Background to this inspection
Updated
27 April 2023
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
The 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 houses and flats.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave a short period notice of the so that we could be sure the registered manager was available to support the inspection.
What we did before the inspection
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 information gathered as part of monitoring activity that took place on 15 December 2022 to help plan the inspection and inform our judgements. We used all this information to plan our inspection.
During the inspection
We reviewed care records for two people using the service and looked at other records relating to the running of the service such as staff recruitment records and medicine administration record charts. We spoke with 3 people using the service and 16 relatives. We received emails from 5 members of staff about their experience of working for the agency.
Updated
27 April 2023
About the service
Yellow Rose is a domiciliary care agency providing personal care to people in their own homes. At the time of our inspection there were 16 people using the service.
People’s experience of using this service and what we found
At the time of the inspection, the service had taken on a large number of care packages in a short space of time. Due to the lack of management support in place for the registered manager, there were risks that the registered manager would not be able to maintain the service safely. They were planning to recruit care managers to support them in running the service. 10 service users did not have care plans in place, due to the demands on the time of the registered manager.
There were sufficient numbers of care staff to meet people’s needs. Recruitment was ongoing in order to support future expansion of the service. The registered manager told us they were registered with the home office to enable them to recruit staff from overseas. There were systems in place to recruit new staff safely.
Staff told us they were well supported and received good training and support. Training included key topics such as medicines management and safeguarding. 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.
People told us staff were kind and caring and provided good support which met their needs. People’s independence was recognised and promoted.
People knew how to make a complaint if they had one and knew how to contact the registered manager if they had any concerns. People were recognised as individuals with their own particular 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
This service was registered with us on 14 April 2022, and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
We have found evidence that the provider needs to make improvements. Please see the safe and well led sections of this full report. You can see what action we have asked the provider to take at the end of this full report.
Enforcement and Recommendations
We have identified a breach of regulation in relation to keeping people safe.
Please see the action we have told the provider to take at the end of this report.
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.