TLS Care Ltd is a small, newly active domiciliary care agency rated Good across all five key questions at its first CQC inspection in May 2023. Minor recommendations were made regarding recruitment record-keeping and documentation of end-of-life wishes, but no regulatory breaches were identified.
Concerns (3)
minor
Record keeping
: “The registered manager had not kept any interview notes for 1 staff member and employment history did not go back to education.”
minorEnd-of-life care: “Care plans did not document people's wishes and preferences in relation to their end-of-life care.”
minorGovernance: “They had not been operating long enough to implement and embed their systems and processes fully.”
Strengths
· Consistent staffing with no missed visits; relative confirmed reliability and timely communication when running late.
· Staff demonstrated clear safeguarding knowledge and appropriate escalation pathways.
· Appropriate risk assessments in place covering mobility, skin care and environment.
· Staff well trained with competency assessments carried out during induction.
· People and relatives actively involved in care planning and call-time decisions.
Quality-Statement breakdown (22)
safe: Staffing and recruitmentGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies to provide consistent, effective, timely careGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Managers and staff being clear about their roles, understanding quality performance, risks, and regulatory requirementsGood
well-led: How the provider understands and acts on the duty of candourGood
well-led: Engaging and involving people using the service, the public and staffGood