Background to this inspection
Updated
14 March 2020
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. 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 announced. We gave the service 24 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. Inspection activity started on 26 February 2020 and ended on 28 February 2020. We visited the office location on 27 February 2020.
What we did before the 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. We looked at notifications we had received from the provider about important events that had occurred. We used all of this information to plan our inspection.
During the inspection
We spoke with four members of staff including the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We spoke with the registered manager and two care staff. We reviewed a range of records. This included five people’s care records and multiple medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We spoke with five people who used the service about their experience of the care provided. We also spoke with two relatives. We contacted three health and social care professionals who worked in partnership with the service.
Updated
14 March 2020
About the service
Your Quality Care Services Limited is a domiciliary care service providing personal care to 24 people living in their own homes in the Haywards Heath and Burgess Hill areas. People using the service were both young and older adults with a range of care and support needs. These included dementia, physical disabilities and Asperger's syndrome.
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 and what we found
People told us that they were happy with the service they received. One person said, “It's like a little family. We are well looked after. I would recommend them.”
People were protected from avoidable harm and abuse. Safeguarding policies and procedures were being followed, while staff recognised signs of abuse and had reported any concerns.
People told us that staff helped them to feel safe. Risk assessments and care plans guided staff in how to provide care safely and how to support staff to manage specific health needs. People were protected from the spread of infection by staff who wore appropriate protective equipment.
There were enough suitable staff employed to cover all the care visits. People said they received their calls on time and for the duration that they expected. Staff supported people to have their prescribed medicines safely. People were supported to eat and drink when this was part of their support.
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.
People were supported by staff who knew their needs well and provided person centred and responsive support. People knew how to make a complaint should they need to. People were supported compassionately in their homes at the end of their lives.
People spoke positively about the engagement and involvement of the registered manager. The registered manager received good levels of support from the provider and operational staff to ensure that the quality of the care provided was monitored effectively.
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 Requires Improvement (published 13 March 2019). There were three breaches of regulation in relation to people’s safety, safeguarding and the leadership and management of the home. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
Why we inspected
This was a planned inspection based on the previous rating.
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.