Yorklea Nursing Home

Updated 21 December 2021

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection team comprised one inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Yorklea Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

We gave the service 24 hours’ notice of the inspection. This was because of the Covid-19 pandemic and the need to ensure the safety of inspectors, care home staff and people.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.

During the inspection

We spoke with eight people who used the service and four relatives about their experience of the care provided. We spoke with nine members of staff including the registered manager, the chef, nurses and care workers.

We reviewed a range of records. This included records in seven people’s care files and four people's medication files. We looked at three staff files in relation to recruitment. We reviewed a range of records relating to the management of the service, including policies and procedures.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with a wide range of community health services professionals who regularly visit the service. We sought feedback from the local authority who work with the service.

Updated 21 December 2021

About the service

Yorklea Nursing Home provides accommodation, personal and nursing care for up to 35 people living with age-related health problems or physical disabilities. At the time of our inspection, Yorklea Nursing Home accommodated 24 people over four floors; 16 of the people had high dependency and nursing care needs.

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

The home had a fairly stable staff team with low staff turnover. The home had enough staff to ensure people received the care they needed to keep them safe and well. At the time of our inspection, the home had a vacancy for an activities worker, which meant people had limited access to activities.

Staff used risk assessments and care plans to support people based on their needs and preferences. People received their medicines safely. The care home had good standards of cleanliness and hygiene. Staff complied with good infection control practices when supporting people such as wearing personal protective equipment (PPE).

People looked healthy and well. The service worked closely with other health and social care services to ensure people received the right care at the right time. People received support that gave them maximum choice and control of their lives. Staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

The service promoted high quality, person-centred care and had an open and honest culture. People and their relatives gave mostly positive feedback about the staff and the service. They described the staff as friendly and caring. Staff enjoyed their work although they found it very busy. They described the managers as supportive and approachable.

The provider showed commitment to continuous improvement through actions taken following investigations and mock inspections, as well as participation in pilots and new initiatives. Local managers used a range of governance systems, tools and processes to assess the quality of the service and identify areas that needed attention.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was Good (published 29 May 2019). We undertook a targeted inspection on 11 August 2020 to look at the infection prevention and control measures the service had in place (published 21 August 2020).

Why we inspected

The inspection was prompted in part by notification of a specific incident in which a person suffered serious harm. This incident is subject to further investigation. As a result, this inspection did not examine the circumstances of the incident.

The information CQC received about the incident indicated concerns about the management of wound care. As a result, we undertook a focused inspection to review the key questions of Safe, Effective, Responsive and Well-Led. We found no evidence during this inspection that people were at risk of harm from this concern.

We also reviewed the information we held about the service to check that no areas of concern were identified in the other key question previously rated Good (Caring). We used the rating for Caring from the previous comprehensive inspection in calculating the overall rating at this inspection.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.