YOU & I CARE LTD

At the time of the inspection, the location did not care or support anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.

About the service

You & I Care Ltd is a domiciliary care service providing personal care and support to 16 people at the time of the inspection.

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

Right Support:

Staff were robustly recruited, had received training and applied their skills and understanding to provide safe care. Additional specialist training was provided to staff to enhance their knowledge and raise awareness of people’s individual medical conditions.

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. Staff understood the importance of providing respectful care which was person centred and tailored to individual’s needs.

Right Care:

People had risk assessments and care plans in place developed from a robust assessment of needs. The registered manager continuously monitored the quality of the care provision to help ensure people’s needs were safely met.

People and relatives praised the staff team and said they had never experienced any missed care calls.

Right Culture:

The quality assurance system was a robust and a continuous process. The management team worked closely with people and their relatives to help ensure their continuous satisfaction with the services delivered.

We received positive feedback from people, relatives and staff about the registered manager and the management team. People, relatives and staff all said they were confident they would be listened to and they felt respected.

Management and staff were passionate and enthusiastic in their roles. Comments we received from staff included, “I am proud to be part of the You & I Care Ltd team” and, “I would highly recommend You & I Care to anyone looking for a care company.”

The registered manager and their team quickly recognised when people’s needs changed and made timely referrals to external professionals to ensure appropriate care and support was in place.

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 02 August 2018).

Why we inspected

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

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for You & I Care Ltd on our website at www.cqc.org.uk.

Follow up

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

You & I Care Services is a domiciliary care agency. It provides personal care to adults of all ages living in their own homes. There were 11 people using the service at the time of this inspection.

This was the first inspection of the service. There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People received their care and support safely. Staff understood how to support people and knew how to protect them from the risk of harm. The service recruited people safely and employed sufficient staff to meet people’s needs. People received their medicines as prescribed and the records were of a good standard. Staff had access to personal protective equipment such as gloves and aprons and knew how to protect people from the risk of infection.

People’s care needs had been assessed and their care plans reviewed as their needs changed. Staff were well trained and supervised and they knew how to support people effectively. People were supported with their fluid intake and preparation of meals. If people needed access to healthcare, staff helped them to attend appointments. The service worked well in partnership with other professionals to ensure that people received the health care support they needed.

The service worked in line with other legislation such as the Mental Capacity Act 2005 (MCA) to ensure that people had as much choice and control over their lives as possible. The service had carried out appropriate assessments in line with legislation.

Staff were caring, kind and friendly. People were encouraged to maintain and improve their independence where possible. Staff gave them the time they needed and respected their dignity and privacy. People were involved in decision-making and advocacy services were available if people needed them. An advocate supports a person to have an independent voice and enables them to express their views when they are unable to do so for themselves.

People received personalised care that was responsive to their needs and care plans and daily notes were detailed and informative. There was a complaints procedure and people had confidence that any complaints would be dealt with quickly. Staff were trained to care for people at their end of their life if it was required.

Staff and people told us they thought the service was well led. They knew who the registered manager was, and had confidence in them. Staff were well supported and happy in their work. The quality assurance systems were effective and the registered manager learnt from audits and investigations and made the necessary improvements. Confidential information was stored safely in line with data protection regulations.

Further information is in the detailed findings below.