Your Life (Basingstoke) achieved a Good rating across all five key questions at its June 2023 inspection, with people and relatives consistently praising kind, consistent staff and a responsive, person-centred service. Minor gaps were noted in recruitment record completeness, medicines information detail, and a lack of a formalised incident-learning process, all of which the registered manager moved to address during or immediately after the inspection.
Concerns (4)
minorRecord keeping: “One staff file checked did not have checks for a previous care position, but the registered manager made efforts during the inspection to correct this.”
minorMedication management: “We found there could have been more detail about the effects and side effects of the medicines people were taking. This could be improved by including a patient information leaflet.”
minorIncident learning: “Although incidents were logged against individual people and dealt with there was not an overall process in place to learn from these.”
minorCare planning: “We found one care plan was unclear about how much thickener to use, but this was under review by the registered manager as it may not be required.”
Strengths
· People told us they felt safe and staff were described as fantastic, with consistent care delivered by familiar staff.
· Staff received comprehensive training including shadowing, competency checks, Care Certificate induction, and encouragement to pursue further qualifications.
· People and relatives were consistently positive about staff being kind, caring, friendly and respectful of dignity and preferences.
· Care plans were regularly reviewed and involved people and their relatives, reflecting individual needs, preferences and risks.
· The registered manager fostered an open, supportive culture with regular staff meetings, documented supervision and engagement with people.
Quality-Statement breakdown (25)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies to provide consistent, effective, timely careGood
effective: Supporting people to live healthier lives, access healthcare services and supportGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: How the provider understands and acts on the duty of candourGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: Engaging and involving people using the service, the public and staffGood
well-led: Continuous learning and improving careGood