Background to this inspection
Updated
17 February 2023
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 Health and Social Care Act 2008.
Inspection team
This inspection was carried out by 3 inspectors and 2 Experts 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.
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.
Inspection activity started on 6 January 2023 and ended on 19 January 2023. We visited the office location on 6 and 9 January 2023.
What we did before the inspection
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. We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority.
During the inspection
We spoke with 7 people who used the service, 16 relatives and 2 care staff. We also spoke with the registered manager, quality assurance manager, clinical lead and the deputy manager.
We looked at 9 care records and a random selection of medicines administration records. We also looked at staff recruitment files and systems in place to assess and monitor the quality of the service delivery. We used all this information to plan our inspection.
Updated
17 February 2023
About the service
Triband Care Services Ltd provides personal care within people’s own houses and flats. At the time of our inspection 119 people were using the service. 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
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.
The service was able to demonstrate how they were meeting underpinning principles of “Right Support, Right Care, Right Culture.
Right support: Staff supported people to have the maximum possible choice, control and independence be independent and they had control over their own lives.
Staff focused on people’s strengths and promoted what they could do, so people had a fulfilling and meaningful everyday life.
Right care: There was a lack of emphasis focused on promoting equality and diversity to ensure people’s needs were met the way they like.
People received kind, compassionate care and staff were aware of their responsibility of safeguarding them from the risk of potential abuse.
Right culture: Staff knew and understood people well and were responsive and supported them to live a fulfilled lifestyle.
The provider's governance was ineffective to identify the shortfalls found during this inspection. People were unaware who the registered manager was but received the necessary support from other managers.
Staff did not have access to relevant information about how to safely manage people's prescribed medicines.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Staff were aware of people's assessed needs and received regular supervision to support them in their role. The provider's recruitment procedure ensured staff were suitable to work within people's homes.
Systems and practices ensured people were protected from contracting avoidable infections. Staff received training with regards to people's specific health conditions and also received training relating to infection prevention and control.
Staff were aware of the Mental Capacity Act 2005 and provided a service where people were encouraged to make their own decisions.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Why we inspected
We received concerns in relation to the management of the service. As a result, we undertook a focused inspection to review the key questions of safe 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 have found evidence that the provider needs to make improvements with regards to the management of medicines and to ensure their governance is more effective to guarantee people’s assessed needs are met safely.
For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk