We carried out a review of the data available to us about Your Care 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 Care, you can give feedback on this service.
Your Care is a domiciliary care agency. The service provides personal care to people living in their own homes. At the time of our inspection there were 27 people using the service. Not everyone who used the service received personal care. In this service, the Care Quality Commission can only inspect the service received by people who get support with personal care. This includes help with tasks related to personal hygiene and eating. Where people receive such support, we also consider any wider social care provided.
People’s experience of using this service and what we found
People told us they were happy with the service provided by Your Care. However, we identified that although staff knew how best to support people, detailed guidance on how to support people with healthcare conditions was not always in place. We highlighted this to the registered manager, and this was implemented following our inspection.
People were supported by sufficient numbers of staff. The registered manager confirmed that there had never been a missed call, and when staffing shortages occurred, they completed care calls to ensure people’s needs were met. When accidents and incidents occurred these were documented, and action was taken to ensure people had access to the healthcare support they needed.
Staff showed a good understanding of safeguarding, and supported people to take the medicines safely. All the people and relatives we spoke with told us staff wore appropriate personal protective equipment (PPE) when supporting them.
People were supported by a staff team who knew people well and had received the training and support to care for them. People were supported to maintain a balanced diet, and to access external healthcare support to ensure they remained as healthy as possible. This included GPs, district nurses and community mental health nurses.
People told us they were treated with kindness and compassion. People and their relatives gave positive feedback on the service Your Care provided. Staff encouraged people to be independent, to do what they were able to for themselves, and supported them to ensure they were at the centre of the care provided.
People were provided with personalised care to meet their needs. This included adapting communication systems with each individual and supporting people to access information in a way that was meaningful to them. People told us they were happy with the care provided and knew how to raise concerns if and when they needed to.
There were systems and processes in place to review and improve the quality of the service. People and staff told us there was a positive culture within the service. Staff worked with external agencies to ensure people received the care and support they needed.
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.
Although the service was not providing care to anyone with a learning disability, 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 registered manager told us they would ensure they could meet the underpinning principles of Right support, right care, right culture should they provide care to an autistic person or someone with a learning disability.
Right support:
Model of care and setting maximised people’s choice, control and independence;
People told us they were actively involved in their care, and were encouraged to be as independent as possible.
Right care:
Care was person-centred and promoted people’s dignity, privacy and human rights;
Care was person centred and focused on upholding people’s human rights. Staff told us the importance of ensuring people had privacy and were treated with dignity.
Right culture:
Ethos, values, attitudes and behaviours of leaders and care staff ensured people using services led confident, inclusive and empowered lives;
There was a positive culture within the service, which empowered people to live the best lives possible. Staff had demonstrated the values of the service, when concerns were raised, and were confident in the registered manager dealing with all issues in a proactive way.
For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk
Why we inspected
We registered this service on 17 January 2020 and this was the first inspection.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.