TPS Healthcare

People's experience of using the service Quality assurance systems were not robust. There were no checks being carried out to monitor the service. The service was not always well led as records were not always completed. The nominated individual was open and honest. Surveys and meetings were held with people and their relatives to ask for their views and their suggestions were used to improve the service.

Staff had completed some training. However, staff had not received specific training to guide them on how to support people with their health care needs. For example, catheter care. Supervisions and appraisals had not been carried in line with the providers policy.

Medicines were not managed safely. Medication records were not accurate and did not provide clear guidance for administering medicines safely. Most risk assessments were carried out to mitigate potential risks. However, we found one risk assessment had not been completed for a person with identified risks. Incidents and accidents were managed effectively when reported. However, we found medication errors which had not been investigated.

Staff did not always understand their responsibilities in relation to the Mental Capacity Act 2005. People were supported to have maximum choice and control of their lives as staff asked people for their consent and supported them in the least restrictive way. We recommended the provider review their records in relation to best interest decisions and mental capacity assessments.

People said staff were kind and caring. People were well cared for by staff who treated them with respect and dignity. People and their relatives said they felt safe and knew the staff coming into their homes. There were enough staff to meet people's needs and recruitment processes were sufficient.

Care plans were created but not all of them contained person centred information. People and their relatives told us staff knew their needs and how to support them. Staff supported people in a way they wanted. Most staff had been trained in end of life care. However, end of life care plans had not been completed. A complaints system was in place and complaints were managed effectively.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk