# Total Health Support and Training Services Limited

Total Health Support and Training Services Limited is a CQC-regulated home-care agency in Reading.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Not Rated |
| Safe | Not Rated |
| Effective | Not Rated |
| Caring | Not Rated |
| Responsive | Not Rated |
| Well-led | Not Rated |

## Practical info

- Postcode: RG2 0BS
- Registered manager: Omoniyi, Olajumoke
- Local authority: Reading
- Region: South East
- City: Reading
- Last CQC check: 20/Feb/2025 - 00:00

## Inspection findings

### effective

- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2023-07-13
- Finding
  - Staff working with other agencies to provide consistent, effective, timely care
  - Published: 2023-07-13
- Finding
  - Supporting people to eat and drink enough to maintain a balanced diet
  - Published: 2023-07-13
- Finding
  - Assessing people's needs and choices; delivering care in line with standards, guidance and the law
  - Published: 2023-07-13
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2023-07-13

### Other

- Finding
  - Evidence: Incidents were recorded with actions taken to prevent recurrences.
  - Published: 2023-07-13
- Finding
  - Evidence: Registered manager understood duty of candour responsibilities.
  - Published: 2023-07-13
- Finding
  - Evidence: People and relatives reported high satisfaction, with comments such as 'We are pleased, we are lucky to get these carers'.
  - Published: 2023-07-13
- Finding
  - Evidence: People's capacity to make decisions was assessed and MCA legal authorisations were in place where required.
  - Published: 2023-07-13
- Finding
  - Evidence: Staff worked collaboratively with healthcare professionals and social care agencies to promote positive outcomes.
  - Published: 2023-07-13
- Finding
  - Evidence: Staff protected people from infection risk with access to adequate PPE.
  - Published: 2023-07-13
- Finding
  - Evidence: Thorough recruitment process including DBS checks, references, identity verification and employment history checks.
  - Published: 2023-07-13
- Finding
  - Evidence: Sufficient numbers of staff to provide consistent care, with continuity of support from the same staff where possible.
  - Published: 2023-07-13
- **record_keeping** _(moderate)_
  - Evidence: In one person's MAR signatures had been added after medicines were administered on several days for several different medicines for November and December 2022.
  - Published: 2023-07-13
- **safeguarding** _(critical)_
  - Evidence: A third person had sustained severe skin damage as a result of staff not having sufficient guidance and training to mitigate the risk of skin damage.
  - Published: 2023-07-13
- **incident_learning** _(moderate)_
  - Evidence: The provider's audits to identify errors and omissions did not evidence staff analysed themes and trends or took sufficient action to prevent staff making repeated errors.
  - Published: 2023-07-13
- **governance** _(critical)_
  - Evidence: The registered manager had failed to accurately identify how many staff had completed refresher training... the percentage of staff who were not up to date was actually 70%.
  - Published: 2023-07-13
- **staff_training** _(critical)_
  - Evidence: 23 out of 85 staff members had not completed the provider's induction training... 38 out of 85 staff were not up to date with their pressure ulcer training.
  - Published: 2023-07-13
- **medication_management** _(critical)_
  - Evidence: signatures for medicines administered were missing on a number of occasions in January, February and March 2023
  - Published: 2023-07-13
- **medication_management** _(critical)_
  - Evidence: One person's care plan stated they required staff to support the administration of medicine. However, there was no medicine administration record in place.
  - Published: 2023-07-13

### safe

- Finding
  - Learning lessons when things go wrong
  - Published: 2023-07-13
- Finding
  - Preventing and controlling infection
  - Published: 2023-07-13
- Finding
  - Staffing and recruitment
  - Published: 2023-07-13
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2023-07-13
- Finding
  - Using medicines safely
  - Published: 2023-07-13
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2023-07-13

### well_led

- Finding
  - Working in partnership with others
  - Published: 2023-07-13
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2023-07-13
- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2023-07-13
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements
  - Published: 2023-07-13

## 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/1-2825874179

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