Source · CQC inspection

TOB Care services Ltd

Type Social Care Org Region South West Last inspected 9 Feb 2022

Overall rating: Inadequate  View full CQC report

Domain ratings

Five CQC key questions
Safe
Inadequate
Effective
Inadequate
Caring
Inadequate
Responsive
Inadequate
Well-led
Inadequate

Earlier inspection findings

pre-2024 framework · 6 must-do

Must-do actions (6)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 6
Must do
Effective
People's needs and choices were not delivered in line with standards, guidance and the law. People were not supported to access appropriate healthcare services. People did not receive person-centred care and support.
Regulation: Regulation 9 HSCA RA Regulations 2014 Person-centred care
⚠ People's needs and choices were not delivered in line with standards, guidance and the law. People were not supported to access appropriate healthcare services. People did not receive person-centred care and support.
Must-do action 2 of 6
Must do
Effective
People's capacity to make decisions about their care and support were not assessed on an on-going basis in line with the Mental Capacity Act (MCA) (2005).
Regulation: Regulation 11 HSCA RA Regulations 2014 Need for consent
⚠ People's capacity to make decisions about their care and support were not assessed on an on-going basis in line with the Mental Capacity Act (MCA) (2005).
Must-do action 3 of 6
Must do
Safe
People were at risk of unsafe care and support due to inadequate risk management processes. Medicines management was not robust. Infection control practices were not safe.
Regulation: Regulation 12 HSCA RA Regulations 2014 Safe care and treatment
⚠ People were at risk of unsafe care and support due to inadequate risk management processes. Medicines management was not robust. Infection control practices were not safe.
Must-do action 4 of 6
Must do
Well-led
The provider had not established and did not operate effective systems and processes to assess, monitor and improve the quality and safety of the service.
Regulation: Regulation 17 HSCA RA Regulations 2014 Good governance
⚠ The provider had not established and did not operate effective systems and processes to assess, monitor and improve the quality and safety of the service.
Must-do action 5 of 6
Must do
Safe
Recruitment practices were not safe.
Regulation: Regulation 19 HSCA RA Regulations 2014 Fit and proper persons employed
⚠ Recruitment practices were not safe.
Must-do action 6 of 6
Must do
Effective
Staffing arrangements did not match the support commissioned by the local authority. Staff did not receive relevant training and support to enable them to carry out their roles.
Regulation: Regulation 18 HSCA RA Regulations 2014 Staffing
⚠ Staffing arrangements did not match the support commissioned by the local authority. Staff did not receive relevant training and support to enable them to carry out their roles.

Location details

CQC ID: 1-11044513502
Local authority: Devon
Region: South West

Inspection report

Type: Comprehensive inspection
Date: 9 February 2022
Rating: Inadequate
Actions: 6 must-do
AI-extracted 17 Feb 2026