Total Health Support and Training Services Limited is a home care service that provides nursing and personal care to people in their own homes, currently there are 62 people receiving the service.
The service was rated as ‘requires improvement’ overall according to a report published on 27 March 2017 by the Care Quality Commission (CQC).
Despite the service being rated good for being caring and responsive to the needs of the people they supported the staff were not provided with appropriate training, competency assessment and performance appraisals necessary for them to carry out the duties required of them.
Specifically, steps had not always been taken to ensure staff handling medicines were competent to do so and despite systems being in place to enable the management to assess, monitor and improve the quality and safety of the service provided these were not always effective.
Safe recruitment practices were followed and although some gaps were found in employment histories, these were quickly rectified and a new checking procedure put in place.
People received care relevant to their specific needs and staff sought people’s consent before working with them and supported their independence.
People were protected from abuse and staff had a good understanding of action they should take if any concerns were raised or suspected. Staff were available in enough numbers to meet the needs and wishes of the people they supported.