Background to this inspection
Updated
10 April 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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection team consisted of one adult social care inspector.
Service and service type:
YourLife (Sheffield) is registered as a domiciliary care service. It provides care to people living in their own apartments within Windsor House in Sheffield. At the time of the inspection 18 people who lived at Windsor House were receiving the regulated activity ‘personal care.’
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:
We gave the service 10 days’ notice of the inspection site visit so that the registered manager would be available and because we wanted to visit people in their own homes and we needed support from the registered manager to arrange this.
What we did:
Prior to the inspection we looked at the Provider Information Return (PIR). This is information we require registered providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.
We also gathered information from other stakeholders that have contact with the service. We received feedback from four health and social care professionals.
During the inspection we visited five people in their own homes to ask their opinions about the care they received. We also spoke with two family members who were present during those visits.
We spoke with the registered manager, a member of the senior management team and two members of care staff.
We also observed one member of staff in the provision of care to one person who used the service.
We reviewed various records relating to the management of the service. For example, notifications from the service, one person’s care file in detail, including medicines management, together with sampling from two other care records, one staff recruitment record, records of accidents, incidents and complaints, policies and procedures and audits and quality assurance reports.
Updated
10 April 2019
About the service:
YourLife (Sheffield) is registered as a domiciliary care service. It provides care to people living in their own apartments within Windsor House in Sheffield. Not everyone living at Windsor House uses YourLife (Sheffield). CQC only inspects the service for people receiving ‘personal care;’ that is help with tasks associated with personal hygiene and eating. Where they do we also take into account any wider social care provided. At the time of the inspection 18 people who lived at Windsor House were receiving the regulated activity ‘personal care.’
People’s experience of using this service:
Systems and processes were in place to safeguard people from abuse and avoidable harm. People told us they felt safe with the staff that supported them. People were highly satisfied with the service they received from staff and respect for privacy and dignity was at the heart of the service’s culture and values. It was embedded in everything that the service and its staff did. Both people and staff reported feeling respected, listened to and influential.
People received personalised care that was responsive and specific to their needs and preferences. People’s needs were assessed and risks to people were managed so they were supported to stay safe, whilst having their freedom respected. People were supported to have maximum control of their lives and staff supported them in the least restrictive way possible. The policies and systems in place at the service supported this practice. Everyone we spoke with provided positive feedback on how staff were supportive and went the extra mile to get care just right for people. They described how they were supported to be involved and consulted in decisions about their care and support.
Where people did have concerns or complaints these were listened and responded to.
The service had safe systems in place for the management of medicines and the prevention and control of infection.
The service made sure there were sufficient numbers of suitable staff who had received training to provide them with the necessary skills and knowledge to deliver effective care and support. People spoke of a fantastic staff team that were reliable, consistent and did not rush.
The whole service continued to have a good track record. The service promoted links with the local community and healthcare professionals to deliver effective care and support so that people were supported to live healthier and fulfilled lives.
Staff told us it was a good team and they were valued by managers. Staff were motivated and proud of the service. There were high levels of satisfaction across all staff. There was a strong emphasis on continuous improvement with staff gaining additional qualifications and involved in how service delivery could develop and improve for people.
The registered manager had a clear vision and was passionate in providing high quality care and support, promoting a culture that was person-centred, open, inclusive and empowering for both people and staff. The registered manager was supported in this by an organisation where responsibilities were clear and where quality performance, risks and regulatory requirements were understood and managed.
Where systems and processes went wrong or were not followed lessons were learned and improvements made to minimise the same error in the future.
Rating at last inspection: Good (report published 14 June 2016)
Why we inspected:
This was a planned inspection to confirm that the service remained good.
Follow up:
We plan to continue to inspect the service in line with our inspection programme for services rated outstanding. Until then we will continue to monitor the service to ensure that people receive safe, compassionate, high quality care.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk