Yourlife (Leyland)

We have made a recommendation that improvements are made to recording systems that are used for monitoring any risks, themes or trends to ensure they have have been recognised and any actions taken recorded.

There were enough numbers of staff on the rota to support the number of people using the service. We received positive feedback from people about the reliability of their visit times. Information required in the staff recruitment files was not always completed in full and some files needed to include more details to ensure the recruitment process was robust. The registered manager acted during the inspection to ensure the files were completed in full.

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. Consent to care and treatment had been obtained and where people lacked capacity relevant others had been involved in supporting people's decision making.

Training records seen demonstrated appropriate and relevant training was provided. Referrals were made to other healthcare services when necessary. People told us they thought the care they received was very good and spoke positively about the staff who supported them.

People told us the staff treated them with respect and dignity and were kind and caring towards them. Care plans demonstrated a person-centred approach. Concerns and complaints were promptly responded to.

End of life care where relevant was done co-working with the community nurses.

Quality monitoring and auditing systems were not all fully established. There was some regular oversight of the safety and quality of the service however, this was not always being formally recorded. There was no recorded analysis or reviews of people's experiences completed in a format to see where improvements to the service could be made.

We have made a recommendation the provider develops and establishes the systems and processes to oversee the quality and safety of the service.