Background to this inspection
Updated
26 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. 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
The inspection was carried out by two inspectors.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own homes.
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
We gave a short period notice of the inspection because the service was small, and the registered manager works across two locations. We needed the registered manager to be available to meet with us and arrange for us to visit people and speak with staff.
Inspection activity started on 29 January 2020 and ended on 5 February 2020. We visited the office location on 4 February 2020.
What we did before the inspection
We reviewed the information we held about the service. This included information gathered when the service was registered.
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.
We used all of this information to plan our inspection.
During the inspection
We visited three people who used the service and spoke with three relatives about their experience of the care provided. We spoke with four members of staff including the registered manager, the clinical director for the provider and two care staff.
We reviewed a range of records. This included three people’s care records and two staff files in relation to recruitment, training and supervision. We also looked at a variety of records relating to the management of the service, including the way the provider monitors the running of the service.
After the inspection
We spoke with another relative of a person using the service on the telephone.
Updated
26 February 2020
About the service
Your Quality Care Services (East Grinstead) is a domiciliary care agency that provides support to people 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. There were seven people receiving the regulated activity of personal care at the time of our inspection.
People’s experience of using this service and what we found
The service is a new agency which at the time of this inspection was providing personal support to people living within a retirement village. Feedback was consistently positive about the service people received. People felt valued and told us the support they received enabled them to continue to lead their lives as they wished.
There were good systems in place to keep people safe. Risks had been appropriately assessed and action taken to safeguard people from the risk of abuse or avoidable harm.
Enough staff were employed to meet the needs of the people who received personal support. People were supported by a regular and reliable team of staff who knew them well. Staff were kind and compassionate in their approach and had developed a good rapport with both people and their families. Staff promoted people’s privacy and dignity and encouraged people to retain their independence.
Appropriate steps were taken to ensure staff were suitably vetted prior to appointment. Training was ongoing to ensure staff had the skills and experience to support people effectively.
Each person was assessed prior to the commencement of care, from which a personalised plan of care was devised. Support was provided flexibly and regularly reviewed to ensure it remained responsive to people’s changing needs.
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.
There were systems in place to keep people healthy, hydrated and ensure medicines were administered as prescribed.
The registered manager was committed to delivering high quality support and had a clear strategy for expanding the business, without compromising on quality. Quality assurance systems ensured ongoing monitoring and improvement.
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 15/02/2019 and this is the first inspection.
Why we inspected
This was a planned inspection as part of our routine schedule of inspections.
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.