This was an announced inspection carried out on 28 November and 14 December 2017. Our last inspection of Yorkshire Senior Care took place on 21 and 22 September 2015 when the service was overall rated as 'Good'.

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. It provides a service to older adults. The service’s office is based in Wetherby and they provide support to people in the Wetherby and North Leeds area of Yorkshire. At the time of our inspection there were 57 people who used the service.

At the time of our inspection there was a registered manager in post. 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.

People's needs were safely met. There were sufficient numbers of staff available to meet people's needs in a timely way. Staff had received training to provide them with the skills and knowledge they needed to provide people with safe care. Assessments were in place and appropriately acted upon to reduce and manage the risks to people's health and welfare.

Accidents and incidents were recorded and documented and changes were made to ensure risks were minimised. Environmental risks had been assessed and infection control was monitored.

Robust recruitment systems were in place and the provision of appropriate training, supervision and appraisal to all new staff. Staff understood the importance of protecting people from abuse and avoidable harm. They were aware of the actions they needed to take to report any concerns about people's safety or well-being.

People received support from a staff team that were caring, friendly, and responsive to people's changing needs. They were able to demonstrate that they understood what was required of them to provide each individual with the person centred support they needed to lead fulfilling lives as independently as possible.

People were treated with dignity and their right to make choices about how they preferred their care to be provided was respected. People's rights were protected. People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service supported this practice.

People's care and support took into account their individuality and was person centred. People received an initial assessment prior to taking up the service and their agreed care plans reflected needs centred around the person, including their preferences.

People were supported to eat a healthy diet and to have access to health services in the community to support their health and well-being. The staff followed the advice of healthcare professionals in meeting people's needs where appropriate.

Staff ensured people who required support to manage their medicines received them as prescribed. We have made a recommendation about the provider improving their records around people’s medicines and how they prefer to take them.

People benefitted from a service that was appropriately managed so that they received their care in a timely and reliable way. People knew how to raise concerns and complaints and the provider had appropriate policies and procedures in place to manage them appropriately. There were also systems in place to assess and monitor the on-going quality of the service. People's views about the quality of the service were sought and acted upon.

Further information is in the detailed findings below.

People told us they were happy with the care provided and were involved with their care and support needs. People had contributed their preferences and their experiences were taken into account in relation to how care and support was delivered. One person told us, “Staff listen to me and do what I ask of them.” Another person said, “If I want anything doing, I ask them and they will do it. I get everything I want.”

People’s care plans contained a good level of information that ensured their needs were being met. We spoke with five people and/or their relatives who told us they were happy with the care and support they received. One person told us, “I like them all they are all very nice. They look after me well.” Another person said, “Its fine I can’t fault them, the care I get is what I need.”

Medicines were prescribed and given to people appropriately. People we spoke with said they received their medication on time and when they needed it. Appropriate arrangements were in place in relation to management of medicines. The provider had clear guidance that outlined how medicines should be obtained and protocols that staff must follow. Staff we spoke with said they had received medication training.

We found people were supported by sufficient numbers of qualified, skilled and experienced staff which met people’s needs. People we spoke with told us there were enough staff and they always turned up on time.

There were quality monitoring programmes in place, which included people giving feedback about their care and support. This provided a good overview of the quality of the service’s provided.

We spoke with two care givers who told us they always respected the person's privacy and dignity. One care giver told us, "I always treat people the way I would want to be treated myself." We also spoke with two relatives and one person who used the service and they were very complimentary about the service. One relative told us, "I am so pleased with the service; they support my mum so well." They also told us care givers were very caring and would 'go the extra mile.'

We looked at three sets of care records and saw care was delivered based on identified needs. We were told the same care giver provided care which ensured continuity of care. We were also told care givers were introduced to people prior to them being provided with care. The care records we looked at contained a picture of the care givers along with information about their qualifications. This helped people to get to know the person who had provided them with their care.

We saw systems were in place to regularly monitor the quality of the service.

You can see our judgements on the front page of this report.

We inspected the service on 21 and 22 September 2015. The visit was announced. Our last inspection took place on 06 August 2013 and there were no identified breaches of legal requirements.

Yorkshire Senior Care t/a Home Instead Senior Care, provides care and support to people in their own home. The office is based in Wetherby and they provide support to people in the Wetherby and North Leeds area of Yorkshire. At the time of our inspection the service supported 32 people.

At the time of this inspection the service had a registered manager. 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.

People’s care and support needs were assessed and care and support plans identified how care should be delivered. People and relatives we spoke with told us they were very happy with the service they received and staff were kind and caring, treated them with dignity and respected their choices. People told us they would recommend the service and said the staff did more than just their job; they had time to talk with them and would do little extra jobs, if asked. People received assistance with meals and healthcare when required. We found there were appropriate arrangements for the safe handling of medicines.

People who used the service told us they felt safe with the staff and the care they were provided with. We found there were appropriate systems in place to protect people from risk of harm. There were policies and procedures in place in relation to the Mental Capacity Act 2005.

We found people were cared for, or supported by, appropriately trained staff. Robust recruitment procedures were in place. Staff received support to help them understand how to deliver appropriate care. People who used the service said their visit times suited their wishes and staff always stayed the agreed length of time.

People who used the service, relatives and staff all told us the management of the service was very good. They said the registered manager was hands on, approachable and responsive. We found there were appropriate systems in place for the management of complaints and effective systems to monitor and improve the quality of the service provided.