YourLife (Sidcup) is a domiciliary care agency providing personal care to older people in their own homes within an assisted living development. 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. At the time of the inspection the service supported five people with their personal care.
People's experience of using this service
Accidents and incidents were not always appropriately managed, and learning was not disseminated to staff. Recruitment checks were not always robust as the provider had not carried out checks of staff members previous work history and experience. Risk assessments and care plans were not always updated following a change in people's care or support needs. People’s end of life care wishes were not recorded in their care files. The provider did not have effective processes in place to monitor the quality of the service as they had not identified the issues we found at this inspection.
People said they felt safe and that their needs were met. There were appropriate safeguarding systems in place to protect people from the risk of abuse. Medicines were safely managed. People were protected against the risk of infection. Sufficient numbers of suitably skilled staff were deployed to meet people's needs. Staff were supported through regular training and supervisions. Staff had the appropriate skills, knowledge and experience to support people appropriately. 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 were supported to eat a healthy and well-balanced diet if required. People had access to healthcare services when required to maintain good health and their independence was promoted.
People and their relatives where appropriate, had been consulted but their care and support needs. There was an effective complaints system to manage people concerns in a timely manner. The provider worked in partnership with the local authority to ensure people's individual needs were planned.
Rating at last inspection and update
The last rating for this service was Requires Improvement (published 24 October 2018).
Why we inspected
This was a planned inspection based on the previous rating
We found three breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 in relation to good governance.
Please see the action we have told the provider to take at the end of this report. Full information about CQC's regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection 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.