26 September 2018
During a routine inspection
Your Lifestyle Nationwide Limited - Bristol Office provides personal care to people living in their own homes across a number of houses. At the time of our inspection there were two people receiving the regulated service of personal care. Six other people were supported by the service but were not receiving personal care.
The service was managed by a registered manager. 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 told us they felt safe when using this service. Staff were trained in how to protect people from abuse and harm. They knew how to recognise signs of abuse and how to report any concerns. Risks to people's wellbeing were assessed and action taken to reduce these. The service focused on keeping people safe whilst promoting their independence.
People were provided with safe care by adequate numbers of appropriately skilled staff being made available. Staff recruitment procedures were safe and the employment files contained all the relevant information to help ensure only appropriate people were employed to work at the service.
Medicine Administration Records (MAR) were signed to indicate people's prescribed medicine had been given.
Staff understood the importance of gaining consent from people and acted in accordance with the principles of the Mental Capacity Act 2005. Staff had a good understanding of people's needs and supported them effectively.
People could access a range of health and social care professionals in the community for advice, treatment and support.
People's achievements were celebrated and their views were sought and acted on. People were supported by staff who were compassionate and treated them with dignity and respect.
People had assessments of their needs and care was planned and delivered in a person-centred way. The service had creative ways of ensuring people led fulfilling lives and they were supported to make choices and have control of their lives.
People were actively encouraged to provide feedback. Any complaints were investigated and action taken to address concerns when needed. People and their relatives told us they had no complaints.
Staff were motivated and reflected pride in their work. They talked about people in a way which demonstrated they wanted to support them as much as possible and provide the best standards of care.
The service was well led and the management promoted a positive culture that was open and transparent. The registered manager demonstrated good visible leadership and understood their responsibilities. Quality assurance practices were robust and used to make improvements.