Background to this inspection
Updated
1 June 2016
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 9 March 2016 and was announced. The registered provider was given 48 hours’ notice because the location provides a domiciliary care service; we needed to be sure the manager would be available to meet with us. The inspection team consisted of two adult social care inspectors.
Before the inspection we reviewed all the information we held about the service including notifications, we also spoke with the local authority contracting team. At the time of the inspection a Provider Information Return (PIR) was not available for this service. This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. On this occasion we had not asked the provider complete this document.
During our visit we spent time looking at eight people’s care plans, we also looked at five records relating to staff recruitment and training, and various documents relating to the service’s quality assurance systems. We spoke with the registered person and a care co-ordinator. Following the inspection we spoke with five care staff on the telephone. An expert by experience spoke on the telephone with eight people who used the service and ten relatives of people who used the service. An expert-by-experience is a person who has personal experience of using or caring for a person who uses this type of care service. The expert by experience on this occasion had experience in providing care and support to older people.
Updated
1 June 2016
The inspection of Yorkshire Care and Support took place on 9 March 2016 and was announced. Yorkshire Care and Support was registered with the Care Quality Commission in January 2015. This was the first inspection of the service since their registration.
Yorkshire Care and Support is registered to provide personal care. Care and support is provided to people who live in their own homes within the Wakefield area. On the day of our inspection 75 people were receiving support with personal care.
The registered provider is also the registered manager for the service. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
Staff had received training in safeguarding vulnerable people and were aware of what may put people at risk of harm and the action they should take to keep people safe.
Care plans contained risk assessments which recorded the level of risk to staff and people who used the service and the actions that should be taken to reduce the risk of harm to people and staff.
There were thorough recruitment procedures in place with references and disclosure and barring service checks completed on potential employees.
The recording of the administration of people’s medicines was not safe. Records did not provide a clear and accurate record of the medicines people were prescribed and the medicines which staff had administered at each individual administration. This demonstrated a breach of Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
New staff received induction, and ongoing training and support. Training consisted of workbooks practical and face to face training.
We have made a recommendation about mental capacity assessments and documentation in care plans.
People who were assessed as needing support to eat and drink received assistance from staff.
People told us staff were kind and caring. People’s care plans included a summary of their life history. Staff were able to clearly explain the steps they took to maintain people’s privacy and dignity.
People told us they had a care plan in place and they had been involved in the development of this. Care plans were detailed and people’s daily logs recorded the care and support they had received.
People were aware of how to complain and where complaints were received, these were acted on.
During our inspection we found the culture of the organisation to be open and transparent. Staff understood their role and responsibilities and the views and opinions of people who used the service were obtained.