York Road

Updated 1 June 2023

The inspection

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 Health and Social Care Act 2008.

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 was carried out by one inspector.

Service and service type

York Road is a 'care home'. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. 31, York Road is a care home without nursing care.

CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

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

Notice of inspection

This inspection was announced. We gave the service 24 hours' notice of the inspection visit to ensure people living in the service and the registered manager were available.

What we did before the inspection

We reviewed information we had received about the service since the last inspection, including the notifications of accidents and incidents we had received from the provider. We sought feedback from the local authority and professionals who work with the service. This information helps support our inspections.

During the inspection

We spoke with 5 people who used the service about their experience of the care provided. We spoke with 4 members of staff, the deputy manager, the registered manager and the operations and development manager. We also spoke with 4 visiting health professionals.

We made observations around the service. We reviewed a range of records. This included 3 people's care records and medicines records. We looked at 3 staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including training information and policies and procedures were reviewed.

We continued to seek clarification from the provider to validate evidence found.

Updated 1 June 2023

About the service

York Road is a care home providing personal care to up to a maximum of fourteen people. The service provides support to adults with forensic mental health needs with care and support provided to help people to live with more independence in the community. At the time of our inspection there were 12 people using the service.

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

People were kept safe. Staff demonstrated they knew how to raise safeguarding concerns and were aware of the processes to follow in order to keep people safe.

Care and support plans were developed to ensure people’s needs and risks were met appropriately. People were assisted to work towards achieving their goals in terms of their independence. Risk management strategies were in place to assist staff to help people to manage these risks and to identify triggers for behaviours that may cause distress.

The administration of medicines was managed in a safe way. There were policies and procedures in place for staff to follow and staff told us they found them helpful in ensuring people received their medicines safely.

The service was following safe infection prevention and control procedures to keep people safe.

People were assisted to become more independent with their menu planning and budgeting so as to enable them to eat more healthily. They were helped with developing their meal preparation skills.

The service was flexible and adapted to people's changing needs and wishes and promoted their independence. Care was person centred and risk assessments were in place.

People's diversity and their unique individual needs were well-respected by staff. The staff team knew people well and were able to provide appropriate support.

People received personalised care and support according to their needs and wishes.

Staffing levels were good and appropriate to ensure people's needs were met in a safe, timely and consistent way.

Staff were supported and encouraged to continue their professional development so they could progress their knowledge and skill base and provide the best outcomes for people. Staff received a wide range of training that covered the essential areas of their work although they told us this could be widened to include more specialist training. Staff received one to one supervision and support on a regular basis.

People's health care needs were being met and they had access to healthcare services where needed.

Staff were kind and caring, they respected and valued people using the service.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies, procedures and systems in the service were all focused on achieving these outcomes.

People's privacy was respected and people were supported to maintain contact with those people who were important to them.

York Road was well led. The provider's ethos and values put people at the heart of the service. This vision was driven by the registered manager and by the staff team who were empowered to contribute fully to support a person-centred model of effective care. This helped people using the service, with complex needs, to achieve their hopes and aspirations for more independent living.

There was an effective complaints policy and procedure in place that the registered manager reviewed in order to ensure where necessary improvements were made.

There was clear evidence of collaborative working and good communication with other professionals in health and social care as well as in the community and education sectors. The provider built effective relationships with the community and with health and social care professionals so that people using the service would benefit.

There was a comprehensive and effective governance system in place. People and staff were confident about approaching the registered manager if they needed to. They recognised that their views and feedback were valued. Feedback was used to support quality service developments.

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

Rating at last inspection

This last rating for this service was good (published 15 January 2019).

Why we inspected

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

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, which will help inform when we next inspect.