Background to this inspection
Updated
15 February 2024
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team
The inspection was completed by 1 inspector and an 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 also provides care and support to 1 person living in a ‘supported living’ setting, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
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Inspection activity started on 15 January 2024 and ended on 23 January 2024. We visited the office on 15 January 2024 and an Expert by Experience conducted calls to people and relatives on 18 January 2024.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with 3 people who used the service and 6 relatives about their experience of the care provided. We looked at records relating to the management of the service. We reviewed 3 people’s care and support files. We spoke with the registered manager, the nominated individual and a co-ordinator during our office visits and gathered written feedback from 9 support workers. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
Updated
15 February 2024
About the service
TrinityPlus Healthcare Services is a domiciliary care agency providing support for people in their own homes. The service also provides care and support to people living in a ‘supported living’ setting, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support. The service was supporting 12 people at the time of the inspection.
People’s experience of using this service and what we found
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
Right Support:
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. The provider had systems in place to investigate safeguarding concerns. Staff had completed safeguarding training. Individual and environmental risks were identified and mitigated.
Right Care:
Safe recruitment practices were in place and staff received an induction to be able to provide safe care. Staff had completed training designed to meet people’s needs. People were supported by a familiar and consistent team. Regular spots checks were conducted to ensure standards of care were maintained. Staff treated people with dignity and respect.
Right Culture:
The provider had made improvements throughout the service. Effective systems were in place to monitor the safety and quality of the service. The provider and registered manager were passionate about providing good quality care. The registered manager had developed good working relationships with health and social work teams. The service regularly sought feedback from people and relatives. Staff told us they were supported by the management team and enjoyed working at the service.
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 requires improvement (29 December 2022) and there was a breach 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.
Why we inspected
We received concerns in relation to people’s care and staff training. As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe, effective and well-led sections of this full report.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.