Tru Care Limited was rated Good overall following a September 2022 inspection, with safe practices, person-centred care and strong staff culture highlighted as strengths. Well-led was rated Requires Improvement due to the absence of robust auditing systems and policies not being regularly reviewed against current guidance.
Concerns (2)
moderateGovernance: “The provider did not have embedded robust auditing systems within the service. These would identify issues in a timely fashion and enable matters to be addressed.”
minorRecord keeping: “Policies and procedures were not kept under regular review and were kept in paper format.”
Strengths
· Staff supported people to live independently, including access to paid employment and voluntary work.
· People and relatives felt safe and supported in a kind, caring and dignified way.
· Medicines were received, stored, administered and disposed of safely, with trained staff and competency checks.
· Strong infection prevention and control procedures were in place.
· Sufficient staffing levels were maintained to meet people's individual one-to-one hour requirements.
Tru Care Limited, a supported living service for four people with a learning disability in Suffolk, was rated Good across all five key questions at its November 2021 inspection. The service demonstrated a strong ethos of promoting independence, person-centred care, and consistent staffing, with no regulatory breaches or failure themes identified.
Strengths
· Low staff turnover providing consistency for people with a learning disability
· Ethos of encouraging independence and building life skills promoted at all staff levels
· Comprehensive individualised risk assessments that balanced safety with independence
· Robust quality assurance system including care record audits and checks on staff practice
· Provider went above and beyond, e.g. acting as guarantor on lease to support independent living
Quality-Statement breakdown (22)
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
Tru Care Limited received a Good rating across all five key questions following an unannounced inspection on 5 February 2015. The service demonstrated strong person-centred practice, effective safeguarding processes, well-supported staff, and a committed registered manager driving continuous improvement.
Strengths
· Staff were knowledgeable about safeguarding, whistleblowing, and reported concerns promptly to the local authority safeguarding team.
· Sufficient staffing levels with appropriate pre-employment checks including DBS, references, and right-to-work verification.
· Medicines were stored securely with clear protocols for administration, recording, and disposal.
· Care workers received induction, mandatory training, regular one-to-one supervision, and appraisals.
· Person-centred care plans included detailed life histories, communication needs, and individual risk assessments.
Tru Care Limited achieved a Good rating across all five key questions at its November 2017 inspection, maintaining the standard set at its previous 2015 inspection. The service demonstrated consistent, person-centred care with strong leadership, robust safeguarding practices, and no significant failings identified.
Strengths
· Consistent, low staff turnover with no use of agency staff, providing continuity and familiarity for people with routine-dependent needs
· Medicines safely managed with regular staff competency checks and proactive audit improvements being implemented
· Highly accessible and hands-on registered manager praised extensively by people, relatives, staff and external professionals
· Comprehensive, person-centred care records regularly reviewed with active involvement of people and their relatives
· No missed or late domiciliary visits reported; support workers arrived on time and stayed the agreed length of time