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Inspection Summary


Overall summary & rating

Good

Updated 2 June 2017

This was an announced inspection which took place on 20 April 2017. Two days before our inspection we contacted the service and told them of our plans to carry out a comprehensive inspection. This was because the location provides a domiciliary care service and we needed to be sure that the registered manager would be at the office.

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. People live independently in their own homes. At the time of the inspection there were five people using the regulated services of personal care. This was the first inspection of this service.

The service has a registered manager who was present on the day of our inspection. 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.

All the people we spoke with were positive about the registered manager and the way they ran the service. We spoke with the registered manager throughout our inspection and found them to be confident, enthusiastic and passionate about providing a person centred service. Staff we spoke with shared this enthusiasm and commitment to providing good person centred care.

People who used the service told us they felt safe. Policies and procedures were in place to safeguard people from abuse and staff had received training in safeguarding adults. Staff were able to tell us how to identify and respond to allegations of abuse. They were also aware of the responsibility to ‘whistle blow’ on colleagues who they thought might be delivering poor care to people.

There was a safe system of recruitment in place which helped protect people who used the service from unsuitable staff. Staff received the induction, training, support and supervision they required to ensure they had the skills and knowledge needed to carry out their roles effectively.

People we spoke with told us the service was reliable. They told us they had never had a missed visit and they always received the support they needed at the time it had been arranged. Visits were planned well; staff had enough time to provide people with the support they required. There was a call system, which enabled people who used the service to call for assistance if it was needed to in-between visits.

There was a safe system in place for managing people’s medicines.

Individual and environmental risk assessments were person centred and gave staff guidance on how to minimise and manage identified risks. The service had policies to guide staff on health and safety and infection control.

Whilst Yourlife (Prestwich) is a domiciliary care service provided in peoples own apartments, the complex also has communal areas including a lounge and dining area. We found these to be very well presented, spacious, with modern furnishings and fittings and decorated to a very high standard.

Care records were detailed and person centred. They described people in positive ways and included information on how to promote peoples independence, including things the person liked to do for themselves. They contained information based on people’s needs and wishes and were sufficiently detailed to guide staff in how to provide the support people required. We saw that people who used the service had been involved in the reviews.

People in their own homes are not subject to Deprivation of Liberty Safeguards DoLS. However, staff were trained in the Mental Capacity Act MCA and DoLS to ensure they were aware of the principles. People who used the service told us they were consulted about the care provided and staff always sought their consent before providing support.

People supported by the s

Inspection areas

Safe

Good

Updated 2 June 2017

The service was safe.

People who used the service told us they felt safe. Staff were trained in safeguarding adults and were aware how to raise any concerns.

The recruitment of staff was safe and there were sufficient staff to provide people with the care and support they needed.

The care records showed that risks to people’s health and well-being had been identified. Plans were in place to guide staff on how to reduce or eliminate risk. Medicines were managed safely.

Effective

Good

Updated 2 June 2017

The service was effective.

People told us the service was reliable.

Staff received an induction when they commenced employment and training to allow them to do their jobs effectively and safely. Systems were in place to ensure staff received regular support and supervision.

People’s rights and choices were respected. The provider was meeting the requirements of the Mental Capacity Act 2005 (MCA). Staff gained people’s consent before care or support was provided.

Caring

Good

Updated 2 June 2017

The service was caring.

People who used the service said the staff were caring and friendly. They were very complimentary about the service they received and the attitude of the managers and staff.

The registered manager and staff all spoke in a caring and compassionate way about people who used the service. They had detailed knowledge of people and were able to tell us what was important to them, their likes and dislikes and the support they required.

The service placed great importance on promoting and maintaining people’s independence. People who used the service told us they were supported to remain as independent as possible by staff members.

Responsive

Good

Updated 2 June 2017

The service was responsive.

Care records were detailed and person centred. They contained information about people’s needs and wishes. They provided staff with the information they needed to support people appropriately.

The care provided was reviewed regularly. Records were updated to ensure the information contained within them was fully reflective of the person’s current support needs. People told us they were always involved ion reviewing their care.

There was a suitable complaints procedure for people to use to voice their concerns. People were confident any concerns they had would be dealt with quickly.

Well-led

Good

Updated 2 June 2017

The service was well-led.

The registered manager and staff were enthusiastic and committed to providing a person centred service.

Staff were positive about the registered manager. They enjoyed working for the service and felt very supported in their roles.

We found there was a robust system in place for assessing, monitoring and reviewing the quality of the service. Arrangements were in place to seek feedback from people who used the service.