Midlands Total Care Limited

Updated 22 March 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

This inspection was carried out by one inspector.

Service and service type

Midlands Total Care Limited is a domiciliary care agency. It provides personal care to people living in their own houses and flats.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

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. Inspection activity started on 10 March 2022. We visited the location’s office on 10 March 2022.

What we did before the 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.

What we did before inspection

In planning our inspection, we reviewed information we had received about the service. This included any notifications (events which happened in the service that the provider is required to tell us about) and feedback from the local authority.

During the inspection

We spoke with two people that used the service, and three relatives of people using the service. We spoke with 2 staff members and the registered manager. We reviewed a range of records. This included three people’s care records and risk assessments. We looked at two staff files in relation to recruitment and staff supervision. We reviewed a variety of records relating to the management of the service, including training records and quality assurance records.

Updated 22 March 2022

About the service

Midland Total Care Limited is a domiciliary care agency providing care and support to people living in their own homes. At the time of our inspection, there were 12 people using the service.

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. 11 people were receiving personal care at the time of inspection.

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

We could not be sure that training and induction undertaken by staff met Care Certificate Standards. We have made a recommendation about the training and induction offered to staff working at the service.

People received safe care and were protected against avoidable harm, abuse, neglect and discrimination. There were systems and processes in place to safeguard people from potential harm. Staff completed training about safeguarding people from harm and knew how to report abuse.

There were enough staff to meet people's needs safely. People were supported by staff who knew them and their needs well. The provider had safe recruitment practices in place to ensure people employed were suitable to work at the service.

Medicines were administered safely by trained staff, and records that were completed were accurate.

Where the provider took on the responsibility, people were supported and encouraged to maintain good nutrition and hydration.

People told us they were treated with respect and kindness when receiving care from staff.

People were involved in the care planning and reviews of their care. The provider had a complaints procedure which was accessible to people using the service. There had not been any complaints received at the time of our inspection.

The registered manager and provider understood their responsibilities and worked in an open and transparent way.

The provider conducted regular checks to ensure any issues were found and resolved.

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

Why we inspected

This service was registered with us on 5 February 2021 and this is the first inspection

Follow up

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