TS Healthcare Limited

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.

TS Health Care Limited is a domiciliary care agency providing personal care to 12 people. The service supports, people living with dementia, people with learning disabilities or autistic spectrum disorder, mental health, older people, physical disability, sensory Impairment, younger adults and children.

People’s experience of using this service and what we found

The providers systems had not ensured the service people received was safe and effective. The governance systems had failed to identify where things were not working effectively and drive improvements.

People were not consistently supported to manage risks to their safety. Guidance about managing risks to people’s safety was not always followed by staff. Care plans lacked guidance for staff and in some cases was not in place to help staff manage risks to people’s safety.

People were not safely supported with medicines administration as the provider had not ensured their policy was followed by staff. People were not consistently supported at the times they chose for their care to be delivered. The provider had not followed their policy to ensure safe recruitment practices had been adopted.

People had their needs assessed and plans put in place, but these were not always accurately and fully completed. People were not consistently supported to manage risks to their health and guidance was not consistently in place to support people with their needs around food and drinks.

Peoples preferences were not consistently recorded in their care plans and followed by staff. Peoples feedback was not being used to drive improvements.

People were safeguarded from abuse as staff understood how to recognise this and what actions to take. People were supported by staff that understood how to minimise the risks of cross infection. The registered manager had a system in place to learn when things went wrong.

Staff had been trained and received support from the registered manager in 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.

People were supported by staff that understood how to protect their dignity and privacy. Complaints were investigated and responded to by the registered manager. There were systems in place to learn from other agencies and the provider demonstrated they worked in partnership with other health professionals.

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 10/10/2018 and this is the first inspection.

Why we inspected

The inspection was prompted in part due to concerns received about medicines, recruitment and staffing. A decision was made for us to inspect and examine those risks.

We have found evidence that the provider needs to make improvements. Please see the safe, effective, responsive and well led sections of this full report.

You can see what action we have asked the provider to take at the end of this full report.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified breaches in relation to the management of risks to peoples safety, recruitment procedures and the governance of the service at this inspection.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.