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Inspection carried out on 18 October 2019

During a routine inspection

About the service

Your Life (Newport) is a domiciliary care agency. It provides personal care to people living in their own homes. Your Life (Newport) operates an assisted living scheme in a modern and purpose built private development called Somers Brook Court. The property consists of flats privately owned and occupied by older people who also share some communal areas and facilities; such as dining rooms, lounges and gardens.

Not everyone using Your Life (Newport) 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 our inspection 15 people who lived at Somers Brook Court received personal care and support.

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

People told us they remained happy with the home care service they received from Your Life (Newport) and were positive about all aspects of the service. All the people we spoke with praised the staff and registered manager for their kind, respectful and supportive approach.

People were supported by staff who knew how to prevent and manage risks and keep them safe from avoidable harm. Recruitment practices were safe and there were sufficient numbers of consistent staff available to meet people’s needs. People received continuity of personal care and support from staff who arrived on time for their scheduled visits and were familiar with their needs and wishes. People received their medicines as they were prescribed. The service's arrangements for controlling infection remained effective.

Staff received effective training that gave them the skills to support people with their needs. People were supported to maintain a nutritionally well-balanced diet, where required and to access health and social care professionals if needed. The registered manager worked in close partnership with health and social care professionals and agencies to plan and deliver people's packages of care and support.

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 treated people with dignity and respect. People were treated equally and had their human rights and diversity respected. People were encouraged and supported to remain independent.

Care plans remained personalised, which ensured people received personal care that was tailored to meet their individual needs and wishes. People were encouraged to make decisions about the care and support they received and had their choices respected. People were confident that if they raised any issues, concerns or complaints these would be dealt with effectively by the registered manager.

The management team were open and transparent and understood their regulatory responsibilities. People and their relatives felt the management team were open, approachable and supportive. There were effective governance systems in place to identify concerns in the service and drive improvement. They were responsive to feedback from people, staff and professionals and acted to make improvements in 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

The last rating for this service was Good (published March 2017)

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re inspection programme. If we receive any concerning information we may inspect sooner.

Inspection carried out on 16 February 2017

During a routine inspection

The inspection was carried out on the 16 February 2017. Twenty four hours’ notice of the inspection was given to ensure that the people we needed to speak to were available. Your Life (Newport) is owned by Yourlife Management Services Limited. It provides personal care to older adults with varying levels of physical disability living within an assisted living development. At the time of our inspection nine people were receiving care from Your Life (Newport).

At the last inspection on 26 & 27 February 2015, the service was rated Good. At this inspection we found the service remained Good.

There was a registered manager in place at the development. 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 that they were confident that the care provided kept them safe. Staff and the registered manager had received safeguarding training and were able to demonstrate an understanding of the provider’s safeguarding policy and explain the action they would take if they identified any concerns.

Risks to people and the environmental had been assessed and appropriate risk assessments were in place to minimise risks. Staff were knowledgeable about people’s individual risks and the steps required to keep people safe.

There were sufficient numbers of staff on duty to support people with their assessed needs and provide care to people in a relaxed and unhurried manner.

There were safe and robust recruitment procedures in place. Staff were appropriately trained to meet the needs of the people using the service. Staff were supervised in their roles and received an annual appraisal to aid their personal development.

There were suitable systems in place to ensure the safe administration of medicines. Medicines were administered by staff who had received appropriate training and assessments. Healthcare professionals, such as chiropodists, opticians, GPs and dentists were involved in people’s care when necessary.

Staff sought people’s consent before providing care and understood the need to follow legislation designed to protect people’s rights.

People were treated in a caring and kind way and with dignity and respect. Staff understood the importance of respecting people’s choice and supporting people to remain independent. People’s communication needs were considered and care plans contained detailed information on how best to communicate with people.

Care plans were individualised and person centred. Plans were reviewed regularly to ensure planned care was current and up to date. People and when appropriate their families were involved in discussions about their care planning, which reflected their assessed needs.

People told us they felt the home was well-led and were positive about the registered manager who understood their role and responsibilities. Staff were aware of the provider’s vision and values, how they related to their work and spoke positively about the culture and management of the home.

There were systems in place to monitor quality and safety of the home provided. Accidents and incidents were monitored, analysed and remedial actions identified to reduce the risk of reoccurrence.

Inspection carried out on 26 and 27 February 2015

During a routine inspection

The inspection was carried out on the 26 and 27 February 2015. Thirty six hours notice of the inspection was given to ensure that the people we needed to speak to were available.

Your Life (Newport) is owned by YourLife Management Services Limited. It provides personal care to older adults with varying levels of physical disability living within an assisted living development. At the time of our inspection four people were receiving care from Your Life (Newport).

The service had 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.

There were enough staff to support people effectively and staff were knowledgeable about how to spot the signs of abuse and report it appropriately. People said they felt safe with care staff and were complimentary about the staff caring for them. The provider followed safe processes to check staff they employed were suitable to work with older people. Medicines were managed safely and people received their medicines when they needed them.

People said they were satisfied with the service. They told us care was provided to them with respect for their dignity. Staff, and the registered manager, knew how the Mental Capacity Act 2005 affected their work. They always asked for consent from people before providing care

People’s care plans were person-centred and their preferences were respected. Care plans were reviewed regularly and people felt involved in the way their care was planned and delivered. People were asked for feedback on the service they received and any concerns were addressed promptly.

Staff had completed training appropriate to their role and an on-going plan of training was in place.

People said staff were caring and that they promoted a friendly atmosphere with them. Staff spoke to people in a kind and patient manner and assisted people in an unhurried way. We observed staff supporting people with respect whilst assisting them to maintain their independence as much as possible.

Staff said they worked well as a team and that the registered manager provided support and guidance as they needed it. An open and transparent culture was promoted amongst the team and this allowed them to learn from incidents and accidents. Improvements had been made to the service following feedback from people and staff.