Treasure Vince Limited is a domiciliary care agency providing personal care for people living in their own homes in the community. At the time of the assessment 4 people were using the service for the regulated activity of personal care. We gave the service notice of the inspection. This was because we wanted to make sure someone would be available to support us with the assessment. We looked at 12 quality statements in relation to safe and well led. For those areas we did not assess, we used the ratings awarded at the last inspection to calculate the overall rating.
PDF cached but not yet analysed by Claude; set ANTHROPIC_API_KEY and re-run npm run etl:reports -- --location 1-6671479070.
Treasure Vince, a small domiciliary care service, was rated Requires Improvement overall at its first inspection, with Inadequate for well-led due to breaches of Regulation 12 (safe care and treatment) and Regulation 17 (good governance), including shredded staff and care records, absent audit activity, and unsafe medicines management. Caring was rated Good, reflecting positive feedback from relatives about dignified, consistent and kind care.
Concerns (8)
criticalMedication management: “Medication was not being administered from the original pack dispensed by the pharmacy but from a Dossett box prepared by their relative.”
criticalGovernance: “Quality assurance and governance arrangements in place were not effective in identifying shortfalls in the service.”
criticalRecord keeping: “The registered manager told us they had shredded information relating to one member of staff employed in June 2022.”
moderateCare planning: “Not all people who used the service had a robust support plan in place describing their individual care and support needs.”
moderateStaff training: “No information was retained to demonstrate this member of staff had received appropriate training to enable them to carry out their role.”
moderateSupervision / appraisal: “No information was recorded to demonstrate this member of staff had been formally supervised.”
moderateIncident learning: “No information was recorded to demonstrate the registered manager had recognised where improvements were needed, and lessons learned to improve safety.”
moderateStaffing levels: “The registered manager was unable to provide evidence of completed recruitment checks to demonstrate compliance with regulatory requirements as these had been shredded.”
Strengths
· People were treated with care, kindness, dignity and respect; one relative stated '[Relative] gets on very well with them, they look forward to seeing them each day.'
· No safeguarding concerns had been raised since the service became operational in June 2022.
· The registered manager demonstrated awareness of infection prevention and control practices in line with government guidance.
· No missed or late calls were reported; the person's daily care needs were met each day.
· The registered manager had completed up-to-date mandatory and specialist training, including medication and MCA training.
Quality-Statement breakdown (18)
safe: Assessing risk, safety monitoring and management; Using medicines safelyRequires improvement
safe: Staffing and recruitmentRequires improvement
safe: Learning lessons when things go wrongRequires improvement
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Preventing and controlling infectionGood
effective: Staff support: induction, training, skills and experienceRequires improvement
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawRequires improvement
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
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 careRequires improvement
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 preferencesRequires improvement
responsive: Meeting people's communication needsRequires improvement
responsive: Improving care quality in response to complaints or concernsGood
well-led: Promoting a positive culture; continuous learning and improving care; managers and staff being clear about rolesInadequate
well-led: Engaging and involving people using the service, the public and staffInadequate