Archived: You are my sunshine

Updated 8 July 2022

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

The inspection was carried out by one 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.

Notice of inspection

We gave the service a short period of notice of the inspection. This was because we needed to be sure that the provider would be in the office to support the inspection.

Inspection activity started on 14 June 2022 and ended on 21 June 2022. We visited the location’s office on 14 June 2022.

What we did before the inspection

Before the inspection we reviewed information we had received about the service since it registered with CQC. We reviewed CQC notifications. These describe events that happen in the service that the provider is legally required to tell us about.

The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.

We used this information to plan our inspection.

During the inspection

We spoke with three people who used the service and six relatives about their experience of the care and support provided. We spoke with seven members of staff, including the manager, administration and care staff. We received feedback from four professionals who worked with the service. Their comments have been incorporated into this report.

We looked at a range of records relating to the management of the service. This included three people’s care records. We looked at four staff files in relation to recruitment and staff support. We read records relating to the management of the service, including policies and procedures and audits.

We considered all this information to help us to make a judgement about the service.

Updated 8 July 2022

About the service

You Are My Sunshine is a domiciliary care service providing personal care to people who live in their own homes. The service provides support to adults who have a range of physical, sensory or cognitive needs. At the time of the inspection, 39 people were using the service and receiving personal care.

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 kept safe from avoidable harm and abuse because staff knew them, had received training and knew what to do if they had concerns.

Assessments informed care plans which reflected people’s needs, strengths and preferences.

These were easily available to staff and guided them to manage risks and keep people safe. Risk assessments were being reviewed and updated by the manager at the time of our inspection. People's medicines were managed safely by trained staff, and clear records were kept and regularly checked.

There were enough staff to meet people's needs, and new packages of care would only be taken on if there were enough skilled staff to provide safe, high quality support. Safe recruitment practices were in place. During our visit, changes were made to improve the job application form in response to feedback given.

Staff completed induction and core training as well as more advanced courses to provide a service which reflected best practice.

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 received positive feedback which illustrated people were treated with kindness, respect and compassion. Staff treated people as individuals and responded to changing needs. People and their relatives were supported to express their views and be involved in decisions about their care and support.

The service was consistently well managed and led. The manager was very visible and well known. They worked directly with people and led by example to promote a positive culture.

The leadership, governance and culture promoted the delivery of high quality, person centred support. Regular audits and checks monitored this, and actions were taken to develop and improve the service. The service was responsive to feedback from people, relatives, staff and other professionals.

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 12 March 2021 and this is the first inspection.

Why we inspected

This was a planned inspection to check whether the provider was meeting legal requirements and regulations, and to provide a rating for the service as directed by the Care Act 2014.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.