# TerraBlu Homecare

*Operated by Terrablu Limited.*

TerraBlu Homecare is a CQC-regulated home-care agency in Tunbridge Wells.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Requires improvement |
| Safe | Requires improvement |
| Effective | Requires improvement |
| Caring | Good |
| Responsive | Good |
| Well-led | Requires improvement |

Rating published: 23/04/2022

## Practical info

- Postcode: TN1 2NB
- Registered manager: Mead, Julia
- Local authority: Kent
- Region: South East
- City: Tunbridge Wells
- Last CQC check: 23/Apr/2022 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: The service worked closely with healthcare professionals including community nurses and GPs.
  - Published: 2022-05-11
- Finding
  - Evidence: People and relatives received surveys and were engaged in feedback processes.
  - Published: 2022-05-11
- Finding
  - Evidence: Some risk assessments (e.g. for hoist transfers) were detailed and clear, evidencing good practice in parts.
  - Published: 2022-05-11
- Finding
  - Evidence: Staff described an open, supportive culture and found management approachable.
  - Published: 2022-05-11
- Finding
  - Evidence: Registered manager and deputy regularly carried out care visits to support staff and observe care delivery.
  - Published: 2022-05-11
- Finding
  - Evidence: Complaints were investigated thoroughly, with management meeting people and relatives and providing written outcomes.
  - Published: 2022-05-11
- Finding
  - Evidence: Infection prevention and control was well managed, with adequate PPE supply and relevant staff training.
  - Published: 2022-05-11
- Finding
  - Evidence: DBS criminal record checks and reference checks were completed for all staff.
  - Published: 2022-05-11
- Finding
  - Evidence: Staff understood how to recognise and report abuse and were confident in identifying safeguarding concerns.
  - Published: 2022-05-11
- Finding
  - Evidence: Most people and relatives gave positive feedback about care and support, describing staff as caring, well-trained and attentive to individual preferences.
  - Published: 2022-05-11
- **person_centred_care** _(moderate)_
  - Evidence: Care plans for people with a learning disability and or autism were not structured to support people to achieve their goals and aspirations.
  - Published: 2022-05-11
- **communication_with_families** _(minor)_
  - Evidence: 'TerraBlu have been very stretched lately so the times of calls are all over the place. They always turn up but don't always let me know.'
  - Published: 2022-05-11
- **record_keeping** _(moderate)_
  - Evidence: Medicines records from December 2021 had been returned to the office for checking but had not yet been checked.
  - Published: 2022-05-11
- **incident_learning** _(moderate)_
  - Evidence: One person had fallen and injured themselves in January 2022 and had been found by a staff member. This had not been appropriately recorded.
  - Published: 2022-05-11
- **governance** _(critical)_
  - Evidence: Audits had not picked up shortfalls in practices in relation to risk assessment, safeguarding, medicines management, staff recruitment, training, care planning, recording and notifications.
  - Published: 2022-05-11
- **staff_competency** _(critical)_
  - Evidence: 'A few times someone has come with no hoist (standing hoist) experience and I have had to talk them through this.'
  - Published: 2022-05-11
- **staff_training** _(critical)_
  - Evidence: Training records evidenced that staff did not complete the provider's mandatory training before they commenced their shadowing shifts, induction and work.
  - Published: 2022-05-11
- **care_planning** _(moderate)_
  - Evidence: Care plans and risk assessments were inconsistent and did not always detail the relevant information staff would need to meet people's assessed care and health needs.
  - Published: 2022-05-11
- **medication_management** _(critical)_
  - Evidence: MAR records did not list which medicines staff were giving. One person's MAR showed that staff had been giving a different amount of medicines to what was listed on the MAR.
  - Published: 2022-05-11

### safe

- Finding
  - Learning lessons when things go wrong
  - Published: 2022-05-11
- Finding
  - Preventing and controlling infection
  - Published: 2022-05-11
- Finding
  - Using medicines safely
  - Published: 2022-05-11
- Finding
  - Staffing and recruitment
  - Published: 2022-05-11
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2022-05-11
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2022-05-11

### well_led

- Finding
  - Working in partnership with others
  - Published: 2022-05-11
- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2022-05-11
- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2022-05-11
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2022-05-11
- Finding
  - Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirements
  - Published: 2022-05-11

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-112047455

HomeCare Compass is an independent guide and is not affiliated with the CQC.