Background to this inspection
Updated
28 September 2022
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 one 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 service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because we needed information from the service before the inspection and that the registered manager would be able to meet with us.
Inspection activity started on 1 August 2022 and ended on 30 August 2022. We visited the location’s office on 4 August 2022.
What we did before the inspection
Before the inspection, we reviewed information we had received about the service. This included details about incidents the provider must let us know about, and we sought feedback from the local authority and other professionals involved with the service.
The provider completed 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 took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection we spoke with the registered manager and two members of care staff. We contacted three people and seven relatives by telephone to ask for their feedback. We looked at two people’s care records including their medicine records and daily notes. We looked at two staff files. We reviewed training and supervision records and documents relating to the management of the service including complaints and compliments and quality audits.
Updated
28 September 2022
About the service
You Before Me Care is a domiciliary care agency providing personal care to younger and older people, people with a physical disability and people with dementia living in their own homes. At the time of inspection, the service was supporting 21 people.
People’s experience of using this service and what we found
Staff were not always recruited safely following the legal requirements and with the correct paperwork in place.
Systems and processes for management and quality monitoring needed improvement to support the effective running of the service. Medicines were monitored effectively although there was some improvement needed in the responsibility for providing support.
People were generally happy with the service provided and gave positive feedback. People said staff were kind and caring, respected their privacy and dignity and felt safe with them. They would recommend the service to others. Positive comments were made about the visibility, caring, and professionalism of the registered manager.
Risks to people's health and wellbeing were assessed and adequately recorded in their care plans in order to understand and mitigate those risks. Staff knew how to safeguard people from harm. Infection prevention and control procedures were in place in line with government guidance.
Staff received all the necessary training to support them in their role. Checks on staff members competency were undertaken. Supervision and support systems were in place for staff and they felt supported by the registered manager. People’s end of life care arrangements had been discussed as part of their assessment.
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's capacity was adequately assessed and recorded to ensure their rights were protected.
People's oral health care and communication needs were recorded. Where required, people received help with eating and drinking which met their needs and preferences. The provider logged and responded to complaints. People's feedback about their care was sought through reviews and checks and they felt included in their care arrangements.
The registered manager was open and accessible and communicated with people well. They provided ‘hands-on’ care and support and worked with health and social care professionals making referrals when needed.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
This service was registered with us on 14 May 2018 as Flamelilly Care Office and changed their name to You Before Me Care which was registered with us on 15 November 2019 and this is the first inspection.
The last rating for the service under the previous provider Flamelilly Care Office at the same premises was Good, published on 29 August 2019.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
We have identified a breach in relation to Regulation 19 fit and proper persons at this inspection.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will continue to monitor information we receive about the service, which will help inform when we next inspect.