Background to this inspection
Updated
8 November 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 2008.
Inspection team
This inspection was conducted by one inspector.
Service and service type
Yourhealthcare Community Interest Company operates a shared lives scheme, they recruit, train and support self-employed shared lives carers (SLC) who offer accommodation and support arrangements for vulnerable adults within their own family homes in the community.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
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 to be sure that the provider or registered manager would be in the office to support the inspection.
We visited the office location on 04 October 2022.
What we did before the inspection
We reviewed information we had received about the service since it had registered with us.
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 this information to plan our inspection.
During the inspection
We spoke with two people who used the service and two shared lives carers . We spoke with the registered manager and the head of service.
We reviewed a range of records. This included three people's care records and two staff files.
We requested additional evidence to be sent to us after our inspection. This included records relating to governance including policies and procedures.
Updated
8 November 2022
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
About the service
YourHealthcare Community Interest Company offers a shared lives scheme which provides people with long term placements within shared lives carers (SLC) own homes. At the time of inspection, there were seven people receiving support with personal care from this service. In this report we refer to the shared lives carers as 'carers.'
The Care Quality Commission (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
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
Right Support:
The service supported people to have the maximum possible choice, control and independence. Carers supported people with their medicines in a way that promoted their independence and achieved the best possible health outcome.
Right Care:
Carers promoted equality and diversity in their support for people. They understood people’s cultural needs and provided culturally appropriate care. Carers understood how to protect people from poor care and abuse. Carers had training on how to recognise and report abuse and they knew how to apply it. Carers and people cooperated to assess risks people might face. Where appropriate, carers encouraged and enabled people to take positive risks.
Right Culture:
People received good quality care, support and treatment because trained carers and specialists could meet their needs and wishes. Carer turnover was very low, which supported people to receive consistent care from staff who knew them well. The provider evaluated the quality of support provided to people, involving the person, their families and other professionals as appropriate.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 18/10/2109) and there were breaches of regulation in relation to safe care and treatment and good governance. The provider completed an action plan after the last inspection to show what they would do and by when to improve.
At this inspection enough improvement had been made and the provider was not in breach of regulations.
Why we inspected
This inspection was carried out to look at improvements against the breaches found at the previous inspection. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Home Care Service Provider on our website at www.cqc.org.uk.