Total Healthcare Limited received a Good rating across all five key questions at its first CQC inspection in April–May 2022, demonstrating safe, personalised care underpinned by detailed care planning, effective multi-disciplinary collaboration and strong leadership. No regulatory breaches or failure themes were identified.
Strengths
· People consistently reported feeling safe, well-treated and respected by staff who knew them well
· Detailed, personalised care plans incorporating life history, preferences, communication needs and risk assessments
· Strong multi-disciplinary working with health professionals including SALT, dieticians, occupational therapists and specialist nurses
· Safe medicines management including specialist administration via PEG feeding tube with competency checks
· Thorough end of life care planning covering comfort, pain relief, medical intervention wishes and family support
Quality-Statement breakdown (24)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies to provide consistent, effective, timely care; Supporting people to live healthier livesGood
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 careGood
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 preferencesGood
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: How the provider understands and acts on the duty of candourGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: Engaging and involving people using the service, the public and staff, fully considering their equality characteristicsGood
well-led: Continuous learning and improving careGood