Your Dignified Care Ltd Wellingborough

Updated 21 April 2023

The inspection

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

This 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 and flats.

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/registered manager would be in the office to support the inspection.

Inspection activity started on 14 February 2023 and ended on 17 March 2023. We visited the location’s office on 16 February 2023.

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. 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 information gathered as part of monitoring activity that took place on 24 January 2023 to help plan the inspection and inform our judgements. We used all this information to plan our inspection.

During the inspection

We spoke with 2 people who used the service about their experience of the care provided. We spoke with 2 relatives of people using the service, three members of care staff, and the registered manager.

We reviewed a range of records. This included 3 people's care records and medication records. We looked at multiple staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service were reviewed.

Updated 21 April 2023

About the service

Your Dignified Care Limited is a domiciliary care agency providing personal care to people with health and social care needs in their own homes. 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. At the time of our inspection there were 14 people who received personal care using the service.

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 where possible by the staff. There were sufficient staff deployed to meet people's needs and wishes. However, due to staff shortages across the health and social care sector the registered manager was also delivering hands on care at various times.

People were not always fully protected from risks associated with their care and support. The registered manager acknowledged the service was in the process of implementing improvements as the service had started to grow and had identified areas for improvement before we started our inspection. However, at the time of our inspection systems had still to be implemented.

People were mostly 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. However, records relating to capacity needed improving and we have made a recommendation about this. Staff supported them in the least restrictive way possible and in their best interests;

Right Care:

People had unique needs and staff knew people and understood risks to people. Staff provided kind, caring, person-centred care and support. Staff communicated with people in ways that met their needs. People's needs were assessed and developed into a support plan. Further work was underway to ensure support plans contained detailed information to enable people to receive appropriate care and support that was responsive to their needs.

People received person-centred care that promoted their dignity, privacy and human rights. Staff recognised and responded to changes to individual's needs. People told us they were treated with kindness and patience.

Right Culture:

Governance arrangements were not as effective or reliable as they should be. Further improvement was needed in the quality assurance processes to identify shortfalls and to drive improvement. Support plans and risk assessments relating to people's health needs were completed but needed more person-centred information to help protect the health and welfare of people who used the service. Relatives and staff gave us positive feedback about the culture at the service.

Staff feedback on working in partnership with the registered manager was positive. Staff reported they felt Your Dignified Care Limited was a supportive company to work for, particularly in life work balance.

This service was registered with us on 29 May 2022 and this is the first inspection.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Why we inspected

This inspection was prompted by a review of the information we held about this service. You can see what action we have asked the provider to take at the end of this full report.

Enforcement and Recommendations

We have identified a breach in relation to governance and oversight at this inspection.

Recommendations

We have made recommendations about the review of records relating to capacity and the timely submission of notifications.

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.