Background to this inspection
Updated
1 June 2023
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 1 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 houses and flats.
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 24 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 4 May 2023 and ended on 18 May 2023.
What we did before the inspection
We sought feedback from the local authority. 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 4 people and 8 relatives of people receiving care and support. We spoke with the registered manager and received e mail feedback from 10 members of staff. We reviewed a variety of records relating to the management of the service. This included 3 people's care plans and associated records and 3 staff files in relation to recruitment, supervision and training.
Updated
1 June 2023
About the service
TruArk Healthcare Limited is a domiciliary care service providing care and support to people living in their own homes. The service provides support to adults some of whom may be living with dementia, a physical disability or a sensory impairment. At the time of our inspection there were 30 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.
People’s experience of using this service and what we found
People told us they received care of a good standard from staff who were well trained and delivered care in a kind and compassionate manner.
People were protected from the risk of abuse by staff who knew what to look out for and how to report concerns.
Risks were assessed, and information provided to staff to mitigate these. Care plans held personal information on people and provided guidance for staff to be able to care for them well. People were supported to take their medicines on time and staff competency with this was assessed regularly.
People's needs were assessed before the service began to ensure they could be met by the service. Care plans were written and updated in partnership with people and their relatives. Risks were identified, assessed and appropriate mitigation put in place.
People and relatives told us the service was well-led and they spoke positively about their carer and the support they received if they needed to contact the office. The culture of the service was open and transparent, staff told us they felt supported and motivated by managers to provide the best care for people they supported.
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 9 February 2022, and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.