Background to this inspection
Updated
2 April 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 provides personal care to people living in a retirement living complex, which is purpose-built accommodation on a shared site. People's care and housing are provided under separate contractual agreements. CQC does not regulate the premises and this inspection only looked at the personal care provided for people using the service.
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 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 it was registered with us. 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.
During the inspection
We spoke with two people who used the service and their relatives about their experience of the care provided. We spoke with three members of staff including the registered manager.
We reviewed a range of records. This included two people’s care records and three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including rotas, complaints and accident/ incident records.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at quality assurance records, training matrix and relevant policies and procedures.
Updated
2 April 2020
About the service
Yourlife is a domiciliary care agency based at Rutherford House retirement village. Rutherford house accommodates people aged 70 and over. People live in self-contained apartments with access to domestic services such as cleaning, laundry and an on-site bistro. The service is run by Yourlife Management Services Limited, who run similar services across the country.
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. Yourlife offers personal care to people when the need arises. At the time of the inspection the service was providing personal care to two people.
People’s experience of using this service and what we found
People told us they felt safe and systems were in place to safeguard people. Some risks to them were identified and managed. However, some aspect of practice had not been risk managed and addressed, including Infection control risks.
People’s health and nutritional needs were identified, and support provided if required. 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 however, the systems and records in the service did not always support this practice. We have made a recommendation to address this.
People had person centred care plans in place. They were involved in their care, progress and reviews. People’s felt their communication needs were met but their communication was not identified in their assessments and plan of care. We have made a recommendation to address this to meet the accessible information standard.
People were supported by a service who had a registered manager who was accessible and available to them. Systems were in place to audit the service. However, actions from those audits were not always completed which impacted on record management. The registered manager and area manager had identified improvements were required and extra support was being put in place to enable improvements to be made in a timely manner.
The service was not administering people’s medicine at the time of this inspection. Therefore, we were unable to assess medicine practices. However, systems were in place to ensure safe medicine practices were promoted.
People were supported by staff who were inducted, trained and supervised. Staff were suitably recruited, and sufficient staff were provided to meet individuals care package requirements. People’s privacy and independence were promoted. Systems were in place to deal with concerns and complaints. This enabled people to raise concerns about their care if they needed to.
People and their relatives told us they were happy with the care and support they received. They described staff as “Kind, caring wonderful and superb”. One person described the care as flexible and the support they had been given had led to an increase in their mobility and independence. They were complimentary of individual staff members and the registered manager whom had encouraged them.
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 25/02/2019 and this is the first inspection.
Why we inspected
This was a planned inspection based on the date the service was registered with us.
We have found evidence that the provider needs to make improvement. Please see the safe section of this full report.
You can see what action we have asked the provider to take at the end of this full report.
Enforcement
We have identified a breach of Regulation in relation to safe care and treatment at this inspection. Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.