The Care Quality Commission
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  • Homecare service

Yellow Rose Healthcare Limited

Overall: Requires improvement read more about inspection ratings

36 Westbury Lane, Bristol, BS9 2PP 07306 449464

Provided and run by:
Yellow Rose Healthcare Limited

Important:

We served a warning notice on Yellow Rose Healthcare Limited on the 27 December 2024 for failing to meet the regulations related to good governance, safe and treatment at Yellow Rose Healthcare Limited.

All Inspections

During an assessment under our new approach

Date of Assessment: 03 December 2024 to 24 December 2024. The service is a care at home service providing support to people living in their own homes. This inspection was prompted by concerns we had received about the service relating to safe staffing. We conducted a targeted assessment focusing on 4 quality statements in safe and well-led. This included safe and effective staffing, involving people to manage risk, safeguarding and governance. We found 6 breaches of the legal regulations including safeguarding, good governance, display of ratings, notification of other incidents and statement of purpose. We found a repeated breach of regulation from the last inspection in April 2023 in relation to safe care and treatment. This is because people and relatives told us visits were not always provided when required. Visits could be up to an hour or 2 late, or on some occasions not provided at all. The rating for safe and well-led is requires improvement. The service lacked governance systems to ensure it was delivering high quality and safe care, and making improvements when needed. There was no up to date statement of purpose, and the provider was not displaying their Care Quality Commission (CQC) assessment rating on their website as required. We were not assured safeguarding concerns were being managed effectively. Notifications relating to safeguarding incidents and other notifiable events were not made as required. People and relatives confirmed their visits were not always provided as expected. They described care staff as caring and helpful, and all felt well supported by their care staff. We were unable to gain feedback from staff and professionals as their contact details were not provided as requested. In instances where CQC have decide to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/ or appeals have been concluded. We have asked the provider for an action plan.

13 March 2023

During a routine inspection

About the service

Yellow Rose is a domiciliary care agency providing personal care to people in their own homes. At the time of our inspection there were 16 people using the service.

People’s experience of using this service and what we found

At the time of the inspection, the service had taken on a large number of care packages in a short space of time. Due to the lack of management support in place for the registered manager, there were risks that the registered manager would not be able to maintain the service safely. They were planning to recruit care managers to support them in running the service. 10 service users did not have care plans in place, due to the demands on the time of the registered manager.

There were sufficient numbers of care staff to meet people’s needs. Recruitment was ongoing in order to support future expansion of the service. The registered manager told us they were registered with the home office to enable them to recruit staff from overseas. There were systems in place to recruit new staff safely.

Staff told us they were well supported and received good training and support. Training included key topics such as medicines management and safeguarding. 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.

People told us staff were kind and caring and provided good support which met their needs. People’s independence was recognised and promoted.

People knew how to make a complaint if they had one and knew how to contact the registered manager if they had any concerns. People were recognised as individuals with their own particular needs and preferences.

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 14 April 2022, and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We have found evidence that the provider needs to make improvements. Please see the safe and well led sections of this full report. You can see what action we have asked the provider to take at the end of this full report.

Enforcement and Recommendations

We have identified a breach of regulation in relation to keeping people safe.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.