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Inspection Summary

Overall summary & rating


Updated 16 July 2019

About the service

Tetra Live In Care is a domiciliary care service that provides 24 hour live in support to people who have a spinal cord injury. They were providing support to four people at the time of the inspection.

People’s experience of using this service and what we found

People told us they felt safe at the service and staff protected them from risks they faced.

People were supported by staff who had been through a thorough recruitment process and had completed appropriate checks. People were happy with how their medicine was managed and told us they received this in a safe way. Staff followed safe hygiene practices.

Staff had received in depth training and received ongoing support from the service to ensure they had the relevant skills and knowledge to support people. People told us staff knew what they were doing and showed they were competent to help them in their daily lives.

People were happy with the staff who supported them and told us they were kind and compassionate. One person said, “[Staff] really goes out of his way.” The service wanted people to have good working relationships with the staff who supported them and acted promptly to find alternative staff if people wanted someone else to support them. Staff treated people in a respectful manner and did not discriminate against people.

People were involved in the preparation of their care plan and care was personalised. People’s preferences were respected, and people were supported by attentive staff who knew their likes and dislikes. Where people were not happy with any aspect of care the service actively listened and aimed to resolve it to the person’s satisfaction.

People and staff felt the management of the service were committed to providing a quality service and were available for support whenever they were needed.

The management of the service had improved the quality of audits to monitor the quality of the care and they regularly sought feedback from people who used the service and from their staff.

The management actively met with other organisations and charities who specialised in spinal injury to build community links and knowledge.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

For more details, please see the full report which is on the CQC website at

Rating at last inspection

The last rating for this service was requires improvement (7 June 2018) and there were two breaches of the regulations. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas



Updated 16 July 2019

The service was safe.

Details are in our safe findings below.



Updated 16 July 2019

The service was effective.

Details are in our effective findings below.



Updated 16 July 2019

The service was caring.

Details are in our caring findings below.



Updated 16 July 2019

The service was responsive.

Details are in our responsive findings below.



Updated 16 July 2019

The service was well led.

Details are in our well-Led findings below.