TS Healthcare Limited

Updated 18 November 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 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. They made telephone calls to people and their relatives.

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

The inspection was announced. We gave the service 24 hours' notice of the inspection. This was because we needed to be sure that the provider or registered manager would be in the office to support the inspection.

Inspection activity started on 8 November 2023 and finished on 10 November 2023. We visited the location's office on 8 November 2023.

What we did before the inspection

We reviewed information we had received about the service since our last inspection, including notifications the provider had sent to us and information. We also gathered 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 of this information to plan our inspection.

During the inspection

We spoke with 1 person and 3 relatives. We spoke with 1 of the directors, the registered manager, the deputy manager and 2 care staff. We looked at the care records for 4 people. We checked the care people received matched the information in their records. We looked at records relating to the management of the service, including audits carried out within the service and staff recruitment checks.

Updated 18 November 2023

About the service

TS Healthcare Limited provides personal care to people living in their own homes. The service can support younger and older people, autistic people and people with a learning disability. here were 4 older people using the service at the time of our inspection.

At the time of the inspection, the location did not care or support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.

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

Improvements had been made since our last inspection.

People received safe care from enough safely recruited staff who had the skills and knowledge to support them. People’s care was assessed, and individual care plans and risk assessments were in place, to enable to offer support to people.

Procedures were in place to manage medicines, infection control, complaints and safeguarding concerns. When needed we saw these were followed.

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.

People and relatives were happy with the care they received and how the company was run. They felt staff were kind and caring and knew them well. People felt they were treated with dignity and respect and their privacy and independence encouraged.

Where needed people were supported with their health needs and at mealtimes. The service and staff worked with external agencies to ensure people receive the care they needed.

There were systems in place that monitored the service and the care people received. Where areas of improvement had been identified action had been taken. There was evidence lessons were learnt when needed. The rating from the last inspection was displayed and we were notified of events that occurred within the service.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The rating for this service was requires improvement. (Published 13 May 2021)The provider completed an action plan after the last inspection to show what they would do and by when to improve.

At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last inspection.

The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.