Background to this inspection
Updated
11 June 2022
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 Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was undertaken by one inspector.
Service and service type
This service provides care and support to people living in specialist ‘extra care’ housing. Extra care housing is purpose-built or adapted single household accommodation in a shared site or building. The accommodation is bought or rented and is the occupant’s own home. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for extra care housing; this inspection looked at people’s personal care and support service.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave the service 24 hours’ notice of the inspection. This was because the service is small, and people are often out. We wanted to be sure there would be people available to speak with us.
The inspection started on 23 May 2022 and ended on 24 May 2022. We visited the location on 23 May 2022 and visited people in their homes. We made telephone calls on 24 May 2022.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with two people who used the service and two relatives about their experience of the care provided. We spoke with three members of staff including the registered manager, duty manager and care staff.
We reviewed a range of records. This included two people’s care records and two medicines administration records. We looked at two staff files in relation to recruitment and training.
A variety of records relating to the management of the service, were reviewed.
Updated
11 June 2022
About the service
Yourlife Market Harborough is registered to provide personal care to people living in specialist ‘extra care’ housing. Extra care housing is purpose-built or adapted single household accommodation in a shared site or building. The accommodation is rented and is the occupant’s own home. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for extra care housing.
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. There were five people receiving personal care at the time of the inspection.
People’s experience of using this service and what we found
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 told us they felt safe with the staff who supported them. People could request emergency assistance if needed. Staff knew how to keep people safe from harm, they knew how to report safeguarding concerns and felt confident about whistle blowing should concerns arise. People told us they knew how to complain and felt confident if they raised concerns they would be addressed.
There were enough staff that had been recruited safely and had the right skills to meet people’s care needs. People told us occasionally staff would be late, but they would usually let them know in advance if this was the case. Staff gave positive feedback about the training provided and the support they received from the registered manager.
People that needed staff to support them with their medicines, received their medicines at the correct time and in their preferred way. Staff did not give people medicines unless they had been trained and assessed as competent to do so. The medicines systems and processes in place were safe.
Staff wore the correct Personal Protective Equipment (PPE) when providing personal care to people. Staff told us they followed current government guidance for COVID-19.
People’s care plans and risk assessments contained enough information for staff to provide safe care to them. They were personalised, detailed people’s preferences and wishes and how they wished to be cared for, whilst respecting their privacy and dignity. People and staff told us they enjoyed each other’s company. People told us staff were kind and caring.
Staff were observant to changes in people’s needs and facilitated people accessing healthcare services where needed. Most people chose to purchase their meals, but where they needed support with preparing simple meals, snacks and drinks, staff did so. Care plans prompted staff to remind people to have a drink during their care calls.
The service was well-led. We observed people and staff enter the office to speak with the registered manager during the inspection. People and staff spoke highly of the registered manager. The registered manager had a good oversight of the quality and safety of the service and of the regulatory requirements. Staff felt valued by the management team. There was a focus on continuous improvement and lessons were learned when things went wrong to reduce the likelihood of recurrence.
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 17 June 2020 and this is the first inspection.
Why we inspected
This was the services first inspection.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.