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Archived: Ttop Enterprise

Overall: Requires improvement read more about inspection ratings

63 Sutton Park, Blunsdon, Swindon, Wiltshire, SN26 7BA (01793) 847841

Provided and run by:
T Top Enterprise Limited

Important: This service is now registered at a different address - see new profile

Latest inspection summary

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Background to this inspection

Updated 12 May 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 checked whether the provider is 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 announced inspection took place on 28 March 2017 and was carried out by one inspector. The provider was given 48 hours' notice. As the location provides a domiciliary care services, we needed to be sure that the registered manager would available to talk to us in person.

Prior to our inspection, we reviewed information we held about the service. This included any information received and statutory notifications. A notification is information about important events which the provider is required to send us by law. Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We also contacted commissioners (those who fund the care for some people) of the service and asked them for their views.

During our inspection we visited the provider’s main office location and talked to the registered manager. After the visit, we spoke with two people, two relatives and four members of staff. We looked at records relating to the management of the service, including care plans for four people, four staff files with recruitment records, and other records relating to the management of the service.

Overall inspection

Requires improvement

Updated 12 May 2017

The inspection took place on 28 March 2017. Ttop Enterprise is a domiciliary care service which provides support and care to people in their own homes in and around the Swindon area. There were 12 people using the service at the time of the inspection.

The service had a registered manager in post. 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.

There was a system for safe staff recruitment but full employment histories of staff were not always recorded. Staff told us they felt appropriately trained and well-supported; however, there were no clear recorded systems for monitoring staff training and development requirements.

Care files contained risk assessments, but these were not always detailed and precise enough and did not provide staff with sufficient guidance to efficiently reduce the risk of harm to people.

Care plans were not always person-centred. People’s life histories were obtained, however, the care plans did not provide any information about people’s likes and dislikes.

There were some processes to monitor the quality of the service provided. However, where shortfalls had been highlighted there were no records that actions had been taken to address issues. Records kept by the service were not always available, accurate or complete.

People told us they felt safe using the service because staff were skilled and knowledgeable, and knew how to care for them well. Staff had a good understanding of what constituted abuse and whom to contact if safeguarding concerns were raised.

People received care from staff who understood their individual health needs and what was required to support them in a safe way. People were assisted to take their medicines where appropriate and regular checks were made to ensure staff properly supported people to take their medicines.

People received care and support from staff who were regularly supervised and their performance and ability to do the job were checked. Staff told us they could request and access training when they needed. Staff understood people’s needs and knew their individual requirements.

Staff understood the principles of the Mental Capacity Act (2005), and the registered manager understood the actions needed to be taken if they were concerned about people being deprived of their liberty.

People who required support were provided with sufficient amounts of food and drink during the day and were assisted to manage their health needs. The service referred people to other professionals if they had any concerns.

People and relatives were positive about the care people received. They complimented the caring nature of staff. Staff encouraged people to be as independent as possible and the focus of the service was to develop people's skills and improve confidence.

People liked staff who cared for them and who they felt understood their needs. Staff supported people in a respectful manner, promoted people’s dignity.

People knew how to complain and were offered opportunities to share their views and opinions about the service they received. The opportunities included regular review meetings, visits by the registered manager and also surveys.

People understood they could call the administration office and speak to a member of the management team if needed. People were confident that they would be listened to and that appropriate action needed would be taken.

Staff felt supported by the provider. The registered manager regularly worked alongside people and staff which gave them an insight into the running of the service and people's needs.

We found two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of this report.