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Archived: You in Mind (Homecare) Limited

Overall: Good read more about inspection ratings

Victoria Court, 80 Norton Road, Ground Floor, Stockton-on-tees, TS18 2DE (01325) 525836

Provided and run by:
You in Mind (Homecare) Limited

All Inspections

17 September 2020

During an inspection looking at part of the service

About the service

You in Mind (Homecare) Limited is a domiciliary care service providing personal care to people in their own homes. Not everyone who used the service received personal care. Care Quality Commission (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 personal care was provided to 32 people.

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

Pre-employment checks ensured suitable staff were employed. Any identified risks were managed with decisions recorded. People felt safe with the staff who provided their care.

People had received assessments of their needs to ensure the service was suitable. Records included associated information where known risks were evident. Staff used this information to provide safe care for people, and to ensure they remained safe whilst in people’s homes.

People were protected from known risks from infection. This included those associated with Coronavirus. Routine infection prevention and control practices had been reviewed and updated. Staff clearly understood when and where to wear personal protective equipment.

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 and their relatives spoke positively about the personal care they received. People received their care and support from regular staff who understood their needs and supported their independence.

There were enough appropriately skilled staff to meet people’s assessed needs. Staff training was managed electronically. Where refresher training required completion, follow up communications had been recorded for staff to complete this. Staff confirmed training was appropriate to carry out their roles safely, following best practice. Where assessed, people received support from skilled staff to take their medicines safely as prescribed.

Staff received safeguarding training and were clear on how and when to raise their concerns. The provider had embedded systems and processes which were followed to investigate any concerns. Where appropriate, actions were implemented to keep people safe.

The provider had implemented a range of checks to maintain and improve standards of service. Where areas of improvement were identified, action plans were in place and reviewed for their effectiveness.

For more details, please see the full report which is on the Care Quality Commission (CQC) website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was requires improvement (published 14 November 2019) and there was a breach of regulations. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We carried out an announced comprehensive inspection of this service on 7 October 2019. A breach of legal requirements was found. We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from Requires Improvement to Good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for You in Mind (Homecare) Limited on our website at www.cqc.org.uk.

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.

7 October 2019

During a routine inspection

About the service

You in Mind is a domiciliary care agency providing personal care and support to people living in their own homes. 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 inspection 25 people were receiving personal care.

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

The service did not ensure staff were recruited safely. Accurate and complete training records were not up to date. The service was still introducing quality assurance systems. Whilst these were effective in the reviewing of care records and medicines, recruitment and training did not form part of the monitoring process and as a result, the issues we found had not been identified.

The service was not aware of the Accessible Information Standard (AIS) introduced in 2016. The standard was introduced to make sure people are given information in a way they can understand. We have made a recommendation about AIS.

People, relatives and healthcare professionals were complimentary about the care and support provided by the service, in particular end of life care. Healthcare professionals remarked about the responsiveness of the service and the caring nature of staff.

People and relatives told us staff had the appropriate skills and experience. Staff had regular checks of their competencies. Staff were supported to develop and received regular supervisions and appraisals.

Environmental and individual risks were identified and mitigated. Although we found some associated risks had not been recognised. People received their medicines as prescribed.

People and relatives knew how to raise a concern but told us they had no complaints about the service.

People commented that staff were punctual and did not rush, at times staying over their allotted time.

Staff supported people and relatives to access the community.

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.

Care plans were personalised and outlined people’s preferences. The management team regularly engaged with people and their relatives to discuss their care and support needs. Staff were responsive in alerting the management team to changes in people’s needs.

The service had established strong partnerships with a range of health care professionals to ensure people had positive outcomes.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 2 November 2018 and this is the first 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.