Trust We Care Limited

Updated 16 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 homes.

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 that the provider or registered manager would be in the office to support the inspection.

Inspection activity started on 30 May 2023 and ended on 5 June 2023. We visited the location’s office on 30 May 2023.

What we did before the 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 person’s relative about their experience of the care provided. We spoke with the registered manager, 2 support workers 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 1 person’s care records. We looked at 2 staff files in relation to recruitment. A variety of records relating to the management of the service, including quality monitoring, audits, action plans, minutes of meetings and the staff training matrix.

Updated 16 June 2023

About the service

Trust We Care Limited is a domiciliary care service providing the regulated activity personal care, which is help with tasks related to personal hygiene and eating, in people’s own homes. At the time of our inspection there was 1 person using the service.

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

The person was supported by a team of staff who had a good understanding of their needs and who had undergone a robust recruitment process. The person received the support they required with their medicines. Staff worked consistently within the providers policy and procedure for infection prevention and control.

The person’s needs had been assessed and were kept under review. Their health care needs were documented, and staff liaised with a family member regarding the person’s health and wellbeing. Staff had the required experience to meet the person’s needs.

The person was supported to have maximum choice and control of their life 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.

Family members said they were involved in decisions about their relative's care and their views were respected by staff.

Staff and the person’s family member spoke positively about the support and leadership of the registered manager. Staff told us they worked in a positive and supportive environment, which encouraged them to share ideas. Staff were supported through both individual and group meetings.

The provider’s systems and processes to monitor the quality of the service had improved. Regular audits were undertaken to assess the quality and safety of the service provided. Where shortfalls were identified, action plans had been put into place and monitored for progress. The nominated individual and registered manager were candid throughout the inspection process and had a clear plan of development and improvement.

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 last rating for this service was requires improvement (published 5 January 2023). At the last inspection we found improvements were needed to improve staff recruitment practices and governance systems to monitor quality and safety. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We undertook this focused inspection to check they now met legal requirements. This report only covers our findings in relation to the Key Questions safe, effective and well-led which contain those requirements.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. 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 Trust We Care Limited on our website at www.cqc.org.uk.

Follow up

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