Triple Diamond Healthcare Limited

Triple Diamond Healthcare Limited is a domiciliary care agency, providing personal care to people in their own homes. At the time of inspection, 8 people were using the service, 5 of which were receiving personal care.

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

People felt safely cared for by the staff, and told us that staff arrived on time, and were consistent.

Recruitment procedures ensured that only appropriate staff were employed to provide care to vulnerable people.

When people were supported with the administration of medicines, this was done by trained staff who recorded the procedure accurately.

Risk assessments were in place and reflected people’s needs.

People told us that staff wore PPE (personal protective equipment) correctly. Staff were trained in this area and had regular supplies of PPE.

Staff understood safeguarding procedures, and knew how to report any concerns properly.

Staff felt well supported by the management, and said they got the support they required.

People and relatives told us they were kept well informed by the provider, and could contact them as required.

Audits took place regularly to identify and issues, and action was taken promptly to make improvements when needed.

People were able to feedback informally to staff and management, and felt listened to by the provider.

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

Rating at last inspection

The last rating for this service was requires improvement (published 6 November 2019).

The provider completed an action plan after the last inspection to show what they would do and by when to improve.

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

Why we inspected

This was a planned inspection based on the previous rating.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions safe and Well-led which contain those requirements.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. 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 Triple Diamond Healthcare Limited on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Triple Diamond healthcare Limited is a domiciliary care agency providing personal care to people living in their own homes. At the time of the inspection 10 people were receiving support with personal care.

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

There was a lack of effective quality assurance systems and processes in place to enable the provider to assess, monitor and improve the quality and safety of the service. The registered manager and nominated individual had not consistently followed safe recruitment procedures; they had not ensured that all necessary recruitment checks had been completed as part of the staff selection process.

Improvements were required to staff training and supervision. Staff had not received all the training they required, and suitable records were not kept of staff induction, training or supervision.

We have made a recommendation about staff training and supervision.

The process in place to ensure staff who administered medicines had sufficient knowledge and understanding required strengthening. Medicines procedures were not followed to ensure instructions for medicines were properly recorded.

Risk assessments did not address all of people’s individual risks and did not consider the risks posed by the environment to people and staff.

People and their relatives knew how to complain and felt confident any concerns would be addressed to their satisfaction. The service had received no complaints.

People were supported by staff that knew how to recognise abuse and report concerns. Staff understood the principles of infection control and had access to gloves and aprons.

Pre-assessments were completed with people and care records reflected people's cultural or religious needs and any protected characteristics.

People were supported to eat and drink enough and to access healthcare as needed. 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 received support from a small and consistent team of care staff who knew them well and their care was personalised. People and staff had developed caring relationships. People’s privacy and dignity was respected, and their independence promoted.

People’s feedback on their care was sought and they told us they would recommend the service. Staff felt valued by the management team and supported in their role.

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 14 September 2018, and this is the first inspection.

Why we inspected

This was a planned inspection.

Enforcement

We have identified breaches in relation to Regulation 17 (Good Governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and Regulation 19 of the HSCA 2008 (Regulated Activities) Regulations 2014, Fit and proper persons employed.

Please see the action we have told the provider to take at the end of this report.

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.