Yorkshire Homecare Limited

Updated 11 July 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

The inspection was carried out by 1 inspector, a regulatory officer and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

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 24 hours’ notice of the inspection. This was because we needed to be sure that the provider or registered manager would be in the office to support the inspection.

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 and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with 3 relatives about their experience of care. We spoke with 3 staff including the registered manager and 2 administrative staff.

We reviewed a range of records. This included 6 people's care records and multiple medication records. A variety of records relating to the governance of the service, including policies and procedures were reviewed.

We looked at 3 staff files in relation to recruitment, supervision data and quality assurance records. We reviewed feedback from professionals involved with the service and records held by the provider about people. We continued to seek clarification from the provider to validate evidence found following the inspection.

Updated 11 July 2023

About the service

Yorkshire Homecare Limited is a domiciliary care service providing personal care to adults with a range of support needs in their own homes. At the time of our inspection there were 6 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

Systems and processes were in place to safeguard people from the risk of abuse. Relatives told us people received safe care and there were enough staff to meet people’s needs. Medicines were generally managed well. Staff had a good understanding of infection prevention control. The provider ensured staff were recruited safely and received supervision and support to ensure safe care.

The registered manager ensured regular reviews of peoples’ needs. Relatives described ways they were involved in the development and updating of care plans and risk assessments. Staff had a robust induction at the start of their employment, further coaching and competency checks ensured they had the skills and knowledge to care for people safely and in a person-centred way. Staff understood how to provide personalised care and ensure people’s nutritional needs wet met.

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.

The registered manager responded to feedback, ensuring lessons learnt were being used to improve the service. There were systems in place to monitor that people received safe and good quality care. Relatives and staff had good experiences of the service and could contribute to further improvement within the service.

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 13 October 2021). 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

We carried out an unannounced comprehensive inspection of this service on 13 October 2021. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment, good governance and staffing.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Effective and Well-led which contain those requirements.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Yorkshire Homecare Limited on our website at www.cqc.org.uk.

Follow up

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