T&S Healthcare Services Limited

People were supported to have a maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests. This support was based on input from family during the initial care needs assessment. Mental capacity assessments had been completed by the registered manager with family members, but best interest decisions documentation had not been put in place.

The registered manager acknowledged the missing best interest records and took immediate steps to obtain the relevant information and retrospectively notify both the CQC and local authority.

People felt safe with the care and support provided by the service. All staff had received safeguarding training and knew how to protect people from harm. Safeguarding policies and processes were in place.

Risks to people were reviewed regularly with people and their relatives. Professional health and social care support was called upon to mitigate any risks.

There were enough suitably qualified staff at the service to support people safely. New staff received an induction, which included shadowing more experienced members of staff prior to supporting people with personal care. Staff received observations of their practice and regular supervision. Staff had received training which was appropriate to their role.

The services infection prevention and control policies and procedures were adhered to ensuring both staff and people at the service were protected from cross contamination.

Medicines were managed safely. People received their medicines in accordance with the prescriber's instructions.

People's needs were assessed prior to using the service. People felt listened to, respected, and were

involved in decisions about their care and support. Care plans outlined individual preferences and wishes and how people wanted to be supported. People and relatives we spoke to felt staff were kind and caring.

The service worked with a wide range of key organisations who were also involved in people's care.

People, relatives, and staff spoke highly of the registered manager and their dedication to the role.

At the time of the inspection, the location did not care or support anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.

Right Support: Staff focused on people's strengths and promoted what they could do, so people had a fulfilling and meaningful everyday life.

Right Care: People's care and support plans reflected their range of needs and this promoted their wellbeing and enjoyment of life.

Right Culture: People and those important to them, including social care professionals, were involved in planning their care.