Background to this inspection
Updated
14 April 2022
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 who visited the location’s office.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own house and flats.
The service had a registered manager in post who is 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 48 hours’ notice of the inspection. This was because we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 16 March 2022 and ended on 18 March 2022. We visited the location’s office on 16 and 18 of March 2022.
What we did before the inspection
We reviewed information we had received about the service and sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.
During the inspection
We spoke with the registered manager and two directors. The provider also shared the outcome of the last monitoring visit from the local authority. We also looked at the provider’s systems for managing complaints, records management, health and safety, compliments, and records relating to the recruitment of staff. We also looked at five peoples care records
After the inspection
We spoke with seven people who used the service, four relatives, and four staff. We also reviewed an additional three people’s care records and requested additional documentation from the provider, including evidence of audits completed on the service and staff training records.
Updated
14 April 2022
About the service
Triple Tee Ltd is a domiciliary care service which provides personal care to adults with a range of support needs in their own houses and flats. At the time of this inspection the service was supporting nine people with 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 and relatives spoken with during the inspection gave positive comments about the care and support they received. The provider was continually looking to ensure quality improvements to make a difference for people.
People received support and care from a regular staff team who they knew well. People confirmed they felt safe with the staff who supported them.
People told us staff encouraged them to be as independent as possible with support from staff. People’s individual care needs were assessed to ensure the right support was provided.
People were supported by enough staff to meet their needs safely. Staff received regular training and support to ensure people were kept safe. People were supported to take their medicine safely where they needed help in this area.
The provider had effective quality assurance systems in place aimed at improvements in the service and outcomes for people. The management team had a clear understanding of the importance of effective quality assurance.
The provider was open and transparent about the areas in which the service needed to improve, and an action plan was in place to address these. The registered manager told us, and we saw, that some systems required improvement, however these improvements were already underway.
The registered manager consulted with people and their relatives regularly to ensure the service provided was good. Where areas for improvement in the service were identified, action was taken.
Staff said they felt valued and their views were sought and listened to by management. There were enough staff with the right skills to meet the needs of the people using the service.
Staff recruitment ensured that only suitable staff worked with people. Staff completed an induction which included training and shadowing more experienced staff.
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 31 May 2016 and this is the first inspection because a service was not provided to people until September 2019.
Why we inspected
This was a planned inspection as the service had not previously been rated.
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.