Background to this inspection
Updated
24 December 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.
Inspection team
This inspection was carried out by an inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own homes.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with CQC 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, and we wanted to be sure there would be people at home to speak with us.
Inspection activity started on 1 November 2022 and ended on 5 December 2022. We visited the location’s office on 30 November 2022.
What we did before the inspection
We spoke with 1 person receiving a service and 3 relatives. We reviewed information we had received about the service since first registration. We sought feedback from the local authority, Healthwatch, and professionals who work with the service. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.
We used all this information to plan our inspection.
During the inspection
We spoke with the registered manager. We reviewed two care plans, medication records and two staff files.
After the inspection
We spoke with 1 staff member. We reviewed records associated with the management and compliance of the service which included staff induction, training records and information used to schedule staff support.
Updated
24 December 2022
About the service
Your Ryedale Care Limited is a domiciliary care service providing a regulated activity of personal care to people in their own homes. The service provides support to people living with dementia, people with mental health needs, older people, people with a physical disability and people with a sensory impairment. At the time of our inspection there were 6 people using the service.
Everyone who used the service at the time of the inspection 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.
People’s experience of using this service and what we found
The provider had failed to ensure staff always received a robust induction, training, professional development, supervision and appraisal as necessary to enable and support them to carry out the duties they were employed to perform. The registered manager was aware of the omissions and discussed how they planned to quickly implement the required improvements.
The registered manager completed a range of audits and checks to maintain standards of service. However, management oversight failed to always ensure these checks remained effective to ensure actions identified were implemented in a timely way in line with the providers policy.
People told us they felt safe with the staff who supported them. Staff were clear on types of abuse to look out for and how to raise their concerns when required. Processes ensured any incidents were routinely investigated with outcomes and actions implemented to help keep people safe.
Risks associated with people's care were assessed and recorded to help staff provide safe care. Staff also had access to information to keep them safe when entering people’s homes. Where people required support to take their medicines, this was done safely, as prescribed, with appropriate record keeping checked for accuracy.
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 had good access to personal protective equipment to manage the risks associated with the spread of infection including CVOID-19 and adhered to government guidance to protect people.
People told us they knew when to expect their care calls and that calls respected their preferred times. People spoke positively about the service they received and the way the service was managed. The registered manager was passionate about providing people with a personalised service to help them remain living as independent as possible in their own homes. People told us that staff supported them when their care needs changed to ensure they were able to retain their independence.
People were involved in planning their care and support. Care was delivered following a robust assessment of needs to ensure people’s wishes preferences and any personal characteristics were recorded and supported.
The culture of the service was open and empowered individuals to express their views and be in control of their lives with the support of staff. People told us they felt confident to approach staff and the registered manager and that their suggestions would be listened to.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
This service was registered with us on 23 February 2022 and this is the first inspection.
Why we inspected
This inspection was carried to assess the service and provide a rating following registration.
Recommendations
We have made a recommendation for the provider to review their policy to ensure staff receive the required induction, training and support in a timely manner.
We have made a recommendation for the provider to review their policies to ensure audit systems, and process checks remained effective in driving the areas requiring improvement which we found during the inspection.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.