# TPS Healthcare

*Operated by Team Personnel Solutions Limited.*

TPS Healthcare is a CQC-regulated home-care agency in Leeds.

## CQC Ratings

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

Rating published: 02/06/2020

## Practical info

- Postcode: LS11 9RT
- Registered manager: Madanhi, Phiona
- Local authority: Leeds
- Region: Yorkshire & Humberside
- City: Leeds
- Last CQC check: 02/Jun/2020 - 00:00

## Inspection findings

### caring

- Finding
  - Dignity, respect and person-centred relationships
  - Published: 2021-01-23

### effective

- Finding
  - Mental Capacity Act understanding and consent
  - Published: 2021-01-23
- Finding
  - Staffing – training, supervision and appraisal (Regulation 18)
  - Published: 2021-01-23

### Other

- Finding
  - Evidence: The service demonstrated flexibility, sending additional carers when people were unwell and staying beyond scheduled visit times.
  - Published: 2021-01-23
- Finding
  - Evidence: Staff had developed therapeutic relationships with people, including consideration of cultural and religious needs.
  - Published: 2021-01-23
- Finding
  - Evidence: Care plans were written in a person-centred way, incorporating people's backgrounds, likes, dislikes, and religious and spiritual beliefs.
  - Published: 2021-01-23
- Finding
  - Evidence: Care was provided by consistent staff who were punctual, and families were notified of late arrivals.
  - Published: 2021-01-23
- Finding
  - Evidence: Staff were described as caring and treated people with dignity and respect by all relatives spoken with.
  - Published: 2021-01-23
- **staff_competency** _(critical)_
  - Evidence: The service did not carry out the appropriate recruitment checks to ensure fit and proper persons were employed.
  - Published: 2021-01-23
- **complaints_handling** _(moderate)_
  - Evidence: We saw complaints were not fully investigated and records in relation to staff conduct were not updated.
  - Published: 2021-01-23
- **consent_capacity** _(moderate)_
  - Evidence: Staff we spoke with also displayed a lack of understanding of mental capacity...they had not received training in this area.
  - Published: 2021-01-23
- **care_planning** _(moderate)_
  - Evidence: There was no record of care plans or risk assessments being reviewed on a regular basis.
  - Published: 2021-01-23
- **record_keeping** _(moderate)_
  - Evidence: We looked in the staff member's file, there was no record of this disciplinary hearing...no record of the statement, the meeting or any record relating to this incident.
  - Published: 2021-01-23
- **governance** _(critical)_
  - Evidence: There were no audits in place of care files or other systems of safety...the provider did not gather information about the quality of their service from a variety of sources.
  - Published: 2021-01-23
- **supervision_appraisal** _(critical)_
  - Evidence: There were no annual appraisals in place. The registered manager agreed that supervisions had not been happening as they had been busy providing care.
  - Published: 2021-01-23
- **staff_training** _(critical)_
  - Evidence: There were no other records relating to ongoing training...no records held of when this training took place and who had received it.
  - Published: 2021-01-23
- **medication_management** _(critical)_
  - Evidence: There were no medicine administration records [MAR] forms...it was not possible to confirm if people had been given their medicines.
  - Published: 2021-01-23
- **safeguarding** _(critical)_
  - Evidence: Both staff members could not provide answers about recognising abuse...staff were not clear on recognising and responding to possible abuse.
  - Published: 2021-01-23

### responsive

- Finding
  - Complaints handling
  - Published: 2021-01-23
- Finding
  - Person-centred care – review of care plans (Regulation 9)
  - Published: 2021-01-23
- Finding
  - End of life care and support
  - Published: 2020-06-20

### safe

- Finding
  - Fit and proper persons employed – recruitment checks (Regulation 19)
  - Published: 2021-01-23
- Finding
  - Safe care and treatment – medicines management (Regulation 12)
  - Published: 2021-01-23
- Finding
  - Safeguarding service users from abuse and improper treatment (Regulation 13)
  - Published: 2021-01-23

### well_led

- Finding
  - Policies and procedures currency and effectiveness
  - Published: 2021-01-23
- Finding
  - Good governance – quality assurance and auditing (Regulation 17)
  - Published: 2021-01-23
- Finding
  - Continuous learning and improving care; working in partnership with others
  - Published: 2020-06-20
- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2020-06-20
- Finding
  - How the provider understands and acts on duty of candour responsibility
  - Published: 2020-06-20
- Finding
  - Managers and staff being clear about their roles; planning and promoting person-centred, high-quality care
  - Published: 2020-06-20

## 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/1-154214570

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