27 February 2020
During a routine inspection
Your Quality Care Services Limited is a domiciliary care service providing personal care to 24 people living in their own homes in the Haywards Heath and Burgess Hill areas. People using the service were both young and older adults with a range of care and support needs. These included dementia, physical disabilities and Asperger's syndrome.
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 told us that they were happy with the service they received. One person said, “It's like a little family. We are well looked after. I would recommend them.”
People were protected from avoidable harm and abuse. Safeguarding policies and procedures were being followed, while staff recognised signs of abuse and had reported any concerns.
People told us that staff helped them to feel safe. Risk assessments and care plans guided staff in how to provide care safely and how to support staff to manage specific health needs. People were protected from the spread of infection by staff who wore appropriate protective equipment.
There were enough suitable staff employed to cover all the care visits. People said they received their calls on time and for the duration that they expected. Staff supported people to have their prescribed medicines safely. People were supported to eat and drink when this was part of their support.
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.
People were supported by staff who knew their needs well and provided person centred and responsive support. People knew how to make a complaint should they need to. People were supported compassionately in their homes at the end of their lives.
People spoke positively about the engagement and involvement of the registered manager. The registered manager received good levels of support from the provider and operational staff to ensure that the quality of the care provided was monitored effectively.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Requires Improvement (published 13 March 2019). There were three breaches of regulation in relation to people’s safety, safeguarding and the leadership and management of the home. 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 improvements had been made and the provider was no longer in breach of regulations. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
Why we inspected
This was a planned inspection based on the previous rating.
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.