York Road

Updated 27 April 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team: One inspector carried out this inspection.

Service and service type: York Road is a care home. People in this care home receive accommodation and personal care. CQC regulates both the premises and the care provided, and both were looked at on 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 one days notice of the inspection visit because it is small and we needed to be sure that somebody would be in.

What we did: Prior to our inspection, we asked the provider to complete a Provider Information Return (PIR). Providers are required to complete this if requested and the document contains key information about their service, what they do well and improvements they plan to make.

We also reviewed statutory notifications that had been received from and about the home and contacted the commissioners who help arrange and monitor the care of people living at York Road. We used this information to populate our planning tool. This helps us to plan how the inspection needs to be carried out.

During the inspection we spoke with two people who used the service. We spoke with the registered manager, two care staff and the providers Quality Improvement Lead.

We looked at a range of documents and records related to people's care and the management of the service. We viewed two people's care records, three people’s medication records, two staff recruitment, induction and training files and a selection of records used to monitor the quality and safety of the service.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk to us. We also spoke to people living at the home.

Following the visit we contacted three relatives of people using the service to gather their feedback on the care provided at York House.

Updated 27 April 2019

About the service: York Road is a care home that was providing accommodation and personal care 5 people living with a learning disability at the time of the inspection.

People’s experience of using this service:

There was a strong person-centred culture. Staff knew the needs and preferences of people living in the home extremely well. Staff had developed very positive relationships with people and were seen to display kindness as well as compassionate support to people.

People received personalised care and support which was in line with their care plan. People's privacy and dignity was respected and independence promoted. Staff were committed to improving the quality of life and opportunities available for people. The service had developed community links to reflect the needs of people. It worked with colleges and charities as well as health and social care professionals to deliver improved outcomes and experiences for people.

People were supported to ensure that the home was clean and the environment was well maintained.

Staff showed a good understanding of their roles and responsibilities for keeping people safe from harm.

Medicines were managed safely and people received their prescribed medicines at the right time. Health needs were understood and met.

There were sufficient numbers safely recruited and suitably qualified and skilled staff in place to meet people's individual needs.

Staff received a range of training and support appropriate to their role and people's needs.

The registered provider complied with the principles of the Mental Capacity Act (MCA) 2005. Staff understood and respected people's right to make their own decisions where possible and encouraged people to make decisions about the care they received. Consent had been sought before any care had been delivered in line with legal requirements.

People knew how to make a complaint and they were confident about complaining should they need to.

The registered manager was described as supportive and approachable. They demonstrated a good understanding of their roles and responsibilities as a registered person. They worked in partnership with other agencies to ensure people received care and support that was consistent with their assessed needs.

Rating at last inspection: Good (Date published 29 October 2016)

Why we inspected: This was a planned inspection based upon the ratings at the last inspection.

Follow up: We will continue to monitor this service and plan to inspect in line with our re-inspection schedule.

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