16 January 2020
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
The inspection team consisted of one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own apartments.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
We gave the service 24 hours’ notice of the inspection. This was because the service was only providing a regulated activity to eight people and we wanted to be sure there would be people at home to speak with us.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We also sought feedback from partner agencies including the local authority and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all this information to plan our inspection. Due to technical problems, the provider was not able to complete a Provider Information Return. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with four people who used the service and three relatives about their experience of the care provided. We spoke with seven members of staff including the registered manager, the area manager, senior care workers and care workers. We reviewed a range of records. This included three care records and multiple medication records. We looked at two staff files in relation to recruitment, training and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found.
16 January 2020
About the service
Yourlife (Prestwich) is a domiciliary care service that provides personal care to people in their own homes. The service is based in an assisted living complex which contains 48 apartments. 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. At the time of the inspection there were eight people receiving support.
People’s experience of using this service and what we found
Staff and managers showed genuine concern for people’s welfare. Everyone we spoke with told us the staff were kind and caring and they were treated with dignity and respect. One person said, “They are friendly and kind. I would recommend this to anyone. My [family] is very happy here”.
People reported feeling very safe. Staff were knowledgeable about safeguarding people and when to raise concerns. People received their medicines safely and recruitment practices were safe. Risks associated with people’s care were assessed and monitored, and any environmental risks were identified and reviewed regularly.
Assessments were person centred and care was responsive to people’s needs. There was an established staff team that was both motivated and well trained to carry out their roles effectively.
People were in control of how their care was delivered and had regular staff who knew them well. People’s communication needs were met and people were consulted about the running of the service in regular residents’ meetings.
The home was managed by a registered manager who was respected by staff and valued by the home owners. Staff reported a high level of job satisfaction. There was an open transparent culture that supported good practice.
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.
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 1 June 2017).
Why we inspected
This was a planned inspection based on the previous rating.
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.