15 November 2022
During an inspection looking at part of the service
TLC Homecare Limited is a domiciliary care service which provides personal care to people in their own homes. The service provides support to adults with a range of care and support needs, including older people and people living with dementia. At the time of our inspection there were 168 people using the service.
Not everyone who used the service received the regulated activity of personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do receive personal care we also consider any wider social care provided. At the time of this inspection there were 131 people receiving personal care from the service.
People’s experience of using this service and what we found
People felt safe when receiving support from the service. Risks to people were assessed and managed well. Staff understood their responsibility to safeguard vulnerable people from abuse. People received safe and effective support with their medicines. There were suitable systems in place to control the spread of infections.
People were supported by staff they were familiar with and staff turned up to their care visits on time. People were complimentary about the service and the care they received. Staff were recruited safely to ensure they were suitable to work with vulnerable people. The provider used a variety of approaches to proactively recruit new staff, to ensure the service had enough staff available to meet people’s needs.
The provider promoted a person-centred, caring culture. They monitored the service to help ensure it provided safe, high-quality care. People, their relatives and staff had opportunities to provide feedback about the service. Staff were well-supported in their roles and they enjoyed their jobs. The provider had close links with other social care professionals and community health services so they could work in partnership with these organisations.
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 17 April 2019) and we identified a breach of regulation at that inspection. We subsequently completed a targeted inspection in November 2020. We found the service had improved and the provider was no longer in breach of any regulations, however, we did not re-rate the service at that time.
At this inspection we found the improvements made to the service had been sustained. The rating for this service has therefore improved to good.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
This report only covers our findings in relation to the key questions, ‘is the service safe?’ and ‘is the service well-led?’. For those key questions not inspected, we used the ratings awarded at the last comprehensive 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 TLC Homecare 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.