About the service: Sure Care York is a domiciliary care service that was providing personal care to 39 people; mainly older people, some of whom were living with dementia, and some people with learning disabilities or autistic spectrum disorder, mental health, physical disability and sensory impairment People’s experience of using this service: 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.
The service had been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion.
People received safe care and support because systems and processes in place ensured any risks were safely managed by staff, and their needs met with minimal restrictions in place.
People and their relatives told us they were happy with the service provided. Staff understood the importance of providing person-centred care and had developed positive relationships with people.
Staff had received training and clear guidance was followed to help people to understand how to remain safe from avoidable harm and abuse.
Medicines were managed and administered safely. Records confirmed people had received their medicines as prescribed.
People were involved in their care planning. Records were person-centred and evaluated consistently. Where agreed outcomes were not achieved, amendments were made with people’s input.
Staff received appropriate induction, training, and support and applied learning effectively in line with best practice. This led to good outcomes for people and supported a good quality of life.
Staff were friendly and polite. Staff took time to get to know people. They had a clear understanding of, and how to support, people’s individual and diverse needs.
People and their relatives told us they were confident if they had any complaints the registered manager would address them appropriately.
People knew the owner and the registered manager and told us they trusted them. Staff told us the registered manager was supportive and approachable.
The provider completed oversight of the service to ensure quality assurance remained a priority and was effective in maintaining standards and driving improvements.
Rating at last inspection: This was the first inspection for this service under the current provider.
Why we inspected: This inspection was a planned inspection following registration of the new provider.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme.
For more details, please see the full report which is on CQC website at www.cqc.org.uk