Your Quality Care Services Limited (Lime Tree)

Updated 13 February 2020

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection team consisted of two inspectors. One inspector carried out the site visit and a second inspector spoke with people over the telephone.

Service and service type:

Your Quality Care Services (Lime Tree) is registered as a domiciliary care service. It provides personal care to older people living in their own homes within Lime Tree village in Rugby.

The service did not have a manager registered with the Care Quality Commission. A manager was going through the registration process at the time of our inspection visit. This means that they and the provider will be legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

We gave the service 72 hours' notice of the inspection site visit. This was because it is a small service and we needed to be sure that the provider or manager would be in the office to support the inspection. The inspection was completed on 16 January 2020.

What we did before the inspection:

We reviewed information we had received about the service since it became registered. We sought feedback from the local authority and the local Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. This information helps support our inspections.

The provider was not asked to complete 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.

During the inspection

We spoke with one person who used the service and four relatives about their experience of the care provided. We spoke with the manager, the care co-ordinator, the provider’s clinical director and two care workers.

We reviewed three people's support plans, including medicines records, one staff recruitment record, records of accidents, incidents and the provider's quality assurance checks.

Updated 13 February 2020

About the service

Your Quality Care Services Limited (Lime Tree) is a domiciliary care agency which provides assistance with personal care to people living in their own homes. At the time of the inspection they were providing support to eight people.

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.

People's experience of using this service and what we found

People received care and support from a consistent staff team who were familiar with their needs. Staff knew about risks to people's health and wellbeing and understood the importance of keeping people safe from harm. Accidents and incidents were monitored by the provider to mitigate future risks and encourage learning.

Staff provided effective care because they had regular training to keep them up to date with best practice. Observations of staff practice ensured staff followed the provider’s policies and procedures, such as when giving medicines. Staff worked with other professionals to ensure people had access to the right healthcare support and encouraged people to eat and drink well. 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.

People spoke positively about caring and compassionate staff who understood their needs and abilities. Care plans were person centred and staff ensured people received the support they needed whilst maintaining their dignity and promoting their independence. People and their relatives were positive about the service they received and felt it improved outcomes for people.

People and their relatives were involved in the assessment and planning of care to ensure people’s needs were met. People’s care was responsive to changes in their physical and mental health. People knew how to raise a concern and felt listened to. Information was available in different formats to make it accessible.

The provider had a quality assurance system which ensured people’s views were heard. The provider's audits and checks identified when improvements were required to improve the quality of service provided.

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 was registered with us on 29 January 2019 and this is the first inspection.

Why we inspected

This inspection was carried out in accordance with our methodology for newly registered services.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.