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Archived: Tender Lasting Care Services Limited

Overall: Good read more about inspection ratings

Communications House, Whittle Rise, Staffordshire Technology Park, Stafford, ST18 0ES (01785) 532220

Provided and run by:
Tender Lasting Care Services Limited

Important: This service was previously registered at a different address - see old profile

Latest inspection summary

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Background to this inspection

Updated 9 March 2019

The inspection

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.

Inspection team: The inspection was completed by one adult social care inspector.

Service and service type: Tender Lasting Care Services is a domiciliary care agency, providing personal care and support to people living in their own homes. It provides personal care to both younger and older adults.

Notice of inspection: We gave the service 48 hours’ notice of the inspection visit. This is because it is a small service and the registered manager is often out of the office supporting staff or providing care. We needed to be sure that they would be in the office when we visited.

The service had a manager registered with The Care Quality Commission (CQC). This means that they and the registered provider are legally responsible for how the service is run and for the quality and safety of the care provided.

What we did: Before our inspection we looked at information we held about the service. The registered provider had completed a Provider Information Return form (PIR). A PIR is a form we ask registered providers to submit annually detailing what the service does well and what improvements they plan to make. We reviewed information stored on our database, such as notifications that the registered manager is required, by law, to submit to us as and when incidents may have occurred. We also spoke to the Local authority and commissioning team to gain feedback about the service. We used all this information to formulate a ‘planning tool’; this helped us to identify key areas we needed to focus on during the inspection.

The inspection site visit took place on 4 February 2019 and follow up phone call to people and relatives took place on 5 February 2019.

During the inspection we spoke with the registered manager, finance director, training manager, five members of staff, three relatives and one person receiving support. We also checked the recruitment records for four members of staff and other records relating to the management and quality monitoring of the service.

Overall inspection

Good

Updated 9 March 2019

About the Service:

Tender Lasting Care Services provides personal care and support to people in their own homes. Some people who received support were living with complex health needs which required specialist support. At the time of the inspection there were 11 people who used the service.

People’s experience of using this service:

People and their relatives told us that the care being provided was safe.

People were appropriately assessed from the outset, risks were safely managed and people received the correct level of care tailored around their support needs.

Medication management procedures were in place. There was an up to date medication policy staff received appropriate medication training and the registered manager ensured that the competency of staff members to administer medication safely was routinely assessed.

People were protected from the risk of harm and abuse. Staff were supported with training in relation to safeguarding and knew how to report any concerns that presented. There was also an up to date safeguarding and whistleblowing policy for staff to refer to.

All staff received a thorough induction and were able to ‘shadow’ more experienced staff before they began providing support to people. The provider operated safe recruitment practices with appropriate recruitment checks carried out before staff commenced employment.

Staff understood and respected people’s right to make their own decisions and supported people to make choices. People were involved in any decisions that needed to be made and consent was gained in line with the principles of the Mental Capacity Act 2005.

People received support from consistent members of staff who were familiar with their support needs. Staff received specialist training to help develop their skills and knowledge.

Records contained detailed person-centred information about the person. This documentation had been regularly reviewed and updated when people’s needs had changed. Staff were able to give clear examples of the care people required.

People received ‘End of Life’ support in a dignified, respectful and compassionate manner. Staff had received training in end of life care.

People and their relatives told us staff were kind, caring and compassionate. Staff developed positive relationships with the people they were supporting and knew their likes, preferences and wishes.

The registered provider had a complaints process in place; people and their relatives knew how to raise a complaint and were confident that any such concerns would be listened and responded to.

The registered manager was committed to providing high-quality, person-centred care. The quality and safety of the care was continuously reviewed. People and their relatives were encouraged to share their thoughts, opinions and views of the care being delivered and areas of development were identified and followed up on.

Rating at last inspection: At the last inspection service was rated ‘Good’ (report published September 2016)

At this inspection we found that the registered provider continued to provide a good provision of care. The evidence we reviewed and feedback we received continued to support the rating of ‘good’ and there was no evidence or information from our inspection or ongoing monitoring that demonstrated serious risks or concerns.

Why we inspected: This was a planned, announced inspection to confirm that the service remained 'good'.