Total Community Care’s (TCC) training is delivered by a clinical nurse with appropriate experience in the client’s diagnosis and health care needs. All support worker staff complete key competency training specifically related to meeting the client’s needs. This is underpinned by clinical supervision and observation of care delivery.
Specialist trainers are also employed by TCC. These experts work alongside the care team in the early weeks of the care package commencing to ensure best practice and hands on support for the staff. This supports the clinical nurse and enables the client and the team to have access to training at a time when needed and issues are likely to be encountered.
The dedicated clinical nurse’s role includes:
Practical training
Classroom/theory training
Achievement of required person-centred skills
To determine any necessary shadow shifts
Care planning
Identification of clinical issues
Risk assessment
Review and refresh sessions
Professional development
Coordination of training dates
Quality assurance
As a bespoke care provider we will recruit a team specifically for the care package. The client, family and where appropriate health care professionals or case managers are involved in the recruitment and selection of the care team. The appointed staff attend a paid four day ‘Induction’ programme. This includes mandatory sessions and a person centred day specifically on the client’s health, emotional and social care needs.
All care planning, risk assessment and associated documentation is undertaken by the appointed Clinical Nurse ensuring a person centred approach and an awareness and insight into the client’s needs. Management monitoring visits are undertaken and these provide an opportunity to review care provision, care records and any issues or incidents arising. All care records are audited along with incident management.
All support staff have a minimum of six supervisions and at a minimum an annual review of any development needs post completion of their competency training. TCC are experienced in managing complex care packages and recognise the importance of ensuring that the highest standards of care are maintained at all times.
Staff receive training on a wide range of competencies specific to each client’s needs which are identified in the care plan. Examples include: moving and handling; bowel management; bladder management; skin care and management; medication management; pain management; personal hygiene;  autonomic dysreflexia; respiratory care; temperature control;  enteral feeding; health and safety; first aid; record keeping; infection control and hygiene; safeguarding of vulnerable adults; standing and circulation; privacy and dignity; corporate induction; equality and diversity; fluids and nutrition; mobility and allergies. All clinical care is overseen and monitored by the TCC Clinical Director Chris Freestone RN. He line manages the Clinical team ensuring effective care delivery and clinical governance.
TCC’s Clinical Nurses and Trainers attend a monthly meeting held at TC’s head office. The forum is used to discuss and review clinical incidents, ensure professional development and promote clinical supervision and feedback.
A robust quality assurance framework is also in place that monitors clinical incidents such as medication errors, infections and clinical issues arising. All care plans and associated documentation are formally reviewed a minimum of 6 monthly. All staff undertake annual refresher training to ensure best practice and updates of evidence based care.
 “I have audited a significant number of Total Community Care’s past and current care packages within my role as a Care Expert and I am confident that they have robust and professionally led systems in place, with well trained and clinically managed support workers. As a result, clients and their families are happy with the services they receive.”
Care Expert