Background to this inspection
Updated
30 July 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 team consisted of one inspector and one Expert by Experience.
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 in place who recently had applied to become registered with the Care Quality Commission.
Notice of inspection
This inspection was announced.
We gave the service short notice of the inspection. This was because it is a small service and we needed to be sure that the manager would be in the office to support the inspection. Inspection activity started on 20 June 2021 and ended on 28 June 2021. We visited the office location on 24 June 2021.
What we did before the inspection
We reviewed information we had received about the service.
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 one person and six relatives of people who use the service and about their experience of the care provided. We spoke with seven members of staff including the manager, team leader and care workers.
We reviewed a range of records. This included four people’s care records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to then management of the service, including policies and procedures and staff training records were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data, providers policies and procedures and quality assurance records.
Updated
30 July 2021
About the service
Total Healthcare Solution PVT LTD is a is a domiciliary care service which provides support with personal care, domestic tasks and companionship to people living in their own homes. 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. At the time of the inspection seven people were using the service.
People’s experience of using this service and what we found
People told us they felt safe whilst using the service. Systems were in place to help protect people from the risk of abuse. Risk assessments were in place which included information about how to mitigate risks people faced. There were enough staff working at the service to support people in a safe way, and pre-employment checks were carried out on staff to check their suitability.
Staff received appropriate training and applied learning effectively in line with best practice. This led to good outcomes for people and supported a good quality of life. People's rights to make their own decisions were respected. People were supported to access healthcare services when this was required. People’s care plans were detailed and contained information with regards to preferences for support.
People received caring and compassionate support from the staff. People and their relatives were complimentary about staff and the positive relationships they had with them.
People were able to express their views and be involved in making decisions about their care. People knew how to complain.
The service had recently experienced change in relation to the management team. The new manager was working hard to ensure the service continued to operate without any disruption to people. We received positive feedback from people and relatives about how the service was being managed.
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 30 October 2019 and this is the first inspection. We carried out this inspection at the providers address. This was because the provider had recently moved their office in to the new location, however, since the inspection appropriate CQC applications to change the address of the location are being submitted.
Why we inspected
This was a planned inspection.
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.