We carried out a review of the data available to us about Your Serenity Limited, Room 6 on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Your Serenity Limited, Room 6, you can give feedback on this service.
Your Serenity Limited, Room 6 is a domiciliary care agency providing care and support to people living in their own homes. It provides a service to older adults, people living with dementia and people living with a physical disability. Not everyone who uses the service receives personal care. CQC only inspects where people receive personal support 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 was providing personal care to 18 people living in the Newbury, Thatcham and surrounding areas.
People’s experience of using this service and what we found
People experienced excellent continuity and consistency of care from designated staff who made them feel safe. Staff had completed safeguarding training and knew how to recognise and report abuse. Risks to people were identified and managed safely. The registered manager ensured enough suitable staff were deployed to meet people’s needs. Staff underwent a robust recruitment process, which explored and confirmed their suitability to support people in their own homes. People received their medicines safely from staff, in accordance with recognised guidance. People and staff consistently praised the registered manager for keeping them fully informed regarding changes in government guidance relating to infection control during the pandemic. Lessons from accidents and incidents were used to drive continuous improvements in the service.
Staff assessed all aspects of people’s physical, emotional and social needs and delivered support wo ensure these were met to consistently achieve good outcomes for them. The registered manager effectively operated a system of spot checks, supervision, appraisal and staff meetings, which supported staff to deliver care based on best practice. Staff emphasised the importance of eating and drinking well and reflected best practice in how they supported people to maintain a healthy balanced diet. Staff worked in partnership with healthcare professionals to make sure care and treatment met people’s changing needs.
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 experienced caring relationships where staff treated them with kindness and compassion in their day-to-day care. People were supported to make decisions about their care and these choices were respected by staff. Staff encouraged people to maintain and develop their independence, and to direct their own health and care whenever possible.
People were placed at the heart of the service and experienced individualised care, which was responsive to their needs and reflected their choices, preferences and wishes. Staff felt valued and well supported by the registered manager who had created an open and honest culture, which reflected in the approach of the staff. Staff spoke passionately about the people they supported and strove to achieve good outcomes for them. At the time of inspection, the service was not supporting anyone with end of life care. When the service had supported people at the end of their life, they had received extremely compassionate care, which respected their wishes to remain at home and ensured they experienced a comfortable, dignified and pain-free death.
The service was well organised and well managed. People, staff and professionals described the registered manager as an inspirational manager. The registered manager understood their responsibilities to inform people when things went wrong and the importance of conducting thorough investigations to identify lessons learnt to prevent reoccurrences. The governance structure of the service ensured there were robust measures to monitor quality and safety of the service. Quality assurance was embedded within the culture and running of the service, to drive continuous improvement. The registered manager had developed effective partnerships to ensure people experienced the best possible outcomes.
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 good (published 2 March 2020).
Why we inspected
We undertook this inspection as part of a random selection of services rated good and outstanding, to test the reliability of our new monitoring approach.
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.
Your Serenity Limited is a domiciliary care agency providing care and support to people living in their own homes. It provides a service to older adults, people living with dementia and people living with a physical disability. Not everyone who uses the service receives personal care. CQC only inspects where people receive personal support 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 was providing personal care to 22 people living in the Newbury, Thatcham and surrounding areas.
People’s experience of using this service
People were safely supported by enough staff who understood their responsibilities to safeguard people from discrimination, neglect, and abuse. Staff had effectively identified and assessed risks to people’s health and safety, which were managed safely to protect them from harm. The service had good staff retention so people experienced care from trusted staff who knew them well and how to meet their needs. The provider's recruitment policy reflected best practice and ensured only staff suitable to support vulnerable people living in their own home were appointed. People received their prescribed medicines safely, from staff who had completed the required training and had their competency to do so regularly assessed. Staff followed required food safety standards when preparing or handling food. Staff were supported to raise concerns and report incidents and near misses, which ensured action was taken to protect people from similar events in the future.
People experienced support which was effective, reflected best practice guidance and achieved good outcomes, enabling them to have a good quality of life. People were supported to eat and drink enough to meet their needs and maintain their health. 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.
Staff were very kind and caring in their approach, which reflected the values of the service, to treat people as they would one of their own family. Staff respected people’s individuality, their identity and their independence. People and their families were supported to specify the care they wanted, how they wanted this to be delivered and support plans were fully reflective of their wishes.
People were at the heart of the service and consistently experienced person-centred care, which was responsive to their needs and reflected their choices, preferences and wishes. Staff felt valued and respected by the registered manager who had created a true sense of family within the service. Staff were passionate about the people they supported and continuously strove to achieve good outcomes for them. At the time of inspection, the service was not supporting anyone with end of life care. However, when people had experienced end of life care, this had been delivered to ensure their wishes were respected.
The service was well managed and well organised. The registered manager was highly visible and provided clear and direct leadership, which inspired staff. The registered manager had the skills, knowledge, and experience to lead effectively. There were robust arrangements to monitor the quality of the service, the performance of staff and to drive continuous improvements, to ensure people experienced high quality care.
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 6 February 2019 and this is the first inspection.
Why we inspected
This was a planned inspection based on when the service registered with us.
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.