YourLife (Raynes Park) was rated Good overall, with only Safe and Well-Led key questions inspected, both retaining their Good ratings from the previous 2017 inspection. The service demonstrated effective safeguarding, safe medicines management, robust governance, and positive person-centred leadership with no areas of concern identified.
Strengths
· Staff demonstrated clear knowledge of safeguarding procedures and willingness to escalate concerns to external bodies including CQC.
· Comprehensive risk assessments with clear mitigation guidance covering medicines, nutrition, falls, and skin integrity.
· Medicines managed safely with no gaps or omissions in MARs and regular medicines audits by the registered manager.
· Positive leadership culture with staff and people speaking highly of the registered manager's impact since appointment.
· Regular audits covering medicines, complaints, safeguarding, accidents, incidents and staff training with swift action on findings.
YourLife (Raynes Park) received a Good rating across all five key questions at its first inspection in August 2017, demonstrating safe, effective, caring, responsive and well-led care for nine people in an extra care housing setting. Minor gaps were identified in risk assessment documentation and medication guidelines for absent service users, both of which were promptly addressed by the registered manager following the inspection.
Concerns (2)
minorCare planning: “the service did not assess the likelihood and severity of the risks occurring to determine the level and impact of risks on people”
minorMedication management: “there were no records found containing guidance for staff on how to assist a person if they were not on the premises at the time they had to take their medicines”
Strengths
· Staff supported people to stay safe from potential abuse and avoidable harm, with safeguarding policies accessible to all staff
· Sufficient staffing levels maintained with safe recruitment practices including DBS checks and reference verification
· Regular supervision and annual appraisal meetings held to support staff development
· Staff demonstrated good understanding of Mental Capacity Act 2005 principles in practice
· People were involved in care needs assessments and had access to their own care records kept in their flats