# Total Community Care

*Operated by Total Community Care Limited.*

Total Community Care is a CQC-regulated home-care agency in Telford.

## CQC Ratings

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

Rating published: 23/09/2022

## Practical info

- Postcode: TF2 9TW
- Local authority: Telford and Wrekin
- Region: West Midlands
- City: Telford
- Last CQC check: 23/Sep/2022 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: Introduction of new electronic care planning system to improve person-centred monitoring of care delivery.
  - Published: 2024-01-12
- Finding
  - Evidence: Duty of candour upheld; manager open and transparent about issues and liaised openly with external agencies.
  - Published: 2024-01-12
- Finding
  - Evidence: Effective partnership working with external health and social care professionals to meet people's complex needs.
  - Published: 2024-01-12
- Finding
  - Evidence: Staff felt supported by approachable and responsive immediate managers at all levels of the management structure.
  - Published: 2024-01-12
- Finding
  - Evidence: Registered manager maintained quality assurance processes, audits, and action plans to drive continuous improvement.
  - Published: 2024-01-12
- Finding
  - Evidence: Safe recruitment practices followed, including DBS checks and shadow shifts before staff worked independently.
  - Published: 2024-01-12
- Finding
  - Evidence: People felt safe and in control of their care, often supported by consistent staff teams who knew them well.
  - Published: 2024-01-12
- Finding
  - Evidence: Risks were assessed and managed appropriately overall, with care plans and risk assessments developed with people's involvement.
  - Published: 2024-01-12
- Finding
  - Evidence: Staff knowledgeable about medicines administration and supported people in a person-centred way.
  - Published: 2024-01-12
- Finding
  - Evidence: Medication Administration Records (MARs) now in place and audited at handover between shifts, demonstrating improvement since previous inspection.
  - Published: 2024-01-12
- **person_centred_care** _(minor)_
  - Evidence: since the restructure of the service in April 2022 people told us that, although they were satisfied with the service provided, they found the new provider was 'less personable'.
  - Published: 2024-01-12
- **care_planning** _(minor)_
  - Evidence: One person's assessment did not reflect their specific identified risks. The registered manager was aware of the complexity of the situation and was reviewing risks.
  - Published: 2024-01-12
- **staffing_levels** _(moderate)_
  - Evidence: Staffing levels were currently a challenge to the provider. Further staff appointments were required to ease this situation.
  - Published: 2024-01-12
- **record_keeping** _(minor)_
  - Evidence: When people took control of managing their own medicines, records did not always reflect prescribing guidelines.
  - Published: 2024-01-12
- **medication_management** _(moderate)_
  - Evidence: we identified some discrepancies in the recording of some areas of medicines administered. There were also some inconsistencies in information documented in medicine care plans.
  - Published: 2024-01-12

## 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/1-1421956472

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