Archived: Taylored Care Limited

Updated 24 May 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

The visit to the service’s office took place on 6 April and was announced. We gave the provider 48 hours’ notice because the location provides a domiciliary care service; we needed to be sure that someone would be in. The inspection was carried out by one inspector.

As part of the inspection we looked at all the information we held about the service, including notifications. A notification is information about events that registered persons are required, by law, to tell us about. We asked for feedback from healthcare professionals who had regular contact with the service.

During our visit to the office we spoke with the registered manager, the care manager and one member of staff. Following our visit, on 12 and 25 April 2017 we spoke over the telephone with one person who used the service, one person’s relative and one member of staff. We looked at two people’s care records, staff training records and other records relating to the management of the service. These included audits and meeting minutes.

Following our inspection we received feedback from two of the external health and social care professionals we had contacted.

Updated 24 May 2017

Taylored Care Limited is registered to provide personal care to people who live in their own homes. This announced comprehensive inspection took place in April 2017. On 6 April we visited the service’s office. On 12 and 25 April we spoke over the telephone with one person who used the service, a relative of another person who used the service and a member of staff. This was the service’s first inspection since re-registration following a change to the office address. There were 6 people receiving care at the time of the visit.

Taylored Care Limited had a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The registered manager provided good, firm leadership and was liked and admired by everyone we spoke with, including a healthcare professional. The person, the relative and the staff all knew that they were able to contact the registered manager or the care manager at any time. Their suggestions for improvements to the service were listened to and any concerns were addressed.

People felt safe because they were supported by staff who were well trained and very experienced. Staff demonstrated that they would recognise if people were at risk of harm and they knew how to report their concerns. Any potential risks to people were assessed and managed so that the risks were minimised.

There were enough staff employed to provide the required level of service to each person. Staff recruitment procedures were thorough and ensured that only staff who were suitable to work for this service were employed. People received their medicines safely and as they were prescribed.

Staff received a thorough, individualised induction and a wide range of training and support to ensure they were properly equipped to do their job. People were supported to maintain good health by the involvement of other healthcare professionals and people’s dietary needs were met.

Staff understood the principles of the Mental Capacity Act 2005 (MCA) and could describe how people were supported to make decisions. People’s rights were protected from unlawful restriction and unlawful decision making processes by staff who were aware of current information and regulations regarding people’s consent to care.

People received care and support from good, caring staff. People were fully involved in any decisions about their care and were encouraged to be as independent as possible. Continuity of care was provided to each person by a small team of care staff who knew the person well.

Care plans were personalised and gave staff detailed guidance about the care and support each person wanted and the way in which they preferred their care to be delivered by the staff. People were supported to lead an active social life if they wanted to. The provider’s complaints procedure was available in people’s homes.

Audits of all aspects of the service were carried out to ensure that the service provided was of a high quality. Any issues were addressed. Records were maintained as required.