You are here

Yourhealthcare Community Interest Company Requires improvement

This service was previously registered at a different address - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 18 October 2019

About the service

Your Healthcare Community Interest Company is a shared lives scheme which provides people with long-term placements within shared lives carers (SLC) own homes. At the time of inspection, five people, some of whom have learning disabilities, were receiving support with personal care from this service. In this report we refer to the shared lives carers as 'carers.'

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

People’s experience of using this service and what we found

The service was not consistently well-led. Quality assurance processes were not in place to monitor the quality of the care provision, including accuracy of care records, carers’ training needs and management of people’s medicines. Risks to people's health and safety were not sufficiently identified and assessed to ensure safe care delivery for people.

Carers were not always supported in time to update their knowledge and skills in all areas required for their role. We made a recommendation about this.

People’s care plans lacked details on how people wanted to be supported. The management team told us they would address this concern immediately. We will check their progress at our next comprehensive inspection.

There were policies and procedures in place for carers to follow should they noticed people being at risk to harm or when incidents and accidents took place. Carers were required to undertake appropriate checks before they were employed by the service. People had assistance to manage their medicines safely.

People were supported to have maximum choice and control of their lives and carers supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. A comprehensive assessment was carried out to match people with carers which ensured a good placement provision. People had support to attend to their health needs when they needed to. Carers encouraged people to get involved in their meal preparations.

People felt respected and listened to by the carers that supported them. People were encouraged to make choices for themselves and have a say in the decision-making process. Carers encouraged people to maintain and further develop their independence skills where they had been able to. Personal information about people was kept safe.

People told us they would address their concerns should they have any. The service worked to update the guidance provided to people with difficulty reading to help them understand the information better. The management team told us they planned to have conversations with all people about their end of life care to ensure their wishes were adhered to as necessary.

People and their circle of support felt there was a good care provision at the service. People were encouraged to provide feedback on how they valued the service. Carers felt that the registered manager was responsive and guided them well.

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 24 February 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We have identified a breach in relation to people's risk management plans at this inspection. Please see the action we have told the provider to take at the end of this report.

We will request an action plan for the provider to understa

Inspection areas

Safe

Requires improvement

Updated 18 October 2019

The service was not always safe

Details are in our Safe findings below.

Effective

Good

Updated 18 October 2019

The service was effective

Details are in our Effective findings below.

Caring

Good

Updated 18 October 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 18 October 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 18 October 2019

The service was not always well-led

Details are in our Well-Led findings below.