We carried out a review of the data available to us about Your Elysium 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 Elysium Limited, you can give feedback on this service.
Your Elysium Limited is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. It provides services to younger and older adults, people with learning disabilities, people with physical disabilities and complex health needs. At the time of inspection 12 people were receiving support. 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:
People who used the service and their relatives told us staff were kind and caring. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
People's healthcare needs were being met and medicines were being managed safely.
People were protected against avoidable harm, abuse, neglect and discrimination. The care they received was safe.
Care plans were up to date and detailed what care and support people wanted and needed. Risk assessments were in place and showed what action had been taken to mitigate identified risks.
People's likes, preferences and dislikes were assessed, and care packages met people's desired expectations.
Staff were being recruited safely and there were enough staff to take care of people. Staff were receiving appropriate training and they told us the training was good and relevant to their role. Staff were supported by the registered manager and were receiving formal supervision where they could discuss their ongoing development needs.
There was a complaints procedure in place and people knew how to complain.
Everyone spoke highly of the registered manager who they said was approachable and supportive. The provider had effective systems in place to monitor the quality of care provided and where issues were identified, they acted to make improvements.
The provider and registered manager understood the regulatory requirements and monitored the quality and safety of the service on a regular basis.
Rating at last inspection:
At the last inspection on 20 June 2018, the service was rated Requires Improvement, the report was published July 2018.
Why we inspected:
This was a planned comprehensive inspection based on the rating at the last inspection.
Follow up:
We will continue to monitor intelligence we receive about the service until we return to visit as per our reinspection programme. If any concerning information is received, we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Your Elysium Limited is registered to provide personal care to people in their own homes. At the time of this inspection visit, 28 people received personal care and the service employed 15 care staff.
Your Elysium registered with us in March 2017 and this was the first inspection of this service. Before providers are registered, part of our registration process is to check those providing care, are of suitable character and have effective systems and processes to provide people with a service that meets their needs. At this inspection visit we found improvements were needed to the provider’s quality assurance systems and how they retained important information that supported their regulatory responsibilities.
There was a newly registered manager in post, having registered with CQC as a manager in April 2018. 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.
Where staff administered medicines, staff were trained and assessed as competent to do so. The provider had a recruitment process that ensured pre-employment checks were made, prior to staff starting work, to ensure they were suitable to support people who used the service.
People had an assessment of care completed before they used the service to make sure staff could meet people’s care and support needs. Care plans contained sufficient information to enable people to receive appropriate care and support with their needs. People’s care needs were regularly reviewed. The registered manager and office staff were in contact with people, or their relatives, to check the care provided was what people needed and expected. The registered manager and the managing director completed observed practices on staff and they completed care calls on occasions which gave them opportunity to speak with people about the service they received. People and their relatives told us staff were reliable and stayed for the time needed. People were treated with dignity and respect.
People felt safe using the service and staff understood how to protect people from abuse and harm. There were procedures to keep people safe and manage identified risks to people’s care, although action and learning was not always identified from safeguarding incidents. CQC was not always notified of incidents or safeguarding concerns.
The principles of the Mental Capacity Act (MCA) were followed by the registered manager and staff. People’s decisions and choices were respected and people felt involved in their care. People were supported to have choice and control of their lives and staff sought permission before assisting them.
People knew how to complain and information about making a complaint was available for people when they started using the service. There was a system in place to log and action any complaints or concerns that people may have.
Staff felt they had good training and their competencies and skills were continuously checked. Staff were supervised and supported in their roles. People were assisted to access health services when needed and staff worked well with other health and social care professionals.
There were governance systems in place that provided the registered manager with an overview of areas such as care records, medicine records and call times. There was an acknowledgement from the registered manager that further improvements were needed in the way that incidents were captured and lessons learnt.