We carried out a review of the data available to us about Your Care Solutions Ltd 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 Care Solutions Ltd, you can give feedback on this service.
About the service
Your Care Solutions is a small domiciliary care company whose office is located on the outskirts of Bolton Town Centre. At the time of our inspection 26 people were using the service.
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 felt safe and systems were in place to help safeguard them from the risk of harm or abuse. Appropriate risk assessments were completed and updated as required. Staff were recruited safely and there were sufficient staff to meet people’s needs. People received their medicines in a safe and timely way.
The service had managed well during the pandemic and appropriate procedures were followed to help prevent and control the spread of infection.
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 felt they were well treated and the care staff were kind and respectful. The service encouraged people to be fully involved in all aspects of their care provision. People were treated as individuals and the service responded flexibly to people’s circumstances.
People who used the service, and staff, told us the management were helpful and supportive. Customer satisfaction surveys were sent out regularly and indicated a high level of satisfaction from people who used the service, their relatives and other professionals. The service worked well with health and social care partners and made appropriate referrals to help ensure people had all appropriate interventions.
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 4 August 2017).
Why we inspected
This was a planned pilot virtual inspection. The report was created as part of a pilot which looked at new and innovative ways of fulfilling CQC’s regulatory obligations and responding to risk in light of the Covid-19 pandemic. This was conducted with the consent of the provider. Unless the report says otherwise, we obtained the information in it without visiting the Provider.
The pilot inspection considered the key questions of safe and well-led and provide a rating for those key questions. Only parts of the effective, caring and responsive key questions were considered, and therefore the ratings for these key questions are those awarded at the last inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Your Care Solutions Ltd on our website at www.cqc.org.uk.
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.
Your Care Solutions is a small domiciliary care company whose office is located on the outskirts of Bolton Town Centre which provides space necessary for the running of the company and management of the regulated activity and its employees, including facilitating staff meetings, training and supervision. At the time of our inspection 16 people were using the service, but only 12 people were in receipt of a regulated activity which was personal care.
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 we spoke with told us staff were kind and caring and treated them with dignity and respect.
People told us there were always enough staff on duty to ensure they received the support they needed and care staff arrived on time and stayed the full length of the planned visits. They also said the carers wore a uniform and personal protective equipment (PPE) such as gloves at every visit. People felt safe from bullying with the carers and also told us there were enough carers to meet their care needs.
The service had appropriate systems and procedures in place which sought to protect people who used the service from abuse. Staff we spoke with demonstrated a good understanding of local safeguarding procedures and how to raise a concern. The service had a whistleblowing policy in place and this told staff what action to take if they had any concerns about any poor practice within the service.
Recruitment procedures were robust and required checks were undertaken before staff began to work for the service. Disclosure and Barring (DBS) or Criminal Record Bureau (CRB) applications had been obtained for each staff member.
Care files contained a variety of risk assessments including an environmental risk assessment which covered the physical environment in the person's own home. Care files contained a daily observations chart that identified what support staff had been provided at each visit such as any nutritional intake or personal care to be provided.
Suitable arrangements were in place regarding the management of medicines and people told us they had no concerns about their medication.
We saw appropriate fire evacuation processes were in place and fire fighting equipment was available in the head office premises.
Comprehensive risk assessments were in place and support plans devised to mitigate risks. We saw that people or their representatives had been involved in planning the care provided.
Staff told us they were well supported and were inducted in to the service and received on-going training to support them to undertake their role.
The service was working within the legal requirements of the Mental Capacity Act (2005) (MCA).
People who used the service were fully involved with decisions about their care and were given choices in relation to their care delivery and their personal preferences were taken into account.
We received positive feedback about the registered manager who had an infrastructure in place to seek the views of people who used the service and their relatives by undertaking reviews of care delivery.