About the service:
Teasdale Healthcare Ltd is a domiciliary care service that was providing personal care to 133 people living in their own homes at the time of the inspection. People had a range of support needs such as people living with dementia, older and younger adults, people with a learning disability and a physical and/or sensory impairment.
People’s experience of using this service:
Systems needing improving to ensure all incidents were identified and that staff recruitment information was readily available. The registered manager and provider needed to ensure notifications to the CQC were submitted as required.
People felt safe and risks were mitigated. There were enough staff to ensure people received timely support. People received their medicines. Lessons were learned when things went wrong. People were protected from cross infection as appropriate measures were in place.
People had their needs assessed and had access to other healthcare professionals when needed. People were supported to have food and drinks appropriate for their needs. The principles of the Mental Capacity Act (2005) were being followed.
People were supported by kind and caring staff. People had a choice and were able to make decisions about their care whilst being supported to remain independent.
People received personalised care that met their needs. People could complain when they needed to and complaints were investigated and dealt with. When people were nearing the end of the lives they were supported appropriately however care plans would benefit from more detail about people’s wishes.
People, relatives and staff found the registered manager and provider approachable and supportive. The provider worked in partnership with organisations and sought feedback from people who used the service to make improvements.
Rating at last inspection:
At the last inspection carried out in March 2017 we found the service was rated as requires improvement overall and there was one breach of a regulation of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Why we inspected:
We planned the inspection based on the previous rating.
• We recommend staff improve their knowledge of the Mental Capacity Act (2005).
• We recommend people’s care plans reflect their end of life wishes, when necessary.
We will continue to monitor the service and check improvements have been made at our next inspection.