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You First Support Services CIC Good

Reports


Inspection carried out on 30 October 2020

During an inspection looking at part of the service

About the service

You First Support Services CIC is a domiciliary care agency which provides personal care in people's own homes. You First Support Services CIC is a domiciliary care agency which provides personal care in people's own homes. We call this type of service a 'supported living' service. In a supported living service, people's accommodation is provided by separate housing providers or landlords, usually on a rental or lease arrangement. Occasionally, people own their own homes. This means people can choose an alternative support service provider if they wish.

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.

The service provided support to adults with learning disability, autistic spectrum disorder, sensory impairment and physical disability. Personal care was provided to people as they required it. The service also provided other forms of social care support that are not included within CQC's registration requirements for a supported living service. For example, in addition to personal care, staff helped people with their housekeeping, shopping, attending appointments and other independent living skills. At the time of the inspection the service provided personal care and support to three people living in their own homes.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

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

People were supported by staff who understood their needs and were committed to supporting them with dignity and respect. This was informed by staff’s knowledge about the individual people supported. Staff were confident new staff were afforded the opportunities to work safely and effectively. They told us there were strong support systems in place.

People were supported by staff who were committed to reducing the risk of infection including COVID-19. Some people could not accept the use of masks by staff in line with Department of Health and Social Care guidance to reduce the risk of transmission. We were reassured that plans were in place to reduce people’s anxieties about the use of masks.

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. (report published March 2020).

Why we inspected

This targeted inspection was prompted to seek assurances about the safety and care of people after concerns were raised about the safety of the staff induction and infection prevention and control measures.

CQC have introduced targeted inspections to follow up on specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.

We found no evidence during this inspection that people were at continued risk of harm from these concerns. CQC will review of the findings of this investigation separately.

Please see the Safe section of this report.

Follow up: We will return to visit as per our re-inspection programme. 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 w

Inspection carried out on 13 February 2020

During a routine inspection

You First Support Services CIC is a domiciliary care agency which provides personal care in people's own homes. This includes assistance or prompting with washing, toileting, dressing, medicines, eating and drinking. We call this type of service a 'supported living' service. In a supported living service, people's accommodation is provided by separate housing providers or landlords, usually on a rental or lease arrangement. Occasionally, people own their own homes. This means people can choose an alternative support service provider if they wish.

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.

The service provided support to adults with learning disability, autistic spectrum disorder, sensory impairment and physical disability. Personal care was provided to people as they required it. The service also provided other forms of social care support that are not included within CQC's registration requirements for a supported living service. For example, in addition to personal care, staff helped people with their housekeeping, shopping, attending appointments and other independent living skills. At the time of the inspection the service provided personal care and support to two people living in their own homes.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

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

People’s care and support was planned in partnership with them and with those close to them. Staff used individual ways of involving people so that they felt consulted, empowered, listened to and valued. People's communication needs were identified within their care plans.

People’s views were central to how the service was run. They were involved in every aspect of the service, including in the recruitment and training of staff.

The service was responsive to people’s individual needs and preferences, which enabled people to live as full a life as possible. People had been supported to overcome prejudice, mistrust, fear or great anxiety to live as equal members of their community.

The provider’s vision and values made sure people were at the heart of the service. The service worked in partnership with other organisations to make sure they were following current practice and providing a high-quality service.

The service was very well managed. The management team were open, honest, knowledgeable and outward looking. There were effective systems to monitor the quality and safety of the service. There was a strong commitment to drive continuous improvement.

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.

People were safe with staff who supported them. The provider had policies and procedures in place designed to protect people from the risk of suffering harm and abuse. Safety assessments were in place which identified possible risks to people living in their own homes. Healthy risk taking was supported and encouraged to enable people to lead the lifestyle they chose.

People's needs were thoroughly assessed before the service started to support them, to ensure their needs could be met. Each new service was planned very carefully. People's

Inspection carried out on 31 July 2017

During a routine inspection

This inspection was announced and took place on 31 July and 1 August 2017. The provider was given 48 hours’ notice because the location provides a domiciliary care service and we needed to be sure the registered manager would be available for the inspection. It also allowed us to arrange to see people during the day. This was the organisation’s first inspection since their registration in July 2014.

You First Support Services CIC provides personal care and support for people with a learning disability living in the community. The care and support is provided for people living in their own homes. At the time of the inspection they were providing support for 41 people, however only one person was receiving personal care. The level of personal care provided is minimal and much of the support the service provides is about living and socialising independently within society.

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 were protected from abuse because the provider had systems in place to ensure checks of new staffs characters and suitability to work with vulnerable adults were carried out. Staff had also received training in protecting vulnerable people from abuse.

People were supported by sufficient numbers of staff who had a clear knowledge and understanding of their personal needs, likes and dislikes. Staff had a very in-depth understanding of people’s needs and how they preferred to be supported both in their home and within the community. People’s staff teams were small and were picked with the person or a relative being involved meaning they could select the right type of person that would fit in with their likes, dislikes, hobbies and interests.

People were able to talk with senior staff in the office at any time as there was an open door policy and all staff in the office knew them well. People who received care and support from You First Support Services CIC indicated they were happy with the service provided. All the parents we spoke with said the registered manager and staff were open and approachable and cared about personal preferences and maintaining independence.

People’s care needs were recorded and reviewed regularly with senior staff and the person receiving the care. All support plans contained evidence to show they had been consulted about their care and they had agreed the content of their care plan. People were involved with deciding the information put into their support plans and one support plan had been edited by the person’s parent to be more reflective of their needs and aspirations. Support workers had comprehensive information and guidance in support plans to deliver consistent support the way people preferred. We found staff were motivated and committed to ensuring people received the agreed level of support.

Staff told us the training they received was good; one staff member said the training could be very specific to people’s needs if something was identified. The registered manager explained they had carried out a staff training survey to identify the type of training and development staff wanted. They said the plan was to provide, “An individual bespoke training and development plan that will be tracked via supervision.” One staff member explained that as a person’s needs had changed due to a parent not being present for a short length of time, the registered manager had ensured all staff supporting the person had received training for a specific need around maintaining their nutritional health.

We observed people were cared for and supported by staff members who were polite, compassionate and caring. They had a very relaxed and cheerful relationship wit