TLS Care Ltd

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

The inspection was carried out by 1 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.

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 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure the provider or registered manager would be in the office to support the inspection.

Inspection activity started on 12 May 2023 and ended on 15 May 2023. We visited the location’s office on 12 May 2023.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection

We spoke with 1 relative about their experience of the care provided. We spoke with the registered manager and 2 staff members. We reviewed a range of records. This included 1 person’s care records. We looked at 2 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 1 June 2023

TLS Care Ltd is a domiciliary care agency providing personal care to people in their own homes. At the time of our inspection there was 1 person 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

Recruitment process required minor improvements. We have made a recommendation about recruitment. Individual risks were assessed, and measures were put in place to keep people safe. The registered manager reviewed care plans and risk assessments to ensure they remained current. The care being provided was from a consistent staff team.

Staff had received relevant training in relation to their role. 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. The registered manager assessed people’s needs before they began to use the service. People had support to prepare their meals and drinks where they needed this.

A relative told us staff were kind, caring and respectful towards their family member. Staff encouraged and supported people to be as independent as possible.

Staff told us the information provided in the care plan gave clear guidance on how care should be delivered to people. People’s end of life wishes and preferences were not recorded. We have made a recommendation about this. Relatives knew how to raise issues or complaints.

Quality assurance processes were in place, however as the service was very small and had only just started taking on packages, most processes had not started, however, the company's quality assurance policy recorded how the registered manager would ensure systems were robust.

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 05 December 2018, 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.