Background to this inspection
Updated
8 December 2021
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
This inspection was carried out by one inspector.
Service and service type:
This service is a domiciliary care agency. It provides personal care to adults and children living in their own houses. 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:
This inspection was unannounced.
What we did before inspection
We reviewed information we had received about the service. We sought feedback from the local authority. 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 inspection. We used all of this information to plan our inspection.
During the inspection
The inspection took place on 18 November 2021.
We were unable to speak with people directly but read their written views from five surveys taken within the last six months. We spoke with two relatives. We also gathered information from six members of staff including care staff, the registered manager and a director. We looked at care records for three people using the service. We looked at training and recruitment records for staff. We also reviewed various policies and procedures and the quality assurance and monitoring systems of the service.
After the inspection
We continued to seek clarification from the provider to validate evidence found including training data and quality assurance records.
Updated
8 December 2021
About the service:
Cura-Care Yorkshire is a domiciliary care agency providing personal care to adults and children living in their own homes. 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. At the time of the inspection, the service was supporting 37 people.
People's experience of using this service:
People were safe using this service. Staff were trained to safeguard people from abuse and knew how to minimise identified risks to people's safety. They followed current practice when providing personal care and in regard to infection control. There were enough staff available to meet people's needs. The provider carried out recruitment checks to make sure staff were suitable and fit to support people. Staff received relevant training to help them meet people's needs. The registered manager supported them to review and improve their working practices so that people experienced high quality care and support.
People received care and support that had been planned and agreed with them. People's care preferences were respected and staff delivered care in line with people’s wishes. Staff knew people well and understood how their needs should be met. The provider checked with people at regular intervals the care and support provided was meeting their needs.
People's written feedback and relatives told us staff were kind and caring. They supported people in a dignified, respectful way which maintained their privacy and independence. The provider made sure wherever possible, this was from the same staff to maintain a consistent approach. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
Staff understood people's healthcare needs and how they should be supported in a timely and appropriate way. Staff worked well with other healthcare professionals involved in people's care.
People and their relatives had no concerns about the care and support provided. They knew how to make a complaint if they needed to. The registered manager monitored and reviewed the quality of service that people experienced. They undertook regular checks on care staff to make sure they were carrying out their duties appropriately and to a high standard. The provider sought people's views about how the service could improve.
There were arrangements in place to make sure any accidents, incidents and complaints would be fully investigated and people would be involved and informed of the outcome.
The manager was clear about the responsibilities of their role. They were open and honest and had regular communication with people, their families and other stakeholders.
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 has been in Special Measures since 12 April 2021. At our last inspection we identified risks were not effectively identified or assessed and medicines were not safely managed. We also found governance arrangements within the service were not adequate to ensure safe, good quality care was being delivered.These were a breaches of regulation 12 (Safe Care and Treatment) and regulation 17 (Good governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The provider had also failed to make legally required notifications to CQC. This was a breach of regulation 18 (Notification of other incidents) of the Health and Social Care Act 2008 (Registration) Regulations 2009
During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.
Why we inspected:
This inspection was carried out to follow up on action we told the provider to take at the last inspection.
Follow up:
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.