Background to this inspection
Updated
21 January 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 Care Act 2014.
Inspection team
This inspection was carried out by one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
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. 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.
What we did before the inspection
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with two people who used the service and two relatives about their experience of the care provided. We spoke with two members of staff, the registered manager, and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
We reviewed a range of records. This included two people’s care records and medication records. We looked at four staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
Updated
21 January 2022
About the service
Triple Diamond Healthcare Limited is a domiciliary care agency, providing personal care to people in their own homes. At the time of inspection, 8 people were using the service, 5 of which were receiving personal care.
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 felt safely cared for by the staff, and told us that staff arrived on time, and were consistent.
Recruitment procedures ensured that only appropriate staff were employed to provide care to vulnerable people.
When people were supported with the administration of medicines, this was done by trained staff who recorded the procedure accurately.
Risk assessments were in place and reflected people’s needs.
People told us that staff wore PPE (personal protective equipment) correctly. Staff were trained in this area and had regular supplies of PPE.
Staff understood safeguarding procedures, and knew how to report any concerns properly.
Staff felt well supported by the management, and said they got the support they required.
People and relatives told us they were kept well informed by the provider, and could contact them as required.
Audits took place regularly to identify and issues, and action was taken promptly to make improvements when needed.
People were able to feedback informally to staff and management, and felt listened to by the provider.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was requires improvement (published 6 November 2019).
The provider completed an action plan after the last inspection to show what they would do and by when to improve.
At this inspection found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This was a planned inspection based on the previous rating.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions safe and Well-led which contain those requirements.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Triple Diamond Healthcare Limited on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.