Background to this inspection
Updated
18 November 2022
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 Health and Social Care Act 2008.
Inspection team
The inspection was carried out by one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses, flats and specialist housing.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with the registered manager, deputy manager, keyworker and 3 care staff. We spoke to 1 relative. We viewed 1 care file and associated risk assessments, 3 staff recruitment and training documentation. We also reviewed records relating to the management of the service including policies and procedures and quality assurance.
Updated
18 November 2022
About the service
Tendercare Management Ltd is a domiciliary care agency providing personal care support to people. The service provides support to people with dementia, older people, younger adults, learning disability or autism spectrum disorder, physical disability and sensory impairment. At the time of our inspection one person was using the service.
People’s experience of using this service and what we found
Relatives told us their family member was safe at the service and there were enough staff to support them.
People were kept safe in their homes and had appropriate risk assessments to protect them from their known risks.
Staff had completed safeguarding training and knew how to report concerns of abuse if they suspected someone was at risk of harm. Staff knew how to blow the whistle on poor practice.
People were supported to receive their medicines safely and on time.
People’s needs were assessed before they used the service and information was shared between services to ensure continuity of care.
People were encouraged to eat healthily and had enough to drink each day.
Consent to care was appropriately obtained and staff sought permission from people before providing care.
Relatives told us staff were kind towards their family member and had built caring relationships with them. People’s privacy and dignity were respected. People were supported to maintain their independence as much as possible.
Care plans were individual, and people’s likes and dislikes were recorded. People’s communication needs were documented to ensure effective communication took place.
Relatives and staff liked the management of the service and felt able to contact the registered manager when they needed.
People, relatives and staff had their views
Quality assurance was in place, but audits did not always show what had been checked and their outcome.
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.
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 18 November 2019 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Recommendations
We have made a recommendation about quality assurance.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.