Care Dynamics Yorkshire Limited

Updated 12 January 2024

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 team consisted of by 1 inspector, a regulatory coordinator and 2 Experts by Experience. .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 is a domiciliary care agency. It provides personal care to people living in their own houses and flats. This service also provides care and support to people living in 2 ‘supported living’ settings, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

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

The inspection was announced. We gave the service 24 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.]

Inspection activity started on 30 November 2023 and ended on 20 December 2023. We visited the location's office on 30 November and a supported living service on 13 December 2023.

What we did before the inspection

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 completed observations of the care provided and staff interaction with people who lived at 1 supported living accommodation. We spoke with 7 people and 9 relatives and people important to people using the service about their experience of care. We spoke with 11 staff including the registered manager and nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We reviewed a range of records. This included 4 people's care records and their medication records, where appropriate. A variety of records relating to the governance of the service, including policies and procedures were reviewed. We looked at 6 staff files in relation to recruitment. We reviewed feedback from professionals involved with the service. We continued to seek clarification from the provider to validate evidence found following the inspection.

Updated 12 January 2024

About the service

Care Dynamics Yorkshire Limited is a domiciliary care agency. It provides personal care to people living in their own houses and flats.. It provides a service to older people and younger adults with various needs, including people living with learning disabilities and dementia. At the time of this inspection 28 people were using the service.

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided

People’s experience of the service and what we found:

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

Right Support

People and their relatives told us they felt safe and were supported safely. Risks were assessed and managed to ensure people could participate in day to day and social activities safely. 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 interest; the policies and systems in the service supported this practice.

Right Care

People were safeguarded from abuse and avoidable harm. There were sufficient numbers of staff and staff supported people in line with their individual preferences and agreed care plans. People were protected from the risk of infection as staff followed safe infection prevention and control practices. Medicines were managed in a safe way.

Right Culture

There was a very positive and open culture at the service and systems were in place to provide person-centred care. People and their relatives consistently told us how the provider had enabled them to have person-centred fulfilling outcomes in their daily lives.

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

Rating at last inspection

The last rating for this service was Good published 3 November 2023.

Why we inspected

This inspection was prompted by the time since our last inspection. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained good.

Follow Up

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