Yani Care Solutions Ltd

Yani Care Solutions is a domiciliary care service, providing the regulated activity personal care. Most of the people using the service have a learning disability. There was one person using the service at the time of the inspection. Not all people using the service were receiving a regulated activity. 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.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

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

The service was able to demonstrate how they were meeting the underpinning principles of right support, right care, right culture.

Right Support

The environment people lived in provided a safe service and people felt safe using the service. The quality of service provided was regularly reviewed, and changes were made to improve people's care and support as required. The service had established good working partnerships with healthcare professionals and within the local community that promoted people's participation and reduced their social isolation. We have made two recommendations regarding the safe administration of medication.

Right Care

There were suitable numbers of well trained and appropriately recruited staff who supported people to live safely, whilst enjoying their lives. Any risks to people and staff were assessed, monitored and regularly reviewed. There were systems in place to respond to complaints, concerns and safeguarding issues, although none had occurred at the time of the inspection.

Right culture

The provider's culture was open and staff understood their responsibilities about reporting any concerns.

Rating at last inspection

The last rating for this service was good (published July 2021).

Why we inspected

The inspection was prompted in part due to whistleblowing information we received about the service. A decision was made for us to inspect and examine those risks.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service remains 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 Yani Care Solutions on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect. For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Yani Care Limited is a domiciliary care agency providing supported living to adults with learning disabilities and/or autism in their own homes. Everyone who used the service received personal care. The organisation was also funded to provide social care, and support people in all aspects of daily living, such as meal preparation and household chores.

At the time of the inspection the service was supporting two people aged under 65 who lived in their own accommodation within their local community, which was not shared with anyone else.

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

Systems were in place to recruit staff safely. Recruitment processes were robust and helped to ensure staff were of suitable character and had relevant experience to work with vulnerable people. Staff had awareness of safeguarding and knew how to raise concerns. Steps were taken to minimise risks where possible. Risks to people's health and well-being were identified and monitored. Guidance was in place for staff on how to support people with these risks. People’s needs were comprehensively assessed before starting with the service; people and their relatives, where appropriate, had been involved in the care planning process.

People were supported by regular and familiar staff, which provided continuity of care. Staff had developed supportive relationships with people and knew them well; people received person-centred care as a result. Staff supported some people to access healthcare professionals when required and supported some people to manage their medicines safely. Staff were competent and had the skills and knowledge to enable them to support people safely and effectively. Staff received the training and support they needed to carry out their roles effectively and received regular supervisions, competency checks and appraisals; staff we spoke with confirmed this..

Staff promoted people's independence and treated them with dignity and respect. People were involved in making decisions about their care and involved in reviews to ensure their care plans met their needs and supported them to achieve outcomes. Staff supported people to access the community. People and their relatives were complimentary about the staff and their caring attitude. People’s care plans were person-centred and provided staff with the information they needed to provide care and support in a way that met people’s needs and preferences.

People knew how to make a complaint. There was an effective complaints process in place to deal with any complaints that might be raised in the future. The registered manager and staff were committed to providing high quality care and support for people. The service had an open and supportive culture. Systems were in place to monitor the quality and safety of care delivered. There was evidence of improvement and learning from any actions identified.

The provider and registered manager followed governance systems which provided effective oversight and monitoring of the service. These governance systems and processes were robust and identified areas of the service where improvements were needed. The registered manager completed a range of audits to ensure the service provided to people was safe and effective and to drive improvements in 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.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

The service was able to demonstrate how they were meeting some of the underpinning principles of Right support, right care, right culture. People’s choice and control was maximised, and their independence promoted. Care was person-centred and promoted people’s dignity, privacy and human rights. The ethos, values, attitudes and behaviours of leaders and care staff ensured people using the service lead confident, inclusive and empowered lives.

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 29/11/2019 and this is the first inspection.

Why we inspected

This was a planned inspection based on the date of registration.

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.