TML Care Solutions Ltd

Updated 9 June 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This comprehensive inspection took place on 13 April 2018 and was announced.. The provider was given 48 hours’ notice of the inspection because the location provides a domiciliary care support service to people living as tenants in their own accommodation. We needed to be sure that the registered manager would be available to speak with us. The inspection was undertaken by one inspector.

Before our inspection, we reviewed the information we held about the service and information we had received about the service from people who had contacted us. We contacted the local authority that had funding responsibility for some of the people that used the service.

Before the inspection visit, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what it does well and improvements they plan to make. We took this information into account when we inspected.

We spoke with four people, and observed the interaction between people and the staff in the communal areas shared by the tenants living in the house. We also spoke with the registered manager, the assistant manager, and two support workers in the office used by staff.

We looked at four people's care records and four records in relation to staff training and recruitment. We also looked at other records related to training for support staff, and arrangements for managing complaints and the quality assurance of the service.

Updated 9 June 2018

This service provides care and support to people with mental health needs living in a 'supported living' setting as tenants, so that they can live in their own home as independently as possible.

People’s care and housing are provided under separate contractual agreements. The Care Quality Commission (CQC) does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

There were 10 people receiving support when we inspected. Dependent upon their mental health needs not everyone using TML Care Solutions always received support with the regulated activity; CQC only inspects the service being received by people provided with 'personal care'; such as help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns.

This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

The service met all relevant fundamental standards related to staff recruitment, training and the care people received. People’s care was regularly reviewed with them so they received the timely care they needed.

People were involved in decisions about their support. They 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.

Staff were friendly, kind and compassionate. They had insight into people’s mental healthcare needs, their capabilities and they respected people's preferences for the way they liked to receive their personal care support.

People were supported to maintain a balanced diet where they were supported with eating and drinking.

People were supported to access community healthcare services, including services that provided specialist mental healthcare support. People were supported to take their medicines by support workers that had received training in medicines management.

The provider and registered manager led staff by example and enabled the staff team to deliver individualised care that consistently achieved good outcomes for all people using the service.

There were arrangements in place for the service to make sure that action was taken and lessons learned when things went wrong so that the quality of care across the service was continually monitored and improved.