Truly Care Services

Updated 22 October 2019

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. This inspection was planned to check whether the provider was

meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team: One inspector carried out this inspection.

Service and service type: The service is a 'domiciliary care agency' providing care to people in their own homes. At the time of inspection, the service supported five people.

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 because we wanted to make sure someone was available to speak with us.

We visited the registered office on 20 September 2019 and made phone calls to people receiving a service and their relatives on 25 September 2019.

What we did before the inspection: Information had been gathered before the inspection from notifications sent to us. Notifications are used to inform us about certain changes, events or incidents that occur. We received feedback from local authorities that contracted services and reviewed other information from people who made their views known to us.

The provider sent us a provider information return. Providers are required to send us key information about their service, what they do well and improvements they plan to make. This information helps support our

inspections.

During the inspection: We spoke with the registered manager and two staff. We looked at care files belonging to four people who used the service and recruitment files including training records for three staff. We viewed records and documentation relating to the running and monitoring of the service. We spoke with one person using the service and four relatives. Due to the nature of the service some people received care and support in the end of their life, we did not seek their views or their relatives. We did however review feedback sheets, review meetings, communication sheets, compliments and complaints to gain feedback from people.

After the inspection: We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We contacted health and social care professionals who worked with the service.

Updated 22 October 2019

About the service: This service provides care and support to people living in their own homes within the community. The service specialises in supporting people with their end of life care needs. At the time of the inspection there were five people using the service.

People's experience of using this service: Staff were motivated to provide person-centred care based on people's choices, preferences and likes.

People were well supported to do the things they wanted to in the way they wanted. Staff dedication was praised by relatives.

People were safe from harm because the provider had systems in place to manage safeguarding concerns and staff were appropriately trained in this area. Risks were managed safely. Sufficient numbers of staff were employed so that people's needs were met. People did not require support with their medicine but the service was able to offer this if needed. People were supported to keep their homes clean and staff followed good food hygiene practice.

Staff were trained, skilled and well supported by the management team to do their job. We saw people had good relationships with the staff who protected their rights to lead as normal a life as possible. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Care records captured and reflected people's current needs. Records of peoples and relatives feedback showed us staff were kind and caring. People's privacy and dignity were respected. Staff promoted people's independence in all aspects of their life. No complaints or concerns had been received in the last 12 months.

The service was positive, inclusive and forward-looking. There was a registered manager in charge of day to day operations, who was in regular contact with staff and people. Regular quality audits were completed by the newly recruited operational manager.

Rating at last inspection: This was the first inspection for this service.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.