# Town & Country Homecare Limited

*Operated by Town and Country Homecare Ltd.*

Town & Country Homecare Limited is a CQC-regulated home-care agency in Tenterden.

## CQC Ratings

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

Rating published: 15/08/2023

## Practical info

- Postcode: TN30 7LZ
- Registered manager: Harrison, Carole
- Local authority: Kent
- Region: South East
- City: Tenterden
- Last CQC check: 15/Aug/2023 - 00:00

## Inspection findings

### caring

- Finding
  - Supporting people to express their views and be involved in making decisions about their care
  - Published: 2023-08-15
- Finding
  - Ensuring people are well treated and supported; respecting equality and diversity
  - Published: 2023-08-15

### effective

- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2023-08-15
- Finding
  - Staff working with other agencies to provide consistent, effective, timely care
  - Published: 2023-08-15
- Finding
  - Supporting people to eat and drink enough to maintain a balanced diet
  - Published: 2023-08-15
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2023-08-15
- Finding
  - Assessing people's needs and choices; delivering care in line with standards, guidance and the law
  - Published: 2023-08-15

### Other

- Finding
  - Evidence: Duty of candour log introduced; open and honest culture evidenced by management responses to incidents.
  - Published: 2023-08-15
- Finding
  - Evidence: End of life care plans implemented and majority of staff trained in palliative care.
  - Published: 2023-08-15
- Finding
  - Evidence: Positive culture with approachable, responsive management team praised by people, relatives and staff alike.
  - Published: 2023-08-15
- Finding
  - Evidence: People received care from regular, consistent carers who knew them well, supporting continuity of care.
  - Published: 2023-08-15
- Finding
  - Evidence: Quality assurance system overhauled with regular audits across medicines, care notes, charts, accidents and incidents.
  - Published: 2023-08-15
- Finding
  - Evidence: Regular supervisions, appraisals and spot checks completed and up to date since last inspection.
  - Published: 2023-08-15
- Finding
  - Evidence: New online training system well-received by staff; specific training matched to individuals' complex needs such as motor neurone disease.
  - Published: 2023-08-15
- Finding
  - Evidence: Care plans reviewed, updated and made person-centred with real-time online system introduced; staff found them helpful and up to date.
  - Published: 2023-08-15
- Finding
  - Evidence: Medicines management improved with no gaps in MAR records, controlled drug recording implemented and topical cream signing addressed.
  - Published: 2023-08-15

### responsive

- Finding
  - End of life care and support
  - Published: 2023-08-15
- Finding
  - Improving care quality in response to complaints or concerns
  - Published: 2023-08-15
- Finding
  - Meeting people's communication needs
  - Published: 2023-08-15
- Finding
  - Planning personalised care to ensure people have choice and control and to meet their needs and preferences
  - Published: 2023-08-15

### safe

- Finding
  - Preventing and controlling infection
  - Published: 2023-08-15
- Finding
  - Staffing and recruitment
  - Published: 2023-08-15
- Finding
  - Learning lessons when things go wrong
  - Published: 2023-08-15
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2023-08-15
- Finding
  - Using medicines safely
  - Published: 2023-08-15
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2023-08-15

### well_led

- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2023-08-15
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2023-08-15
- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2023-08-15
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements
  - Published: 2023-08-15

## 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/1-112765382

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