About the service Tamar care Services are a domiciliary care agency providing the regulated activity of personal care to people in their own homes. 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. At the time of our inspection there were 72 people receiving the regulated activity of personal care.
People’s experience of using this service and what we found
People received personalised care from caring staff who had the knowledge and skills to carry out their roles and responsibilities. People and their relatives described staff as friendly, polite, and respectful. People were treated with kindness and compassion.
Risks associated with people's care, support and environment had been identified and assessed. However, risk assessments lacked detailed information about how the risk was being managed and mitigated. We made a recommendation about this.
People's needs were assessed before the service began to ensure they could be met by the service. Care plans were written in partnership with people and their relatives. However, whilst some care plans were detailed and person centred, others contained minimal information. This was being addressed by the registered manager at the time of the inspection.
People and relatives told us the service was well-led and they spoke positively of the registered manager. The culture of the service was open and transparent, and staff told us they felt supported and motivated by managers to provide the best care for people they supported.
The provider and staff strove to continuously learn and improve care. This had led to the service winning a prestigious award of excellence in the provision of personal care in a home setting.
People and relatives felt safe with staff. Safeguarding procedures were followed, and staff knew the signs to look for if they suspected abuse and how to report concerns.
Safe recruitment practices ensured that people were supported by staff of suitable character. People told us there were enough staff available to support them and meet their care needs. Staff were punctual and stayed for the expected length of time.
People were supported to have the maximum possible choice, control and independence. 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 their relatives told us they were happy with how they were supported with their medicines. Systems were in place to ensure medicines were administered safely and as prescribed.
People received care from staff who had received infection control training. Staff were provided with adequate supplies of personal protective equipment (PPE) and we saw staff using these in line with guidance.
People were supported to maintain a healthy diet where this was part of their care plan. People received support to access health care services where required.
People and their relatives were asked for their views about the service they received and were aware of how to complain if they needed to.
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 15 October 2021 and this is the first inspection.
Why we inspected
This was a planned inspection to provide a rating for the service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.