Background to this inspection
Updated
24 October 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 team consisted of one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
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.
Notice of inspection
This inspection was announced. We gave the service 48 hours' notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection. Inspection activity started on 14 October 2019 and ended on 15 October 2019.
What we did before the 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. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We obtained the views of professionals who may have visited the service, such as service commissioners and Healthwatch (Rotherham). 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 all of this information to plan our inspection.
During the inspection
We visited five people who used the service and spoke with four relatives about their experience of the care provided. We also spoke with 11 members of staff including the registered provider, the registered manager, a director and eight 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 and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
Updated
24 October 2019
About the service
Yorkshire Rose Community Care Limited provides care and support for people living in their own homes. 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 our inspection the service was supporting 27 people with their personal care and support needs.
People's experience of using this service and what we found
People told us they were very happy with the support they received. One person said, "They are wonderful, I am very happy." Relatives were also extremely happy with the service provided to their family member. Their comments included, “When we started using the service we were thrilled to bits and we’ve never looked back. They are consistent, I have no concerns, they are excellent,” and “We were recommended to this service by others. The staff are a good bunch, we have regular care workers that we know and trust.”
People's medicines were overall, managed safely. However, we identified some potential risks with the management of medicines. Action was taken at the time of our inspection to ensure medicines were managed safely.
Prior to staff being recruited, the management team carried out checks to check out their suitability for the role. This included, satisfactory references and background checks with the Disclosure and Barring Service (DBS). However, not all gaps in employment had been checked. We discussed this with the management team who rectified this on the day of the inspection.
There were enough staff to meet people's needs and staff received continuous support and supervision from their line manager. Staff used gloves and aprons when these were needed to protect people from the risk of infection. People were protected from abuse and there were risk assessments in place which showed specific areas of risk, and the measures put in place to minimise those risks.
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 who used the service spoke very positively of the caring approach from care workers. Care workers were familiar with people's preferences and needs. Care workers were committed to promoting people's privacy, dignity and independence and supporting them to make choices.
Audits and checks were used to drive improvements to the service people received. People and their relatives were asked for their views about the care and support the service offered. Staff felt well supported and listened to. There was a positive, open and supportive culture at the service.
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 19 May 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.