About the service By Your Side Homecare is a domiciliary care agency registered to provide personal care to people living in their own homes. At the time of this inspection, 30 people were using the service.
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.
People’s experience of using this service and what we found
People benefitted from a service which was extremely well led. People were at the centre of their support and the focus of everything the service did. People's views were valued, responded to, and used to shape the service being provided. The provider's ethos of providing a personalised, caring and compassionate service had been embraced by the whole staff team. Staff were highly motivated, felt valued in their work and were proud to work at the service. Without exception, people and their relatives praised the service they received and said they would recommend the agency to others.
The service had a strong culture of learning and improvement. There were robust quality assurance systems in place. This included a range of audits, seeking the views of people who used the service and monitoring the skills, training and competence of the staff team. Detailed records were kept throughout the service. Where things went wrong there were open discussions with people and their relatives, and lessons learnt.
People were supported by an exceptionally caring staff team and experienced continuity of care. The feedback received from people, and their relatives, demonstrated an inclusive and caring culture was embedded at all levels at the service. People were extremely complimentary about staff and the provider and gave many examples of how the service they received had had a positive impact on their life and improved their wellbeing. The provider matched people to staff who best understood their needs and had similarities in culture, experience and interests. People’s privacy and dignity were promoted throughout their care.
People felt safe with the staff who supported them. Risks to people were assessed and procedures were in place to help keep people safe. The provider's systems protected people from the risk of abuse. All staff were aware of their responsibilities with regards to safeguarding people. Medicines were managed safely and people were protected from the risks associated with the spread of infection.
People were supported by staff who were well trained and competent in their role. There was a strong emphasis on staff development and empowerment. Staff complimented the provider with regards to the training and development opportunities afforded to them. Staff benefited from regular supervision, competency assessments and observation in their care visits by a senior member of staff.
People's needs, choices and preferences were explored during an initial assessment to ensure their needs could be met by the service and to make sure the package of care was tailored to their wishes and preferences. Staff recognised the importance of ensuring people's rights were understood and protected.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People's health care and nutritional needs were known and understood by staff.
People and their relatives knew how to complain if they needed to and felt confident they would be listened to. The provider was responsive to feedback and this was echoed in the comments we received from people.
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 the service at the previous premises was Good, published on 01 November 2017.
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.