About the service Care Solutions North Yorkshire is a domiciliary care agency providing personal care to people in their own homes. The service supports younger and older adults. This includes people who may be living with dementia, a physical disability and mental health needs. At the time of our inspection there were 32 people using the service.
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 were supported to have their medication and staff were trained with appropriate competency checks in place to ensure they were able to provide safe care. As and when required or PRN medicines were administered when needed however the recording of this was not in line with current guidance. Medication audits had been produced but these were not robust enough to highlight the concerns raised at the inspection. We have made a recommendation in this area.
People had person-centred care plans in place which took into account people’s preferences. People told us that the staff were always kind and patient, having the time to spend with them creating positive relationships and trust.
One person described the care as, “first class”, with another person saying, ‘they are very good at everything they do.’
People’s feedback of the service was positive and those that responded felt the care they received helped improve their quality of life.
Staff were trained and well supported in their roles by both the registered manager and the provider. Best practice and good care were encouraged with systems in place to share this conduct across the team and reward schemes in place to promote excellent care.
Risks to both people and staff had been assessed with appropriate risk assessments in place to help protect people. Processes had been developed to monitor the safety of both people and staff which was overseen by the registered manager.
People told us that staff always worked to maintain their dignity and privacy and they were always respectful when providing care.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 13 November 2020 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Recommendations
We made a recommendation around the providers recording and monitoring of medicines. At the time of inspection best practice guidance was not followed and this was not identified by the provider. There was no evidence that this resulted in harm to people. The provider took action to amend practices when this was highlighted on inspection.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.