We carried out a review of the data available to us about Your Quality Care Services Limited on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Your Quality Care Services Limited, you can give feedback on this service.
Your Quality Care Services Limited is a domiciliary care agency which provides assistance with personal care to people living in their own homes. At the time of the inspection they were providing support to 16 people.
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 using this service and what we found
People said they felt safe with staff and were overwhelmingly positive about all aspects of their care. Risks to people were appropriately recorded and monitored and procedures were in place to keep people safe. People received their prescribed medicines safely and were supported by caring, competent members of staff. Staff were trained in a unique training room that was set up to present as a standard living room, which helped their understanding of their clients’ needs and care. People were protected from the risks associated with the spread of infection.
Care plans and risk assessments were person centred, detailed and kept up to date with regular reviews. Information about people was written in a respectful and personalised way. People and their relatives were heavily involved in the planning and delivery of their care. Staff arrived on time and stayed for the allocated time that was agreed in the contract.
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 practise. People’s health care and nutritional needs were monitored and understood by staff.
People were treated with respect and their right to privacy was understood and respected by staff.
There was a complaints procedure in place and people were confident any complaints would be addressed quickly. People’s communication needs were assessed and understood by staff. People were provided information in a format which met their needs. There were systems in place to ensure people’s preferences during their final days and following death were understood and respected.
People, relatives and staff were encouraged to share their feedback and the registered manager was open to suggestions and approachable. Staff spoke positively about the leadership of the service.The registered manager was keen to improve and extend the service by using new technology and promoting good practice.
The service supported people and their relatives by offeringfree training for family and friends who felt they were struggling with the adjustment their loved ones requiring care.
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 26 January 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.
This was an announced inspection that took place on 6 January 2017. We told the provider two days before our visit that we were coming to make sure that someone would be available to support the inspection and give us access to the agency’s records.
The agency 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, registered managers are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run. The registered manager as well as the provider assisted us during our inspection.
People felt safe when staff provided their care. They told us they could rely on staff and the agency contacted them to let them know if staff were running late. The provider had identified those people most at risk if their care was interrupted and had developed plans to prioritise the delivery of their care in the event of an emergency.
Staff were aware of their responsibilities if they suspected abuse was taking place. Risk assessments had been carried out to identify any risks to people and an environment risk was undertaken to help ensure staff were kept safe. Where an incident or accident had occurred, there was a record of how the event had occurred and what action had been taken. The provider had processes in place to help ensure they only employed suitable staff to work for the agency.
Staff had access to the training and support they needed. Staff attended an induction when they joined the agency and shadowed colleagues until the provider was confident in their ability to provide people’s care safely and effectively.
Staff responded appropriately if people became unwell. We read that the agency liaised with health care professionals in order to provide the most relevant care to people. Those people who required support to take their medicines received this and medicines records were completed appropriately by staff. People who received support with meal preparation were happy with this aspect of their care. We noted people’s food preferences were recorded in people’s care plans.
People told us they received their care from regular staff who knew their needs well. They said they were supported by kind and caring staff. People told us staff were polite, friendly and treated them with respect. Staff understood the requirements of the Mental Capacity Act (2005) and told us they would always ask for people’s consent before carrying out care.
People received a service that was responsive to their individual needs. The registered manager reviewed care plans on a continual basis to help ensure they reflected people’s needs and preferences. The results of a recent survey showed that people and their relatives felt involved in their care plan.
People and relatives felt the agency was well managed and staff told us they felt supported by management. People told us they could always contact the office if they needed to and said they liked the registered manager. They also told us they knew if they ever needed to complain this would be acted upon. People were asked for their views about their care and their opinions were listened and responded to.
There were systems in place to monitor the quality of the service and the care provided by staff. The registered manager regularly reviewed medicines records as well as they daily notes written by staff and the quality of care provided by staff was monitored through spot checks. Where issues or shortfalls were identified, these were raised with the staff team.
During our inspection we made one recommendation to the provider in relation to the registered manager and the time they had to undertake the requirements of their role.