Temp Exchange Ltd

Updated 26 September 2024

Date of Assessment: 15 October to 23 October 2024. The service is a domiciliary care agency. It provides personal care to people living in their own homes. They supported adults of all ages, including people with physical disabilities and those living with dementia. At the time of the inspection 70 people were receiving support with personal care. The service had made improvements since the last inspection and is no longer in breach of regulations. Monitoring and quality assurance systems had been improved to ensure it was more effective in identifying areas for improvement and improving people’s care. Care plans had been updated to include more detailed guidance for staff to help keep people safe and understand their needs. The service had a good learning culture and people and staff could raise concerns. There were enough staff with the right skills, qualifications and experience. Managers made sure staff received training and regular supervision to support them in their role. People were involved in assessments of their needs. Staff reviewed assessments taking account of people’s communication, personal and health needs. Staff worked with all agencies involved in people’s care for the best outcomes. They monitored people’s health to support healthy living and responded appropriately if their health conditions changed. People were treated with kindness and compassion and were always involved in decisions about their care. Staff treated people as individuals and supported their preferences. People knew how to give feedback and were confident the service took it seriously and acted on it. The service was easy to access and worked to eliminate discrimination. Leaders and staff had a shared vision and culture based on listening, learning and trust. Leaders were visible, knowledgeable and supportive, helping staff develop in their roles. Staff felt supported to give feedback and were treated equally.

Updated 26 September 2024

People and their relatives were positive about the quality of their care and the caring and compassionate attitudes of the staff team. People told us they were from very diverse ethnic, disability and faith backgrounds. They felt they received services that respected and catered for their specific identity and needs. People told us where staff did not use English as a first language, they were still able to have human empathy and an understanding and respect for different cultures and lifestyles. Comments included, “My carer totally respects me as you would like to be treated yourself. Once I was crying my eyes out and she was there for me. She is like family to me” and “The carers treat us both respectfully. They always include him in the conversation and don’t talk around him. They offer choices and are just really kind.” People told us they felt safe and received support from experienced staff who knew them well. One person told us how their risk of falls had reduced since receiving support and this was because of the care worker. A relative said, “It’s definitely safe. They monitor [family member] carefully and also give emotional support. They move them in bed and there have been no bedsores.” People told us their care led to positive outcomes in their health and wellbeing, where people had reduced hospital admissions and a better quality of life. For example, a relative told us about their family member who was on the point of being malnourished. “They now record everything so I can see what they’ve eaten. With their monitoring it has really improved and the doctor is really pleased.” Where people received reablement care for a short period after a hospital discharge, they told us the positive impact this had on them, which enabled them to stay in their own homes and supported their independence. A health and social care professional praised the provider for their approach to reablement care and how they worked hard to understand and meet people’s needs.