The YOU Trust

Updated 14 November 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This was a comprehensive inspection. The inspection was carried out by one inspector. The inspection took place on 01 October 2018 and 02 October 2018 and was announced. We gave the service 48 hours' notice of the inspection visit because the location provides a domiciliary care service and we need to be sure the registered manager was there.

We reviewed the information sent to us in the provider information return (PIR). The PIR is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. Before this inspection we reviewed information, we had about the service including notifications. A notification is a report about important events which the service is required to send us by law.

During the inspection we contacted 10 people who used the service, two relatives and four members of staff by telephone and visiting people in their own home. We reviewed three care records and associated documents for people who received personal care. We reviewed other records relating to the management of the service, including quality survey questionnaire forms, audit reports, training records, policies, procedures, and five staff employment and supervision records. We also reviewed the provider’s recruitment practices.

This was the service’s first inspection since registration with the Care Quality Commission.

Updated 14 November 2018

We conducted a comprehensive inspection of this service on 01 October 2018. We gave 48 hours’ notice of our intention to visit The You Trust – Fareham office to make sure people we needed to speak with were available. The You Trust Fareham is a domiciliary care agency that provides personal care to people living in their own houses and flats in the community [and specialist housing] for adults who are living with a learning disability.

The You Trust - Fareham is a charity which provides a range of social care services, not all of which are regulated by the Care Quality Commission (CQC). At the time of our inspection there were 15 people whose personal care and support came under the scope of this inspection. Not everyone using The You Trust - Fareham receives regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do, we also take into account any wider social care provided.

There were two registered managers’ in post, one was present for the inspection. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are “registered persons”. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People consistently received their medicines on time and as prescribed. People's medicines were safely managed.

People were supported to maintain good health and be involved in decisions about their health. They were provided with personalised care and support. People were positive about the care they received.

Risks to people's and staff safety were identified, assessed and appropriate action was taken. Staff had completed safeguarding adults training and knew how to keep people safe and report concerns.

People were encouraged to make choices about their care and support and to be as independent as possible. People were protected by the principles of the Mental Capacity Act 2005 (MCA). The MCA provides the legal framework to assess people's capacity to make certain decisions.

People had their needs assessed across a wide range of areas and care plans included guidance about meeting these needs. People were encouraged to make choices about their care and support and to be as independent as possible.

Staff had the knowledge and skills to carry out their roles and their training was updated annually.

People were very positive about the care they received. There were thorough recruitment checks completed to help ensure suitable staff were employed to care and support people.

The Accessible Information standard was understood by the management team. People received care and support which reflected their diverse needs in relation to the seven protected characteristics of the Equalities Act 2010. The characteristics of the Act include age, disability, gender, marital status, race, religion and sexual orientation.

Staff took necessary precautions to prevent the spread of infection. Staff had completed training on infection control and knew where to access the policy.

People felt they would be listened to if they needed to complain or raise concerns. The registered manager’s appropriately investigated complaints, compliments and incidents. People had access to an accessible complaints procedure. A complaints policy was also available to staff and families.

Quality assurance procedures were used to monitor and improve the service for people and included them in developing their care and support. Feedback from people and their relatives or supporters was used to improve the service when their views were sought every year. Monitoring and auditing of systems had ensured action was taken when required.

People's information was kept securely and staff respected people's privacy, dignity and confidentiality.

The registered manager’s placed importance on ensuring everybody received person centred support. They also ensured the staff team felt valued. The management team ensured that significant events were reported appropriately to the local authority and CQC when required.