19 June 2021
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
This inspection was completed by one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was announced. We gave the service short notice of the inspection. This was because it is a community-based service and we needed to be sure that the provider or registered manager would be in the office to support the inspection. Inspection activity started on 10 May 2021 and ended on 23 May 2021. We visited the office location on 10 May 2021.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from partner agencies and professionals. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We spoke with seven people who used the service about their experience of the care provided. We spoke with 11 members of staff including the registered manager and provider, consultant, office staff and care workers.
We reviewed a range of records. This included dip sampling four people’s care records and medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including training, policies and procedures were reviewed.
19 June 2021
About the service
Trinity Carestaff Solutions is a domiciliary care agency, providing personal care to people living in their own homes. There were 147 people receiving personal care at the time of the inspection. 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
We found that improvements had been made. The agency had not only sought to rectify the previous concerns CQC found, but to investigate why these had occurred and implement new systems to thoroughly understand and prevent any slippage in the standard of care for people.
Governance arrangements provided assurance that the service was well-led. The provider had ensured that their systems and processes to monitor the quality and safety of care were effective.
People were safe. Risk management of people’s complex care needs were consistently in place and reviewed. Care records had been reviewed and clearly guided staff. Records relating to daily statements of care provided and administration of medicine were well kept and more centred on the person rather than tasks.
People were satisfied with their care and support. People said that the service had become more reliable. People had the same group of staff to support them. One person told us that they had the same carers for the last three years. People described the care staff as kind, caring and they felt safe being supported by staff from Trinity Carestaff Solutions. One person said, “I’m so lucky to have a good service. Nothing is too much trouble and I’m never let down.”
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 welcomed the support that provided them with independence and choice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection (and update)
The last rating for this service was Inadequate (published 21 December 2020).
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.
This service has been in Special Measures since 21 December 2020. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.
Why we inspected
This inspection was carried out to follow up on action we told the provider to take at the last inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Trinity Carestaff Solutions on our website at www.cqc.org.uk.
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