Background to this inspection
Updated
23 April 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
This inspection was carried out by one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats. The office of the service is based within one of the main buildings of a retirement community.
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 the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection. Due to unforeseen circumstances, this inspection was then delayed by seven working days.
Inspection activity started on 11 March 2020 and ended on 14 March 2020. We visited the office location on 11 March 2020.
What we did before the inspection
We reviewed information we had received about the service since the last inspection, this included notifications that had been made to CQC about the service. We sought feedback from professionals who work with the service. We used all of this information to plan our inspection.
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 four members of staff including the provider, registered manager and two care workers.
We reviewed a range of records. This included four people’s care records and four people’s medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We spoke with one person and three relatives about their experience of the service. We also spoke with two professionals who regularly visit and work with the service.
Updated
23 April 2020
About the service
Your Quality Care (Mayford) is a domiciliary care agency providing personal care to people aged 65 and over who live in their own homes. At the time of the inspection the agency supported seven people with personal care.
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 were kept safe by kind and caring staff who received regular training and competency checks. Staff were knowledgeable about keeping people safe from abuse and knew how to report any safeguarding concerns.
People were supported with their medicines and to maintain a balanced and healthy diet where appropriate. Staff worked in conjunction with other health and social care professionals so people received effective support.
People’s equality and diversity was respected, as well as their privacy and staff encouraged independence as frequently as possible. Staff were caring in their approach and this was encouraged by the provider.
People told us that they were confident to make a complaint and felt listened to by staff. People felt involved with the reviews of their care and decisions that were made. Risks to people were well managed by staff and these were clearly detailed in care plans. People received care that was responsive to their needs.
Quality assurance audits took place to ensure the high standard of care was maintained. Staff received support from the registered manager and the provider through supervisions and team meetings. There was a caring culture throughout the service from the care staff to the management team that meant that people received the best possible care.
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.
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 last rating for this service was good (published 17 October 2018). Since this rating was awarded the registered provider of the service has changed. We have used the previous rating to inform our planning and decisions about the rating at this inspection.
Why we inspected
This was a planned inspection based on the new registration and the CQC inspection schedule.
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.