Background to this inspection
Updated
16 August 2019
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 is a domiciliary care agency. It provides personal care to people living in specialist housing. The accommodation is bought 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 specialist housing; this inspection looked at people’s personal care and support 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. This person was however on extended leave therefore the provider had made alternative arrangements while this person was absent from the service.
Notice of inspection
This inspection was announced.
We gave the service 48 hours’ notice of the inspection. This was because we needed to be sure a senior member of staff or manager would be in the office to support the inspection.
What we did before inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We contacted Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.
We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
We used all of this information to plan our inspection.
During the inspection
We spoke with three people who used the service about their experience of the care provided. We spoke with six members of staff including the area manager, a registered manager from another location, the interim manager and care workers.
We reviewed a range of records. This included three people’s care records and medication records. We looked at three staff files in relation to recruitment. We also looked at a variety of records relating to the management of the service.
After the inspection
We spoke with a relative of a person who used the service for their experience of their family member’s care.
Updated
16 August 2019
About the service
YourLife (Droitwich) is registered as a domiciliary care agency and provides personal care and support to a number of people living in assisted living apartments at Horton Mill Court in Droitwich Spa. The building comprises of 61 one- or two-bedroom apartments.
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. At the time of the inspection six people were being supported with personal care.
People’s experience of using this service and what we found
As part of the inspection we noted areas whereby quality systems not identified shortfalls. These included an incident involving people who used the service and the recruitment details of a member of staff.
An interim manager was in place while the registered manager was on extended leave. The interim manager was known to people and supported the staff team. They were aware some staff needed to complete their online training.
People told us they felt safe receiving care and support. Staff had received training and were aware of safeguarding procedures. Risk assessments covering both personal care and the environment were in place and reviewed and amended as needed. Care plans were in place and were reviewed regularly.
People received consistent care from a small number of staff who knew their care needs. Where people required assistance with their prescribed medicines this was carried out by staff. Protective equipment was available for staff to use while providing personal care.
People told us staff were kind and caring. 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.
Where people required assistance with their dietary needs this support was provided. People’s healthcare needs were supported by healthcare professionals.
People felt confident they would be able to raise any concerns or complaints.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (published 21 January 2017).
Why we inspected
This was a planned inspection based on the previous rating.
We have found evidence that the provider needs to make improvements. Please see the Well Led section of this full report. We were given assurance improvement in practice would take place in future to mitigate risk.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for YourLife (Droitwich) on our website at www.cqc.org.uk.