Date of assessment: 22 September 2025 to 8 October 2025. This responsive assessment was carried out to check if the service had made improvements since our last inspection. Trimarge Care Clean Ltd provides care and support to people living in their own home. Not everyone using Trimarge Care Clean Ltd received regulated activity; the CQC only inspects the service being received by people provided with ‘personal care; help with tasks related to personal hygiene and eating.’ Where they do, we also take into account any wider social care provided. This assessment included a site visit to the office location. This assessment was carried out by an assessor and a regulatory coordinator. We looked at 15 quality statements as part of this assessment. We gave the service 48 hours’ notice of the inspection. This was because we wanted to make sure someone would be available to support us with the inspection. The site visit was carried out on 24 September 2025. We spoke with the registered manager, compliance officer and the care manager at the time of our visit. We also gathered further information remotely from the service such as staff call logs and policies. We spoke with 2 relatives of people that used the service and 3 staff members after the site visit for feedback about the service.
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Trimarge Care and Clean Ltd, a small domiciliary care agency in Redbridge, was rated Requires Improvement overall at its first inspection in April 2023, with safe and well-led key questions falling short due to gaps in medicines care planning, an incomplete DBS check, and audit processes failing to identify these issues. Caring, effective, and responsive were all rated Good, with staff, people, and relatives consistently praising the compassionate, person-centred approach of the management team.
Concerns (5)
moderateMedication management: “people's daily notes specified that on occasions care workers had been supporting people with their medicines however, there was no information in people's care plans about supporting them with their medicines”
moderateStaff training: “We found one staff member had been recruited without a current DBS check, however the check was still in progress.”
moderateGovernance: “recruitment audits had not identified that staff had not always had all the necessary recruitment checks before they could work with people using the service.”
moderateGovernance: “medicines and care records audits had also not identified that people did not always have care plans or risk assessments in place when they were being supported with their medicines.”
moderateCare planning: “there was no information in people's care plans about supporting them with their medicines or what medicines they needed support with.”
Strengths
· Staff were kind and caring; people and relatives praised the caring and inclusive nature of the service.
· People's privacy, dignity and independence were respected and promoted.
· Staff completed training and were supported by the registered manager through regular one-to-one supervision and spot checks.
· People were involved in developing their care plans and their needs, choices and preferences were recorded.
· Adequate PPE was available and infection control training was completed by staff.
Quality-Statement breakdown (24)
safe: Using medicines safelyRequires improvement
safe: Staffing and recruitmentRequires improvement
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
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 live healthier lives, access healthcare services and supportGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
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: Supporting people to develop and maintain relationships to avoid social isolationGood
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportNot rated
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsRequires improvement
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: Engaging and involving people using the service, the public and staffGood