Background to this inspection
Updated
27 November 2019
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was carried out by one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats and specialist housing.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced. We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
During the inspection we spoke to the registered manager, reviewed one person's care
plan and risk assessment, one recruitment file, training records, criminal records check, policies and procedures relating to the management of the service.
After the inspection
We spoke to a member of staff and a relative for feedback on the quality of the service.
Updated
27 November 2019
About the service
Yellowstone Healthcare is domiciliary care agency providing personal care to people with a range of health needs. At the time of the inspection one person was using the service.
People’s experience of using this service and what we found
The person who used the service was non-verbal therefore feedback on their experience was provided by
their relative.
A relative told us staff kept their family member safe. Staff had full understanding of their safeguarding responsibilities and knew how to blow the whistle and report to the relevant organisations if they observed poor practice.
People were protected from the risk of avoidable harm as they had effective risk assessments to reduce risks which enabled people to live in a non - restrictive way.
People were supported by staff who had been recruited to the service safely.
The service did not support anyone with medicines at the time of the inspection. However, the registered manager told us they had trained staff and had policies in place ready for the future.
A relative told us staff were good and knew how to support people well. The registered manager and staff had completed training courses relevant to the role and this was up to date.
People received an initial assessment of their needs completed jointly with people and their relatives. Consent to care and treatment was sought before care began. People were encouraged to be independent and to make their own choices as much as possible.
The service did not support anyone with meal preparation but encouraged healthy eating and drinking and
encouraged people to be independent in this area.
Relatives told us staff were kind and caring towards their relative. People who used the service were not discriminated against.
Care plans were personalised and regularly reviewed to meet people’s needs. People were supported to have effective communication with staff.
Relatives and staff gave positive feedback on the management of the service and the service they received.
The registered manager had effective monitoring systems to check the quality and safety of the service.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection – Inspected but not rated 13 May 2019
Why we inspected
This was a planned inspection.
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.