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Inspection Summary

Overall summary & rating


Updated 28 May 2020

About the service

Town and Country Care provides personal care to people living in their own home, primarily in the Boston area of Lincolnshire. At the time of our inspection approximately 72 people were receiving a personal care service.

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

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

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.

People and those who were important to them were fully involved in planning the care they needed and determined how they wanted their care provided. People were treated in a caring and thoughtful manner by staff who respected their privacy, dignity and individuality.

Staff had the knowledge, skills and support to provide a good quality of care for people who used the service. There were enough staff employed to ensure people’s needs could be met in a consistent and timely way.

Care was planned and delivered to ensure people remained safe. This included minimising the risks of accidents and incidents occurring. Staff knew how prevent and control the spread of infection and support people with medicines in a safe way. They understood how to identify signs of abuse and how to report any concerns of that nature.

The provider had systems in place to ensure people, their relatives and staff were involved in the development of the service and could express their views and opinions. There were also effective systems in place for managing any concerns or complaints they received.

There was an open and inclusive approach to the management of the service. Quality assurance systems were effective in driving improvements in the provision of care.

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 Good (published 2 August 2017).

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 28 May 2020

The service was safe.

Details are in our safe findings below.



Updated 28 May 2020

The service was effective.

Details are in our effective findings below.



Updated 28 May 2020

The service was caring.

Details are in our caring findings below.



Updated 28 May 2020

The service was responsive.

Details are in our responsive findings below.



Updated 28 May 2020

The service was well-led.

Details are in our well-led findings below.