Trinity Independent Care Ltd

Updated 21 December 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 and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own homes.

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.

Inspection activity started on 16 November 2022 and ended on 21 November 2022. We visited the location’s office on Wednesday 16 November 2022.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 5 people and 3 family members or their representative about their experience of the care provided. We spoke with the registered manager and the quality and compliance manager. We sought the views of 5 support workers and 1 senior support worker by telephone or by e-mail.

We reviewed a range of records. This included 2 people’s care records. We looked at 2 staff files in relation to recruitment. A variety of records relating to the management of the service, including quality monitoring, minutes of meetings, and the staff training and supervision matrix.

Updated 21 December 2022

About the service

Trinity Independent Care Ltd. is a domiciliary care service providing the regulated activity personal care, which is help with tasks related to personal hygiene and eating, in people’s own homes. At the time of our inspection there were 10 people receiving personal care using the service.

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

Infection prevention and control procedures required improvement. People told us staff did not wear masks, which is not consistent with COVID-19 government guidance.

People and family members views about the quality of their care were mixed. Some told us their experience of the care they received could improve, if all staff were able to communicate well, and if they were supported by a consistent team of staff and were informed in advance of the staff who would be providing their care.

Some staff, along with some people and family members said communication could be improved. Staff told us the registered manager was not always available, and some people and their family members experienced delays in their call being answered when they telephoned the office.

People and their family members were aware they had a care plan, and some had been involved in its development and review.

People were supported by staff who had undergone a robust recruitment process. There were sufficient staff to meet people’s needs. People and family members spoke of the reliability of the service. People received the support they required with their medicines.

People’s needs were assessed and kept under review and reflected all aspects of people’s care. People, and family members contributed to the assessment process. People’s health care needs were documented, and staff liaised with health care professionals when required. Staff had the required experience, knowledge and training to meet people’s needs.

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 and family members spoke of the kind and caring approach of staff. People and family members said they were involved in decisions about their care, and that their views were respected by staff. The registered manager and staff had received compliments as to the quality of the care provided, which included comments about the caring approach of staff.

People’s care packages were tailored to reflect people’s needs and preferences. People were aware of how to raise a concern. Concerns and complaints were managed in line with the provider’s policy and included the outcome and any lessons learnt.

The providers systems and processes monitored the quality of the service being provided. People’s views and that of family members and staff were sought. Staff were supported through ongoing monitoring, which included supervision and assessment of their competence to provide good quality care. Meetings were held to discuss the ongoing development and improvements required.

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 30 June 2021 and this is the first inspection.

Why we inspected

This was a planned inspection.

Follow up

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