Archived: Yanah Care

Updated 11 March 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 Care Act 2014.

Inspection team

The 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 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

We gave the service 24 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 took place on 19 January 2022.

What we did before the inspection

We reviewed information we had received about the service since it first registered with the CQC. We sought feedback from the local authority. We used all of this information to plan our inspection.

During the inspection

We spoke with the provider and the compliance manager.

We reviewed a range of records. This included relevant parts of two 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. We received feedback from two staff members and one external professional who had contact with the service.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and other information the provider sent to us. We spoke with two staff members, one person who used the service and a health professional.

Updated 11 March 2022

About the service

Yanah Care is a domiciliary care agency, providing personal care to people living in their own homes. There were two people receiving personal care 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

Risks were not effectively assessed and mitigated. Care plans and risk assessments had not been reviewed or updated regularly as people’s needs had changed.

Medicines were not managed or monitored effectively. Records for medicines were not useful and could not identify if medicines had been given or who had given them.

Staff were not always recruited safely. There were several documents missing from the recruitment and selection process to check if staff were suitable to work at the service.

There was no effective management oversight throughout the service. The provider told us that he welcomed any advice on improvement. The provider did listen to advice from the feedback throughout the inspection and began to make changes and source help and support going forwards.

Care planning required more detail and although people told us that they had been involved in care planning, none of the documents confirmed this.

Staff had enough personal protective equipment and people told us that staff were frequently washing their hands and cleaning surfaces.

Staff were kind and caring and went over and above when they could see that people required further assistance.

People were encouraged to give feedback on the service and the provider made changes from feedback received.

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 27 May 2021 and this was the first inspection.

Why we inspected

The inspection was prompted in part due to concerns received about the location the service was delivering services in, staffing and management oversight. A decision was made for us to inspect and examine those risks. Due to this being the first inspection, a decision was made to carry out a comprehensive inspection.

Enforcement and Recommendations.

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.

We have identified breaches in relation safe care and treatment, safeguarding, fit and proper person's and good governance.

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 meet with the provider and 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. The provider is not currently delivering a service to people and they will be making improvements to enable them to manage and monitor the service more effectively.