Updated 4 June 2019
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 one inspector and an expert by experience with their area of expertise in people receiving home care services. 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. It provides a service to older adults.
Not everyone using Trust Quality Care receives the regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.
The service did not have a manager registered with the Care Quality Commission and the provider was in the process of recruiting to the post. A registered manager 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 visit. Inspection site visit activity started on 16 May 2019 and ended on 17 May 2019. We visited the office location on 16 May 2019 to see the provider and office staff; and to review care records and policies and procedures.
What we did:
Prior to the inspection, we reviewed information we had received about the service since the last inspection. This included details about incidents the provider must notify us about, such as alleged abuse and serious injuries. We assessed the information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection, we spoke with eight people and six relatives to ask about their experience of the care provided. We spoke with six members of care staff, two care coordinator, two HR staff and the providers representative.
We reviewed a range of records. This included four people's care records and their medication records and three care staff recruitment files. Records were reviewed, in relation to training and supervision of staff, the management of the home and a variety of policies and procedures developed and implemented by the provider.