Background to this inspection
Updated
28 June 2023
The inspection
We carried out this performance review and assessment under Section 46 of the Health and Social Care Act 2008 (the Act). We checked whether the provider was meeting the legal requirements of the regulations associated with the Act and looked at the quality of the service to provide a rating.
Unlike our standard approach to assessing performance, we did not physically visit the office of the location. This is a new approach we have introduced to reviewing and assessing performance of some care at home providers. Instead of visiting the office location we use technology such as electronic file sharing and video or phone calls to engage with people using the service and staff.
Inspection team
The inspection was carried out by 1 inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations. At the time of our inspection there was a registered manager in post.
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.
Inspection activity started on 11 May and ended on 23 May 2023.
What we did before the inspection
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We reviewed information we had received about the service. We sought feedback from the local authority and professionals who work closely with the service. We used all of this information to plan our inspection.
During the inspection
We were unable to speak with people during this inspection; however, we spoke to 2 relatives to understand people’s experience of care and support provided. We spoke with all of the staff which included care staff and the registered manager. We reviewed a range of records. This included 3 people's care records, medicine administration records and associated documentation. We also looked at other records relating to the management of the service, care provided to people and risk management. We looked at call monitoring logs, accident and incident monitoring, audits and governance information.
This performance review and assessment was carried out without a visit to the location’s office. We used technology such as video calls to enable us to engage with people using the service and staff, and electronic file sharing to enable us to review documentation.
Updated
28 June 2023
About the service
Yellow Rose Support is a domiciliary care agency providing personal care to people living in their own homes. At the time of our inspection 3 people were receiving personal care.
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. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.
People’s experience of using this service and what we found
Right Support: People’s independence was promoted by the provider and staff. The provider had maintained a consistency in staff and this meant people were supported by staff who knew them well. People were encouraged and supported to express their choices and access the community and activities. Relatives told us staff skilfully supported and provided care to people.
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.
Right Care: People received kind and compassionate care. People and relatives reported support was provided safely. Staff understood how to protect and promote people’s privacy and dignity. Staff varied their approach to working with people and demonstrated an understanding of how to support people in line with their preferences. People’s medicines were managed safely. When accidents and incidents had occurred information was recorded accurately and later analysed by the provider to identify any trends or areas of staff practice which could be developed.
Right Culture: Staff felt they were supported by a strong management team. The provider had a robust auditing system in place and the registered manager evidenced consistent checks and oversight of practice in all areas. Some audits while sufficient to meet the demands of the service at the time of inspection, would require further development should the number of people the provider supports increase. We have made a recommendation the provider continues to review auditing systems moving forwards.
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 13 May 2022 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
This was an ‘inspection using remote technology’. This means we did not visit the office location and instead used technology such as electronic file sharing to gather information, and video and phone calls to engage with people using the service as part of this performance review and assessment.