29 September 2021
During an inspection looking at part of the service
Tipton Home Care Limited is a domiciliary care service providing personal care to older people with a mixture of needs including dementia and physical disabilities. People are supported in their own homes, at the time of the inspection 92 People were receiving personal care.
People’s experience of using this service and what we found
At the last inspection we found the provider’s systems to monitor the quality and safety of the service were not consistently effective. At this inspection we found the required improvements had been made.
Governance systems were now in place that provided oversight of the service. Accidents, incidents and matters of a safeguarding nature, were responded to and acted on appropriately. Analysis of this information was taking place to identify any trends or lessons to be learnt.
At the last inspection we found improvement was required where people were supported with ‘as required’ medication. At this inspection we found this work had been completed and people’s medication care plans had been reviewed and updated. Medication management had improvement and an electronic monitoring system was in place to ensure people received their medication as prescribed.
Improvements had been made to the systems in place that allocated packages of care. An electronic system was in place which enabled office staff to monitor call times and on the whole, people received their calls at the agreed times. In response to unexpected staff absence, the provider and manager worked proactively to ensure people received their calls.
People’s care records had been reviewed and held the most up to date information regarding their care needs. Staff reported they were kept up to date with changes in people’s care needs in a timely manner.
People were complimentary of the staff who supported them and felt safe when supported in their own homes.
Following the last inspection, the manager had focussed on addressing risk and ensuring staff received the training and support they needed. Staff reported improvements in the governance of the service and felt supported and listened to.
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 inadequate (published 7 June 2021) and there were multiple breaches of regulation. 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.
This service has been in Special Measures since June 2021. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.
Why we inspected
We carried out an announced inspection of this service on 10 February 2021. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve in response to the following breaches; safe care and treatment, person centred care and good governance.
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 Inadequate to Requires Improvement. 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 Tipton Home Care 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.