The inspection took place on 9 May 2017, with the provider being given short notice of the visit to the office in line with our current methodology for inspecting domiciliary care agencies. The service was previously inspected in May 2016, when two breaches of legal requirements were identified. The service was given an overall rating of requires improvement. The registered provider sent CQC an action plan which told us how they intended to address the breaches.

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

Yorkshire Rose Community Care Ltd is a domiciliary care service. They are registered to provide personal care to people in their own homes. At the time of our inspection the service was supporting people with a variety of care needs including older people and people living with dementia. Care and support was co-ordinated from the services office which is based in Maltby on the outskirts of Rotherham.

There is a registered manager which oversees services provided from the office. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

At the time of our inspection there were 20 people using the service. We spoke on the telephone with four people who used the service and three relatives. We asked people about their experiences of using the agency. People we spoke with told us they were entirely happy with the service provided.

People told us they felt safe in their own homes and staff were available to offer support when needed to help them maintain their independence. One person told us, “They [staff] are lovely they are more like friends, they can’t do enough for you, very willing and kind.”

People’s needs had been assessed before their care package commenced and they told us they had been involved in formulating and updating their care plans. We found the information contained in the care records we sampled was individualised and identified people’s needs and preferences, as well as any risks associated with their care and the environment they lived in.

We found people received a service that was based on their personal needs and wishes. Changes in people’s needs were quickly identified and their care package amended to meet their changing circumstances. Where people needed assistance taking their medication this was offered in a timely way by staff that had been trained to carry out this role.

At the last inspection we found the recruitment of staff was not sufficiently robust to ensure staff was employed with all of the required employment checks. At this inspection we found improvements had been made and all staff had the required documentation before they commenced work with the service.

There was sufficient trained staff employed to ensure people received their care consistently. People told us that they received support from the same care workers.

People were able to raise any concerns they may have had. We saw the service user guide included ‘how to make a complaint.’ This was written in a suitable format for people who used the service.

People were encouraged to give their views about the quality of the care provided to help drive up standards. However at the last inspection the quality assurance systems had not been effective in identifying areas for improvement. We found improvements had been made to monitor and improve the service.

The inspection took place on 26 and 27 May 2016 with the provider being given short notice of the visit to the office in line with our current methodology for inspecting domiciliary care agencies. This was the first comprehensive inspection of the service which was registered with the Care Quality Commission in July 2015.

Yorkshire Rose Community Care Ltd is a domiciliary care service. They are registered to provide personal care to people in their own homes. At the time of our inspection the service was supporting people with a variety of care needs including older people and people living with dementia. Care and support was co-ordinated from the services office which is based in Bramley on the outskirts of Rotherham.

There was a registered manager who managed services provided from the office. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

At the time of our inspection there were 22 people using the service. We spoke on the telephone with four people who used the service and five relatives. We asked people about their experiences of using the agency. People we spoke with told us they were entirely happy with the service provided.

People told us they felt safe in their own homes and staff were available to offer support when needed to help them maintain their independence. One person told us, “The staff are brilliant. They pop in to make sure I am safe; nothing is too much trouble for them.”

People’s needs had been assessed before their care package commenced and they told us they had been involved in formulating and updating their care plans. We found the information contained in the care records we sampled was individualised and identified people’s needs and preferences, as well as any risks associated with their care and the environment they lived in.

We found people received a service that was based on their personal needs and wishes. Changes in people’s needs were quickly identified and their care package amended to meet their changing circumstances. Where people needed assistance taking their medication, this was administered in a timely way by staff who had been trained to carry out this role.

The recruitment of staff was not sufficiently robust to ensure staff were employed with all of the required employment checks. You can see what action we told the provider to take at the back of the full version of the report.

There were sufficient trained staff employed to ensure people received their care consistently. People told us that they received support from mostly the same care workers.

People were able to raise any concerns they may have had. We saw the service user guide included ‘how to make a complaint.’ This was written in a suitable format for people who used the service. However some of the details were incorrect and required updating.

People were encouraged to give their views about the quality of the care provided to help drive up standards. However, the quality assurance systems in place had not been effective in identifying areas for improvement. Investigations in relation to accidents and incidents were not fully recorded. Analysis of complaints, safeguarding’s were not effective so there was a missed opportunity to learn from these events and improve the service for people.