19 December 2018
During a routine inspection
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. It provides a service to older adults and younger disabled adults.
Not everyone using T Top Enterprise Limited receives regulated activity; the CQC only inspects the service being received by people provided with 'personal care', help with tasks related to personal hygiene and eating. Where they do, we also take into account any wider social care provided. At the time of our inspection 12 people were receiving personal care.
There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
At the time of inspection there was no effective system in place to proactively monitor attendance of care calls. This resulted in the provider being unaware of staff lateness. It also remained unnoticed that a person who required assistance of two members of staff was attended by only one staff member on a regular basis.
Recruitment practices were not always safe. Gaps identified in the employment history of staff had not been fully examined and explained. The provider did not always ensure staff were entitled to live and work in the UK legally.
People we spoke with told us they felt safe. Staff were clear about their responsibilities in keeping people safe and we saw relevant risk assessments were in place.
People's needs were assessed before they used the service and regularly thereafter. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Staff understood people's needs and preferences. Staff received training to support the needs of people using the service effectively. People were assisted to eat healthy and balanced diets.
People spoke highly of the staff that supported them. People said staff were kind and respectful and provided them with dignified care.
We received mixed feedback from people and their relatives on the management of the service. Staff told us they felt well-supported and valued by the management team.
We found three breaches of the Health and Social Care Act 2008 (Regulated Activities) regulations 2014.You can see what action we told the provider to take at the back of the full version of the report.