send us to inform us of certain events such as safeguarding concerns, accidents and incidents that may affect the welfare of people using the service.
During the inspection we spoke with one person who used the service and a relative of another person. We also spoke with the registered manager who was also the provider and a staff member We looked at records relating to all three people using the service. We looked at three staff recruitment records to check the provider’s recruitment processes and at records relating to the management of the service including systems used for monitoring the quality of care provided. We also looked at the information the provider had sent to us in the Provider Information Return [PIR]. This is information we request from the provider so they can tell us how the service is being managed. The PIR also gives the provider the opportunity to tell us what they are doing well and what improvements they are making to ensure an effective service is provided to meet people’s care need safely.
Updated
4 October 2017
The inspection took place on 22 August 2017 and was announced. We gave the service 48 hours’ notice of the inspection because we wanted to ensure that the registered manager was available. This was the first inspection of this service since it registered with us on the 07 January 2015. This is because although registered with us no one was using the service until 2017.
Total Quality Care is registered to provide a personal care service to adults in their own homes. At the time of the inspection three people were using the service. The service is a family run service employing three staff and supporting three people. On occasions the registered provider/manager would also undertake care calls.
There was a registered manager in post who was also the provider. 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.
The registered manager and staff were knowledgeable about how to keep people safe and recognized the different forms of abuse and the action to take if required, in order to keep them safe.
The registered manager and staff had the necessary skills and knowledge to meet people’s individual needs.
People received the support they required with their diet. Other health services were advised of changes in people's health and circumstances by family members.
People's rights were protected and their consent was always sought before and during care. The service was delivered in a way that enabled people to make decisions on how they were supported and their wishes were met according to their preferences and choices.
The registered manager and staff had undertaken appropriate training so they would know how to support people who lacked capacity to make decisions for themselves. People’s dignity, privacy and independence was respected.
People were involved in the planning, assessment and review of their care and knew who to contact if they were unhappy about any aspect of their care. There was a system in place to manage complaints.
Systems were in place to monitor the service to ensure people received quality care.