24 June 2022
During a routine inspection
Kayla Supported Living Ltd is a domiciliary care service providing personal care and support to people living in their own homes.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. CQC only inspects this kind of service 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 our inspection, there was one person receiving personal care from the service.
People’s experience of using this service and what we found
The application of prescribed topical creams was recorded in daily notes, but following our inspection, the registered manager introduced a medicine administration record as well as a system of auditing.
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. There was no formal recording of mental capacity. Following our inspection, a suitable assessment of capacity and best interest decision were put in place.
The staff team understood how to recognise the signs of possible abuse. We were not fully assured that appropriate reporting procedures were understood correctly, but steps have been taken to address this.
Feedback from a relative demonstrated they were very pleased with the care provided by both the registered manager and nominated individual. This was person-centred and recognised the need to promote independence. Staff placed importance on maintaining privacy and dignity when providing personal care, and the relative said they were happy with this.
Issues found at this inspection had not been identified by the provider beforehand. The service was well run by a registered manager who was enthusiastic and eager to learn. Following our inspection, they made contact with a local registered managers’ network which showed their interest in developing and expanding their service.
Risks had been assessed, monitored and reviewed and staff understood what these were. There were sufficient numbers of staff who always arrived on time and stayed the full duration of the call. Staff always wore PPE to reduce the risk of passing on infectious diseases, including COVID-19.
Both staff members were capable of addressing healthcare needs. They were able to spot signs of health deterioration and shared this with their relatives.
Staff had been trained in key subjects, although the nominated individual needed refresher dementia care training. This was dealt with following our inspection.
Care records were person-centred and suitably reflected individual needs and preferences.
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 27 April 2021 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.