Yourlife (Leyland)

Updated 15 February 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection was carried out by an inspector and an Expert by Experience who made telephone calls to people. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

This service provides care and support to people living in specialist ‘extra care’ housing. Extra care housing is purpose-built or adapted single household accommodation in a shared site or building. The accommodation is bought or rented and is the occupant’s own home. People’s care and housing are provided under separate contractual agreements. CQC does not regulate the premises used for extra care housing; this inspection looked at people’s personal care and support service.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations. At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave the service 24 hours’ notice of the inspection. This was because we wanted to be sure there would be management staff available to speak with us.

Inspection activity started on 18 January 2023 and ended on 26 January 2023. We visited the location’s office on 18 January 2023 and made telephone calls to people using the service, their relatives and to staff.

What we did before the inspection

We reviewed information we had received about the service since registering with us. We sought feedback from the local authority. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 2 people who used the service and 2 relatives about their experience of the care provided. We spoke with 3 members of staff including the registered manager. We reviewed a range of records. This included 3 people’s care records and medication records. We looked at 9 staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were also reviewed

Updated 15 February 2023

About the service

Yourlife (Leyland) support people to live independently in their own homes and aims to enhance their quality of life by providing personal care services. The service offers individualised care packages on a domiciliary care basis, specifically tailored to a person's requirements. People using the service lived in ordinary flats in a purpose built assisted or tailored care living development. Not everyone using Yourlife (Leyland) receives regulated activity; CQC only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided. At the time of the inspection 5 people were receiving the regulated activity.

People’s experience of using this service and what we found

Most risks relating to people's needs had been identified. However, some records did not always provide a detailed plan for managing the risks. Systems were in place to record accidents and incidents. However, these had not been consistently monitored to identify any lessons learned, themes or trends. The registered manager immediately addressed these shortfalls during the inspection by completing all the required risk assessments and by auditing any accidents and incidents to ensure any trend or themes had been acted on.

We have made a recommendation that improvements are made to recording systems that are used for monitoring any risks, themes or trends to ensure they have have been recognised and any actions taken recorded.

There were enough numbers of staff on the rota to support the number of people using the service. We received positive feedback from people about the reliability of their visit times. Information required in the staff recruitment files was not always completed in full and some files needed to include more details to ensure the recruitment process was robust. The registered manager acted during the inspection to ensure the files were completed in full.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. Consent to care and treatment had been obtained and where people lacked capacity relevant others had been involved in supporting people's decision making.

Training records seen demonstrated appropriate and relevant training was provided. Referrals were made to other healthcare services when necessary. People told us they thought the care they received was very good and spoke positively about the staff who supported them.

People told us the staff treated them with respect and dignity and were kind and caring towards them. Care plans demonstrated a person-centred approach. Concerns and complaints were promptly responded to. End of life care where relevant was done co-working with the community nurses.

Quality monitoring and auditing systems were not all fully established. There was some regular oversight of the safety and quality of the service however, this was not always being formally recorded. There was no recorded analysis or reviews of people’s experiences completed in a format to see where improvements to the service could be made.

We have made a recommendation the provider develops and establishes the systems and processes to oversee the quality and safety of the service.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 17 August 2021 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Recommendations

We have made recommendations about recording systems being consistently monitored to ensure any risks, themes or trends have been recognised and any actions taken recorded. And the provider develops and establishes the systems and processes to oversee the quality and safety of the service.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.