Background to this inspection
Updated
15 October 2021
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 Care Act 2014.
Inspection team
The inspection was completed by one inspector and an expert by experience in the care of older people, who made telephone calls to people to gain their views about the service. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave the service 24 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 site visit activity started on 14 September 2021 and ended on 24 September 2021. We visited the office location on 14 September 2021 to see the registered manager and to review care and staff records.
What we did before the inspection
Before the inspection, we reviewed information we had received about the service, including registration reports, focused inspection report and notifications. Notifications are information about specific important events the service is legally required to send to us.
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
We used all of this information to plan our inspection.
During the inspection
We spoke with seven people (or their relatives) about their experience of the care provided. We spoke with the nominated individual, registered manager and four care team members. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We received feedback from three external health or social care professionals.
We reviewed a range of records. This included three people’s care records and medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including, training, quality monitoring, policies and procedures were also reviewed.
Updated
15 October 2021
About the service
TD Homecare Services is a domiciliary care agency registered to provide personal care for people who require this due to old age, illness or disability. At the time of the inspection the agency was providing care for 16 people living in the west of the Isle of Wight.
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 benefitted from a management and staff team who were committed to ensuring they received a service which was caring. We received positive feedback from people or their family members about the service they were receiving. Everyone spoke very highly of the care staff and the registered manager. People felt they were cared for with kindness and compassion.
People told us they felt safe and secure when receiving care. People were supported to meet their nutritional and hydration needs, medicines were safely managed and staff contacted healthcare professionals when required. Staff followed all necessary infection prevention measures.
People told us they had been involved in care planning and care plans reflected people’s individual needs and choices. Staff were responsive to people’s needs, which were detailed in care plans. People’s risk assessments and risks relating to their home environment were detailed and helped reduce risks to people while maintaining their independence.
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. Staff understood consent and were clear that people had the right to make their own choices.
Safe recruitment practices were followed and appropriate checks were undertaken, which helped make sure only suitable staff were employed to care for people in their own homes. There were enough care staff to maintain the schedule of visits. Staff told us they felt supported, received regular supervision and training.
People had regular contact from the registered manager who undertook some care calls and completed all assessments and initial visits for new people. People and staff were confident the registered manager would listen to them and take any necessary action should the need arise.
A range of audits and quality monitoring processes were in place and the registered manager sought feedback from people through the use of a regular reviews and a yearly survey.
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 14/11/2019 and this is the first comprehensive inspection. A focused inspection was undertaken in September 2020 following which the key questions safe and well-led were both rated Good however an overall rating was not provided.
Why we inspected
This was a planned inspection based on the date the service was registered.
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.