# Together In Care

*Operated by Together In Care Forensic Ltd.*

Together In Care is a CQC-regulated home-care agency in Batley.

## CQC Ratings

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

Rating published: 16/11/2022

## Practical info

- Postcode: WF17 9JX
- Registered manager: Tigere, Hondo
- Local authority: Kirklees
- Region: Yorkshire & Humberside
- City: Batley
- Last CQC check: 16/Nov/2022 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: Staff worked with healthcare partners to meet people's needs.
  - Published: 2023-04-12
- Finding
  - Evidence: Accident and incident records contained sufficient detail and were reviewed by the registered manager.
  - Published: 2023-04-12
- Finding
  - Evidence: Staff received regular supervisions, training opportunities, and an induction including shadowing experienced workers.
  - Published: 2023-04-12
- Finding
  - Evidence: People and relatives consistently said they received a monthly call from the provider to ensure they were happy with the service.
  - Published: 2023-04-12
- Finding
  - Evidence: Staff consistently wore PPE to care visits, managing infection control risks suitably.
  - Published: 2023-04-12
- Finding
  - Evidence: People received their medicines as prescribed and staff were trained and assessed as competent in medication management.
  - Published: 2023-04-12
- Finding
  - Evidence: Staff received safeguarding training and knew how to recognise and report abuse.
  - Published: 2023-04-12
- Finding
  - Evidence: Recruitment checks had been carried out before staff commenced their employment.
  - Published: 2023-04-12
- Finding
  - Evidence: People and relatives consistently expressed they felt safe when staff provided care.
  - Published: 2023-04-12
- **staff_competency** _(minor)_
  - Evidence: Feedback from some relatives showed staff were not always skilled in carrying out household tasks such as making porridge and managing boxed medication.
  - Published: 2023-04-12
- **communication_with_families** _(minor)_
  - Evidence: We identified two people were named in the provider's WhatsApp messaging group used by staff to communicate key messages.
  - Published: 2023-04-12
- **care_planning** _(minor)_
  - Evidence: One person's care plan showed they were living with dementia. We looked at their mental capacity assessment and saw this recorded the person as not having this condition.
  - Published: 2023-04-12
- **incident_learning** _(moderate)_
  - Evidence: Although we had been assured by the provider that staff were not working potentially unsafe hours, records and feedback showed staff working long hours with limited days off.
  - Published: 2023-04-12
- **record_keeping** _(moderate)_
  - Evidence: One person had a risk of falls, but this wasn't reflected in their risk assessment. The same person's continence care plan did not refer to their catheter.
  - Published: 2023-04-12
- **governance** _(moderate)_
  - Evidence: Quality assurance systems had not identified issues around the timeliness and duration of care visits which we found at this inspection.
  - Published: 2023-04-12
- **missed_or_late_visits** _(critical)_
  - Evidence: Rotas did not account for sufficient travel time to enable care visits to be punctual. Staff did not always stay for the full duration of their visit.
  - Published: 2023-04-12
- **staffing_levels** _(critical)_
  - Evidence: Staff were required to work particularly long hours with limited days off. This placed people at an increased risk of harm due to the impact of staff working long hours.
  - Published: 2023-04-12

### safe

- Finding
  - Learning lessons when things go wrong
  - Published: 2023-04-12
- Finding
  - Preventing and controlling infection
  - Published: 2023-04-12
- Finding
  - Using medicines safely
  - Published: 2023-04-12
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2023-04-12
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2023-04-12
- Finding
  - Staffing and recruitment
  - Published: 2023-04-12

### well_led

- Finding
  - Continuous learning and improving care; Working in partnership with others
  - Published: 2023-04-12
- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2023-04-12
- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2023-04-12
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2023-04-12
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements
  - Published: 2023-04-12
- Finding
  - Working in partnership with others
  - Published: 2021-12-30
- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2021-12-30

## 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/1-7149232358

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