We carried out a review of the data available to us about Yorkshire Care At Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Yorkshire Care At Home, you can give feedback on this service.
Yorkshire Care at Home is a domiciliary care agency. It provides personal care to people living in their own homes and flat. At the time of the inspection the service was providing care to 34 people.
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 and relatives spoke positively about the service provided. They were happy with call times and said they were supported by the same staff. They felt safe and told us staff were consistent, kind and caring. People’s privacy and dignity were respected and promoted during the delivery of care. The service was responsive to people’s health and social care needs. Medicines were managed safely.
The registered manager was approachable and supportive. Audits and checks were in place to monitor the quality of the service. The registered manager had initiated a range of improvements which had led to positive outcomes for people and staff. We received positive feedback about the service being well managed and organised. One health care professional said, “They are always one of my first choices when searching for a care provider.”
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. We have made a recommendation about updating documentation to reflect people’s involvement more clearly.
People’s care needs were assessed, and they received person centred care from staff who knew them well. People’s care plans were up to date and regularly reviewed. When people were at the end of their life the service provided compassionate care staff to support them and their relatives. The service worked in close partnership with health care professionals to achieve this. The service was committed to receiving and acting on feedback from people through a process of regular telephone and face to face reviews
Staff had the skills to support people appropriately. They were knowledgeable about people and the topics we asked them about. They received support, training and supervision. This was reviewed regularly to ensure staff had the knowledge and skills to meet people’s needs.
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 this service was requires improvement (published 10 January 2019) and there were multiple breaches of regulation. 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.
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.
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. It provides a service to a mixture of people including older adults and younger disabled adults. At the time of the inspection the service was providing care to 27 people.
.
A registered manager was in place. 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.
Safe recruitment procedures were not consistently followed as the required checks were not always completed on new staff before they started work. There were enough staff deployed to ensure people received regular care, however some staff said more travel time was needed between calls.
People said they felt safe using the service and safeguarding procedures were in place and followed. We saw where complaints had been received about staff these had been taken seriously and addressed by the management team.
Risks to people’s health and safety were assessed and a range of risk assessments put in place for staff to follow. Whilst some were very detailed others required more detail to provide clearer instructions to staff providing care. We made a recommendation relating to the quality of manual handing risk assessments.
Overall medicines were managed in a safe and appropriate way although some improvements were needed to the medicine care planning process.
Staff received a range of training and support delivered by internal trainers. We made a recommendation relating to how the service delivered the Care Certificate to ensure practice met the requirements of the certificate.
People felt staff turnover was too high and this was a barrier to effective care and support.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
People’s nutritional needs were assessed and plans of care put in place to help staff provide. People’s healthcare needs were also assessed and the service worked with a range of professionals to meet those needs. A range of care plans were in place to instruct staff on how to provide appropriate care.
People said staff were kind and caring and treated them well. We saw mechanisms were in place to listen to people and gain their views on their care and support.
People provided mixed feedback about the timeliness of care calls. We found some improvements were needed to care and rota planning to ensure people received calls at a consistent time each day to assist with the provision of appropriate and person-centred care.
A system was in place to log, investigate and respond to complaints. The management team took complaints seriously and sought out ways to improve the experiences of those who had complained.
Most people and relatives were satisfied with the care provided. Staff said morale was good and the management team were approachable.
Systems were in place to assess, monitor and improve the service although some of these needed to be more robust to ensure the service consistently performed to a high level. A service improvement plan was in place and the management team were committed to continuous improvement of the service.
We found three breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 relating to recruitment procedures, person-centred care and good governance. You can see what action we told the provider to take at the back of the full version of the report.