Archived: Your Lifestyle Nationwide Limited - Bristol Office

Updated 18 December 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

The inspection took place on 26 and 28 September 2018 and was announced. We gave notice of our inspection to ensure key people would be available at the service when we visited. The inspection team consisted of one inspector. This was the service’s first inspection since they had been registered with the CQC.

Prior to our visit we asked for a Provider Information Return (PIR). The PIR is information given to us by the provider. The PIR also provides us with key information about the service, what the service does well and improvements they plan to make. We reviewed the information included in the PIR along with other information we held about the service. This included notifications we had received from the service. Services use notifications to tell us about important events relating to the regulated activities they provide

We looked at the care records of two people, the recruitment and personnel records of three staff, staff schedules, training records and other records relating to the management of the service. We looked at a range of policies and procedures including, safeguarding, whistleblowing, mental capacity and complaints.

The registered manager asked people if they were willing to speak to us prior to our visit. During the inspection we met and spoke with one person about the service they received. We spoke with staff about the other person the service supported. We spoke with three support staff, training manager, registered manager, service manager and the area manager.

Five health and social care professionals were contacted in order to gain their views about the service. Two of them provided feedback about the service and this has been included in the main body of the report.

Updated 18 December 2018

This inspection took place on 26 and 28 September 2018. This was the service’s first inspection since they had registered with the CQC.

Your Lifestyle Nationwide Limited - Bristol Office provides personal care to people living in their own homes across a number of houses. At the time of our inspection there were two people receiving the regulated service of personal care. Six other people were supported by the service but were not receiving personal care.

The service was managed by a registered manager. 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 told us they felt safe when using this service. Staff were trained in how to protect people from abuse and harm. They knew how to recognise signs of abuse and how to report any concerns. Risks to people's wellbeing were assessed and action taken to reduce these. The service focused on keeping people safe whilst promoting their independence.

People were provided with safe care by adequate numbers of appropriately skilled staff being made available. Staff recruitment procedures were safe and the employment files contained all the relevant information to help ensure only appropriate people were employed to work at the service.

Medicine Administration Records (MAR) were signed to indicate people's prescribed medicine had been given.

Staff understood the importance of gaining consent from people and acted in accordance with the principles of the Mental Capacity Act 2005. Staff had a good understanding of people's needs and supported them effectively.

People could access a range of health and social care professionals in the community for advice, treatment and support.

People's achievements were celebrated and their views were sought and acted on. People were supported by staff who were compassionate and treated them with dignity and respect.

People had assessments of their needs and care was planned and delivered in a person-centred way. The service had creative ways of ensuring people led fulfilling lives and they were supported to make choices and have control of their lives.

People were actively encouraged to provide feedback. Any complaints were investigated and action taken to address concerns when needed. People and their relatives told us they had no complaints.

Staff were motivated and reflected pride in their work. They talked about people in a way which demonstrated they wanted to support them as much as possible and provide the best standards of care.

The service was well led and the management promoted a positive culture that was open and transparent. The registered manager demonstrated good visible leadership and understood their responsibilities. Quality assurance practices were robust and used to make improvements.