We carried out a review of the data available to us about Total Loving Care Ltd on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Total Loving Care Ltd, you can give feedback on this service.
Total Loving Care Ltd is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. At the time of the inspection the service was providing support to 2 people with a personal care service.
People’s experience of using this service and what we found
People told us they were safe with staff. People were kept safe while using the service and staff knew people’s risks and how to reduce them, records showed this. Staff were knowledgeable in safeguarding procedures and were aware how to escalate concerns if appropriate action was not taken by the provider.
There were enough staff to provide safe care and support to people using the service. Staff were recruited to the service safely. People’s medicines were managed safely where the service was responsible.
People told us an assessment of their needs took place before they began to use the service and it made them feel involved in their care. Relatives were also involved where they acted on behalf of their family member, to ensure their needs were fully assessed and choices respected.
Staff received training to develop their skills and understanding. People told us staff demonstrated they had a good understanding of their needs and knowledge in how to provide safe care. Staff received regular support from the registered manager through supervisions.
People were supported to have a balanced diet and to have enough to drink.
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.
Staff were kind and caring towards people and people told us they were treated with kindness and respect. People’s privacy and dignity was respected. The service was inclusive and did not discriminate, the registered manager welcomed all to use their service.
People appreciated being encouraged to maintain their independence as much as possible to feel empowered with tier care.
Care was personalised and meet people’s individual needs. Staff told us the information provided in the care plan was detailed and gave clear guidance on how care should be delivered to people.
People’s communication needs were met. People were provided with information on how to make a complaint should they wish.
People were positive about the management of the service. People, relatives and staff told us the registered manager was approachable and had time to speak with them when needed.
The registered manager had implemented extra monitoring to check the quality of care provided to people.
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 – and update: The last rating for this service was requires improvement (published 16 December 2019) and there were breaches of regulation. 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.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Total Loving Care Ltd is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. At the time of the inspection it was providing a service to three people.
People’s experience of using this service and what we found
The provider was not following safe recruitment practices or providing staff with appropriate training to make sure they employed suitable staff with the right mix of skills, competences, qualifications, experience and knowledge to meet people’s individual needs.
Systems for inducting and the ongoing support of staff were inconsistently applied.
The registered manager did not have enough time or understanding of their role to ensure their responsibilities in running the service were clear and that quality performance, risks and regulatory requirements were understood and managed.
Potential risks to people’s safety had been assessed and people had been included in this assessment. Staff understood how to reduce these risks when providing care.
People who used the service were positive about the registered manager and were able to contact them when they needed to.
People using the service and their relatives were positive about the care they received. They trusted the staff and felt safe with them.
Staff understood their responsibilities to keep people safe from potential abuse, bullying or discrimination. Staff knew what to look out for that might indicate a person was being abused.
Staff made sure no one was disadvantaged because of their age, gender, sexual orientation, disability or culture. Staff understood the importance of upholding and respecting people’s diversity.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
This is the first inspection of this service since it was registered with us on 3 December 2018.
Why we inspected
This was a planned inspection based on our agreed inspection frequencies for newly registered services.
Follow up
We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
Enforcement
We have identified three breaches of regulations in relation to recruitment, staffing and good governance at this inspection.
You can see what action we have asked the provider to take at the end of this full report.
Follow up
We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.