Background to this inspection
Updated
19 March 2020
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
This inspection was carried out by one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own flats within Bowles Court and Waterford Place.
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 a short period 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 20 February 2020 and ended on 24 February 2020.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with three people who used the service and one relative about their experience of the care provided. We spoke with four members of staff including the registered manager, a duty manager and care workers.
We reviewed a range of records. This included two people’s care records and medication records. We looked at two 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
19 March 2020
About the service
YourLife (Chippenham) is a domiciliary care service that provides personal care and support to people living in Bowles Court and Waterford Court. The service supported eleven people at the time of the inspection.
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
There were enough staff to support people safety. Risk was appropriately managed and balanced with people’s independence. Staff were aware of their responsibility to identify and report potential abuse. Systems were in place to promote infection control and prevention. Medicines were safely managed. Staff received training and had their competency assessed before administering medicines.
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 were able to have support with meal preparation as part of their care package. There was a restaurant within the complex which people could use. People had access to health care provision although generally made their own appointments when needed. Staff received a range of training to help them do their job effectively. Staff felt supported and received one-to-one meetings with their line manager to discuss their performance.
People were treated with kindness and respect. There were friendly interactions and staff spoke of people fondly, with compassion. People were encouraged to give their views about their care and support. Their rights to privacy, dignity and independence were promoted.
People received a person-centred service, which was responsive to their needs. Each person had a detailed care and support plan, which reflected their needs and preferences. People were involved in the development and review of their support. Social activities were arranged to promote companionship and inclusion. People knew how to raise a concern and formal procedures were in place to manage any formal complaints.
People benefitted from a strong culture which promoted independent living. There were a range of audits to assess the quality and safety of the service. People were encouraged to provide feedback about the support they received. There was a commitment to continually improve the service and regular networking took place.
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 1 August 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.