9 March 2023
During an inspection looking at part of the service
About the service
Yanah Care is a domiciliary care agency, providing personal care to people living in their own homes. There were 27 people receiving personal care at the time of the inspection. 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
Right Support
The service supported people to be as independent as possible. Staff communicated with people in ways which met their needs. Care support was provided flexibly by staff. Staff supported people to take their prescribed medicines safely.
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
The provider’s staff sometimes needed advice and additional support to understand people’s specific cultural and dietary requirements, but quickly learned how to meet those needs. People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. Staff understood how to protect people from poor care and abuse. People who had individual ways of communicating, using body language, sounds etc, could interact comfortably with staff and others involved in their treatment/care and support because staff had the necessary skills to understand them.
Right Culture
People received compassionate care from staff who were responsive. Staff turnover was low, which supported people to receive consistent care from staff who knew them well. Staff placed people’s wishes and needs at the heart of everything they did.
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 the service, based at the provider’s previous premises, was Requires Improvement (published on 10 March 2022) and there were 4 breaches of regulations. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found some improvements had been made, but the provider remained in breach of 1 regulation.
Why we inspected
The inspection was prompted in part due to concerns received about how the provider’s staff responded to incidents. A decision was made for us to inspect and examine those risks.
The provider had taken action to mitigate the risks identified, by updating people’s care plans and providing additional training, guidance, and support to staff on what to do if a person’s health suddenly declines. The overall rating for the service has remained Requires Improvement, based on the findings of this inspection.
We have found evidence that the provider needs to make improvements. Please see the Effective and Well-led sections of this full report. You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Yanah Care on our website at www.cqc.org.uk.
Enforcement
We have identified an ongoing breach of Regulation 17 (Good Governance), in relation to the provider’s quality monitoring processes and procedures, at this inspection.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.