Background to this inspection
Updated
17 January 2023
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 Health and Social Care Act 2008.
Inspection team
The inspection was carried out by 2 inspectors, a pharmacist and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
This service provides care and support to adults living in supported living' settings, so they can live as independently as possible. In respect of Yani Care Solutions, not all of the people living in these supported living settings were receiving a regulated activity. People's care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living. This inspection looked at people's personal care and support.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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. At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was announced. We gave a short period notice of the inspection. This was because we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 28 November 2022 and ended on 6 December 2022. We visited the office on 28 November 2022.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with a relative about their experience of the care provided. We spoke with three members of staff including the registered manager, who was also nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
We reviewed a range of records. This included one care plan and associated medication records. We looked at three staff recruitment files, staff training records and records associated with the provider's quality monitoring systems.
Updated
17 January 2023
About the service
Yani Care Solutions is a domiciliary care service, providing the regulated activity personal care. Most of the people using the service have a learning disability. There was one person using the service at the time of the inspection. Not all people using the service were receiving a regulated activity. 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.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
People's experience of using this service and what we found
The service was able to demonstrate how they were meeting the underpinning principles of right support, right care, right culture.
Right Support
The environment people lived in provided a safe service and people felt safe using the service. The quality of service provided was regularly reviewed, and changes were made to improve people's care and support as required. The service had established good working partnerships with healthcare professionals and within the local community that promoted people's participation and reduced their social isolation. We have made two recommendations regarding the safe administration of medication.
Right Care
There were suitable numbers of well trained and appropriately recruited staff who supported people to live safely, whilst enjoying their lives. Any risks to people and staff were assessed, monitored and regularly reviewed. There were systems in place to respond to complaints, concerns and safeguarding issues, although none had occurred at the time of the inspection.
Right culture
The provider's culture was open and staff understood their responsibilities about reporting any concerns.
Rating at last inspection
The last rating for this service was good (published July 2021).
Why we inspected
The inspection was prompted in part due to whistleblowing information we received about the service. A decision was made for us to inspect and examine those risks.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service remains good. This is based on the findings at this inspection. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Yani Care Solutions on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect. For more details, please see the full report which is on the CQC website at www.cqc.org.uk