Your Life Your Home

Updated 13 May 2023

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 an inspector.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own flats. This service provides care and support to people living in two 'supported living' settings, so that they can live as independently as possible. People's care and housing are provided under separate contractual agreements. The Care Quality Commission (CQC) does not regulate premises used for supported living; this inspection looked at people's personal care and support.

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 CQC 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

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with 3 people and 3 relatives about their experience of the care provided. We spoke with 4 staff. We spoke with the provider and registered manager. We reviewed a range of records. This included 3 people’s care plans and associated risk assessments and multiple medicines records. We reviewed 2 staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including environmental checks and audits, were reviewed.

Updated 13 May 2023

About the service

Your Life Your Home is a domiciliary care agency. It provides personal care to people with a learning disability living in their own flats. People's care and housing are provided under separate contractual agreements. At the time of the inspection 17 people were being supported. Not everyone who used the service received personal care. 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

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.

Right Support:

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.

Staff provided effective support to identify people's aspirations and goals and assisted people to plan how these would be met. Staff focused on people's strengths and promoted what they could do. Staff enabled people to access health and social care support in the community.

People were protected from the risks of abuse, harm and discrimination. Staff were able to identify signs of abuse and knew how to report any concerns. People were supported to have their medicines as prescribed and were supported to be as independent as possible with their medicines.

Right Care:

Staff promoted equality and diversity in their support for people. People could communicate with staff as staff understood their individual communication. Staff received training, such as British Sign Language, to aid communication.

Staff provided care to people which was person-centred and promoted people's dignity, privacy and human rights. People’s care plans were written with them and available in easy-to-read formats. People's individual choices were recognised and respected. People were supported to keep in touch with people who were important to them.

People were supported by enough staff, who had been recruited safely. People were involved in the recruitment process.

Right Culture:

The service enabled people and those important to them to work with staff to develop the service. Feedback was requested from people, relatives or health care professionals.

Staff ensured the quality and safety of the service had been assessed to ensure people were safe.

Staff knew and understood people well. The registered manager worked hard to develop strong leadership. Quality monitoring systems had been developed and embedded. Morale within the staff team was high and staff felt valued.

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 provider completed an action plan after the last inspection to show what they would do and by when to improve.

At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.

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.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Your Life Your Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.