TC Care Global Ltd

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

The service was not always safe and has been rated requires improvement.

Medicines management needed to be improved. Risks to people were not always effectively recorded. Staff were safely recruited and received essential training although paperwork issues needed addressed. Systems were in place to deal with accidents and incidents.

This service scored 59 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

People had confidence in staff and the management team. Staff spoke positively of the new manager and their approach to improving systems. The management team were open and responsive to updates required in record keeping, medicines and governance.

People said staff understood how to support them. The management team carried out pre-assessments to establish the support people required, but this information was not always fully transferred to care planning records. The provider said the process was going to be reviewed. The management team worked with others to gather information about people, including hospitals and other providers.

People and their relatives did not raise any concerns about the care and support provided. People felt safe with the staff supporting them. Staff had received suitable training in protecting people from harm. The provider had safeguarding policies and procedures to support staff and people using the service.

People had no concerns with the way staff managed any risks. However, we found there were not always assessments in place about individual people’s specific risks. For example, catheter and stoma care, diabetes or high-risk medicines. The provider’s processes had not identified the issues in connection with risk we had found. The provider was going to address this immediately.

People said they had no issues with security and safety checks made. The provider had a range of risk assessments in place to monitor the environment and lone working of staff. Polices and procedures related to safe environments were in place.

People said the provider tried to ensure a consistent staff team supported them. People felt staff were well trained. People told us they had not had any missed visits. The management team said there were enough staff to cover all care visits. We found the system monitoring care visits needed to be reviewed as it was not showing a clear picture of calls taking place on time. The provider was going to review this. Spot checks on staff were going to be reviewed to make them more robust and timelier. Staff were generally recruited safely but review was needed to ensure records were fully completed, including for example, the reasons for gaps in employment. Staff received training and support. Supervision was a little behind what was expected by the provider but this was being addressed.

People and relatives said staff followed good hygiene practices during care visits. They described the personal protective equipment (PPE) staff used to keep them safe from the spread of infection. Staff had received training in infection control and polices were in place to support this. Spot checks took place in people’s homes, and this was being enhanced as part of the provider’s updates with governance procedures.

People were positive about their experiences of support provided by staff regarding medicines administration. People told us staff checked medicine stocks to ensure there were no errors. However, we found issues with care plans not being followed and staff recording they had left medicines with people even though they needed fully administered in the presence of staff. There was no impact on people identified. The medicines competencies of staff were not robust to ensure staff followed good practice and medicines quality assurance checks had not found the issues we had. The provider started to address these issues immediately.