Treal Care UK Limited

At the time of our inspection, the service provided personal care to 13 people in their own homes.

People’s experience of using this service

People were happy with staff. They told us staff were first class, kind and exceptional. The provider had a safe staff recruitment process in place. This ensured that staff were properly checked and supported with induction and training.

Risks to people were assessed and systems put in place to ensure people were safe. Staff knew how to identify and report incidents of abuse. They understood equality and diversity through their training and knew that people should not be discriminated against.

Medicines were safely managed and audited. The registered manager also used various audits to ensure that aspects of the service were managed well and people received safe care. People and relatives had opportunities available to them to give feedback and influence the quality of the service. The registered manager worked well in partnership with other health and social care professionals.

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's consent was sought when care was provided.

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 Good (published 24 June 2019). We also inspected the service (not rated) (published 06 August 2021).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has remained Good.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Treal Care UK Limited on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect

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

There was safe staff recruitment process in place. All staff were checked to ensure they were suitable, skilled and safe to work with people. The service had enough experienced and trained staff to meet people’s needs.

Systems were in place to prevent the spread of infections. Staff were trained on infection control and prevention and used personal protective equipment to ensure the risk of spread of infections was minimised.

The service had a clear management structure which meant staff knew their roles whilst working as a team. Audits of aspects of the service were undertaken to ensure the service was safe and effective. People's and relatives' views were obtained to help improve the quality of the service.

Equality and diversity was embedded in the planning and delivery 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

The previous rating for this service was good (published 24 June 2019)

Why we inspected

The inspection was prompted in part due to concerns received about staff recruitment at the service. A decision was made for us to inspect and examine those risks and risks related to infection prevention and control practices.

We found no evidence during this inspection that people were at risk of harm from these concerns.

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.

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.

Thirteen people were using the service at the time of the inspection.

People’s experience of using this service:

People and relatives told us they felt safe using the service. The service had systems in place to protect people from abuse and staff had knowledge of how to safeguard people and report incidents of abuse. Risk assessments were in place to identify potential risks to people and to help manage them. Procedures for safe administration of medicines were in place and staff used personal protective equipment to reduce the risk of infections. The staff recruitment procedures were robust to ensure staff employed at the service were safe to support people. There were enough staff to meet people’s needs, however, staff were sometimes late for their visits to people. We have made a recommendation about timekeeping.

Assessments of people’s needs were carried out before they started using the service. These helped the service know if they can meet people's needs. Staff were supported through their induction, training and supervision. The service worked in line with the principles of the Mental Capacity Act 2005. People were supported to have maximum choice and control of their lives and staff did support them in the least restrictive way possible; the policies and systems in the service did support this practice.

People and relatives told us staff were caring and respectful. They told us staff respected their choices, privacy and independence. Staff worked to meet people’s needs in relation to equality and diversity issues.

Care plans were personalised and reviewed regularly. People and their relatives were involved in planning and reviewing of their care plans. People and relatives were aware of the service's complaints procedure.

People, relatives and staff were positive about the registered manager. They told us the registered manager was approachable. The registered manager worked in partnership with other agencies and used spot checks or unannounced visits to people’s homes to observe staff and auditing systems as part of their quality assurance system

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection:

This was the first inspection of the service since it was registered on 11 June 2018.

Why we inspected:

This was a planned comprehensive inspection.

Follow up:

We will continue to monitor intelligence we receive about the service until we return to visit as per our reinspection programme. If any concerning information is received, we may inspect sooner.