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Triple Diamond Healthcare Limited Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 6 November 2019

About the service

Triple Diamond healthcare Limited is a domiciliary care agency providing personal care to people living in their own homes. At the time of the inspection 10 people were receiving support with personal care.

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

There was a lack of effective quality assurance systems and processes in place to enable the provider to assess, monitor and improve the quality and safety of the service. The registered manager and nominated individual had not consistently followed safe recruitment procedures; they had not ensured that all necessary recruitment checks had been completed as part of the staff selection process.

Improvements were required to staff training and supervision. Staff had not received all the training they required, and suitable records were not kept of staff induction, training or supervision.

We have made a recommendation about staff training and supervision.

The process in place to ensure staff who administered medicines had sufficient knowledge and understanding required strengthening. Medicines procedures were not followed to ensure instructions for medicines were properly recorded.

Risk assessments did not address all of people’s individual risks and did not consider the risks posed by the environment to people and staff.

People and their relatives knew how to complain and felt confident any concerns would be addressed to their satisfaction. The service had received no complaints.

People were supported by staff that knew how to recognise abuse and report concerns. Staff understood the principles of infection control and had access to gloves and aprons.

Pre-assessments were completed with people and care records reflected people's cultural or religious needs and any protected characteristics.

People were supported to eat and drink enough and to access healthcare as needed. 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 received support from a small and consistent team of care staff who knew them well and their care was personalised. People and staff had developed caring relationships. People’s privacy and dignity was respected, and their independence promoted.

People’s feedback on their care was sought and they told us they would recommend the service. Staff felt valued by the management team and supported in their role.

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

Rating at last inspection

This service was registered with us on 14 September 2018, and this is the first inspection.

Why we inspected

This was a planned inspection.

Enforcement

We have identified breaches in relation to Regulation 17 (Good Governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and Regulation 19 of the HSCA 2008 (Regulated Activities) Regulations 2014, Fit and proper persons employed.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 6 November 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 6 November 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 6 November 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 6 November 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 6 November 2019

The service was not always well-led.

Details are in our well-Led findings below.