21 April 2023
During an inspection looking at part of the service
Your Life Your Home is a domiciliary care agency. It provides personal care to people with a learning disability living in their own flats. People's care and housing are provided under separate contractual agreements. At the time of the inspection 17 people were being supported. Not everyone who used the service received personal care. The Care Quality Commission (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
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
Right Support:
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 provided effective support to identify people's aspirations and goals and assisted people to plan how these would be met. Staff focused on people's strengths and promoted what they could do. Staff enabled people to access health and social care support in the community.
People were protected from the risks of abuse, harm and discrimination. Staff were able to identify signs of abuse and knew how to report any concerns. People were supported to have their medicines as prescribed and were supported to be as independent as possible with their medicines.
Right Care:
Staff promoted equality and diversity in their support for people. People could communicate with staff as staff understood their individual communication. Staff received training, such as British Sign Language, to aid communication.
Staff provided care to people which was person-centred and promoted people's dignity, privacy and human rights. People’s care plans were written with them and available in easy-to-read formats. People's individual choices were recognised and respected. People were supported to keep in touch with people who were important to them.
People were supported by enough staff, who had been recruited safely. People were involved in the recruitment process.
Right Culture:
The service enabled people and those important to them to work with staff to develop the service. Feedback was requested from people, relatives or health care professionals.
Staff ensured the quality and safety of the service had been assessed to ensure people were safe.
Staff knew and understood people well. The registered manager worked hard to develop strong leadership. Quality monitoring systems had been developed and embedded. Morale within the staff team was high and staff felt valued.
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
The provider completed an action plan after the last inspection to show what they would do and by when to improve.
At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.
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 has changed from requires improvement to good based on the findings of this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Your Life Your Home 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.