Tehy Care Group Ltd

Updated 12 February 2021

The inspection

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.

Inspection team

The inspection was carried out by two inspectors and two assistant inspectors.

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

We gave the service 24 hours’ notice of the inspection. This was because the service is small and people are often out and we wanted to be sure there would be people at home to speak with us.

Inspection activity started on 1 December 2020 and ended on 21 December 2020. One inspector and an assistant inspector visited the office on 1 December 2020. Follow up telephone calls with staff, people using the service and the registered manager were competed on the 15 and 21 December 2020.

What we did before the inspection

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 judgments in this report.

We reviewed information we had received about the service since the last inspection. We sought feedback from organisations and professionals who work with the service. We used all of this information to plan our inspection.

During the inspection

We spoke with the registered manager, governance lead and the Nominated Individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We viewed a limited number of key records to minimise our time at the service.

After the inspection

We spoke with two people using the service and one relative about their experience of the care provided and to three care workers. We continued to seek clarification from the provider to validate evidence found on inspection and reviewed a range of records including two people’s care plans, training data and a variety of records relating to the management of the service.

Updated 12 February 2021

About the service

Tehy Care Group Limited is a domiciliary care service, supporting people living in their own houses and flats with personal care. At the time of the inspection, the service was supporting 15 people 13 of whom received help with personal care.

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

Although staff knew people well changes in their needs were not always clearly documented in their plans. We saw no evidence of any negative impact on people, but this is not in line with best practice guidelines. We discussed this with the management team who assured us this would be addressed.

The providers website had a link to the to the latest inspection report rating, but it did not display the services CQC rating in line with CQC guidance and their regulatory responsibility. The provider was in the process of amending this and we will continue to monitor them to ensure they do so.

Medicines were managed safely. Systems were in place to monitor staff competencies to administer medication and identify and address concerns.

Staff had been recruited safely. There was enough staff to support people and missed and late calls were no longer a concern.

Staff were provided with appropriate PPE and people told us staff used this when supporting them.

Incidents and accidents were monitored and reviewed to ensure that actions had been taken and lessons were learnt.

People using the service and their relatives were happy with the care they received and were cared for by the same familiar staff with whom they had developed good relationships. People who had raised concerns felt these had been dealt with by the management team and they were happy with the outcome.

Since the last inspection the management team had been restructured. Effective quality monitoring systems were now in place to ensure the management team had oversight of the service.

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 (4 June 2020).

We carried out an announced comprehensive inspection of this service on 26 February 2020. Multiple breaches of regulations were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment and good governance.

This service has been in Special Measures since 10 September 2019. During this inspection the provider demonstrated 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 was a planned inspection based on the previous rating.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from inadequate to requires improvement. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Tehy Care Group Ltd on our website at www.cqc.org.uk.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service.

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.