We carried out a review of the data available to us about Terry Yorath House on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Terry Yorath House, you can give feedback on this service.
We found the following examples of good practice.
The premises were clean. Hand sanitisers and personal protective equipment (PPE) stations were situated throughout the building. There was prominent signage and instructions promoting infection prevention practices.
Staff were observed wearing appropriate PPE. One person said, “The staff wear masks all the time here. We are very well looked after.”
Staff ensured people using the service could maintain links with family members and friends.
The provider had appropriate arrangements to test people and staff for COVID- 19 and was following government guidance on testing. This ensured people and staff were tested for COVID- 19 in a consistent way in line with national guidance.
Appropriate risk assessments were carried out to assess the impact of COVID- 19 on people and staff.
The service had robust infection control auditing systems in place.
Terry Yorath House offers ten permanent and two short stay places for adults with profound physical disabilities. The centre is located in a small housing estate that is in Leeds, near Roundhay Park and local shops, pubs and a health centre. At the time of our inspection, 11 people were using the service.
At our last inspection we rated the service Good. At this inspection we found the evidence continued to support the rating of Good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
This inspection took place 23 and 26 February 2018. The inspection was unannounced on the first day; this meant the staff and provider did not know we would be visiting.
A registered manager was 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 told us they felt safe. People continued to receive care which protected them from avoidable harm and abuse. Staff met people's needs in a safe way and were, available when people needed and wanted support. Plans to improve staffing levels were in place. Systems for managing medicines safely were overall, effective. The registered manager responded swiftly to some issues we identified with medicine support to ensure safe medicine management. There were systems in place to make sure managers and staff learnt from any incidents such as accidents..
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice. People’s health needs were met well. People were encouraged to eat a healthy, balanced diet of their choice. Staff had received training and support which gave them the skills and knowledge to meet people's individual needs.
People told us they were treated well. We saw people were supported by kind and attentive staff; many of whom had worked at the service for a number of years. This meant people had continuity of care. Staff respected people's privacy, treated them with dignity and encouraged them to be as independent as possible.
Person-centred care plans had been developed with people’s involvement. Care plans and risk assessments were updated as people’s needs changed to ensure staff were fully aware of people’s needs. People were supported to spend their time how they wanted to and were encouraged to maintain their social interests within the local community. People knew how to raise concerns if they were unhappy.
The provider had systems in place that continued to be effective in assessing and monitoring the quality of the service provided. The management team showed a commitment to running a well-led service for the benefit of the people who used it. Staff understood their roles and responsibilities and said they felt well supported by the management team who were open and approachable.
Further information is in the detailed findings below.
This was an unannounced inspection carried out on the 8 December 2015. At the last inspection in August 2013 we found the provider met the regulations we looked at.
Terry Yorath House is a residential centre offering ten permanent and two short stay places for adults with profound physical disabilities. The centre is located in a small housing estate that is in Leeds, near Roundhay Park and local shops, pubs and a health centre.
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 and associated Regulations about how the service is run. The registered manager was on planned absence from the service at the time of the inspection and the provider had appointed an acting manager.
People told us they felt safe at the home. Staff showed a good understanding of safeguarding vulnerable adults and knew what to do to keep people safe. They said they would report all concerns. However, we found not all safeguarding incidents had been reported to the Care Quality Commission as required. Robust recruitment and selection procedures were in place to make sure suitable staff worked with people who used the service.
People were protected against the risks associated with medicines because there were appropriate arrangements in place to manage medicines safely. People told us they got the support they needed with meals and healthcare.
There were enough staff to support people and keep people safe. Staff training and support provided staff with the knowledge and skills to support people and meet their needs well.
There were policies and procedures in place in relation to the Mental Capacity Act (MCA) 2005. Staff were trained in the principles of the MCA and could describe how people were supported to make decisions; and where people did not have the capacity; decisions were made in their best interests.
People were happy living at the home and felt well cared for. People’s support plans contained sufficient and relevant information to provide consistent, care and support. People were supported by staff who treated them with kindness and were respectful of their privacy and dignity.
People participated in a range of activities both in the home and community. People said they enjoyed their lifestyle.
Staff were aware of how to support people to raise concerns and complaints and there were effective systems in place to assess and monitor the quality of the service and address any improvements that were identified.
'I've lived here 16 years everyone is nice I can get up and go to bed whenever I want to.'
'If you want a shower you can ask the staff and they support you.'
'I talk with the staff when I need something.'
We saw that staff were responsive to people's needs and requests for assistance. However, staff said that sometimes the staffing levels at the home meant people had to wait a little longer than they should for assistance.
People who used the service said they enjoyed the food in the home. One person said, 'The food is good.'
Overall, people were protected against the risks associated with medicines because the provider had appropriate arrangements in place to manage medicines. People who used the service were encouraged to be as independent as they could in managing their own medication.
People who used the service said the environment and their surroundings suited their needs. Comments included:
'I have a very nice bedroom.'
'It's always nice and clean here.'
Very easy to get around.'
People who used the service were complimentary about the staff. Their comments included:
'Everybody is so nice and know me really well.'
'All the staff are kind and supportful.'
Some people were not able to verbally tell us their experiences. We therefore used a number of different methods to help us to understand the experiences of people who used the service, including talking with people, looking at records and observing the care being delivered.
People who used the service said they were happy living at the home and they were well looked after. People's comments included:
'Everything is up to us; we decide and say what we do.'
'Very well looked after, staff help me with everything I need'
'We go out as much as we want.'
People we spoke with said they understood their care and support plans and that staff had explained things well to them. They also said they had regular meetings where they could discuss issues such as staff recruitment, fund raising and activities.
We saw that people received care and support in an environment that was clean and there were systems in place to minimise the risk of infections. One person said, 'They keep it nice for us.'
People who used the service were very complimentary about the staff. Their comments included:
'They know what they are doing.'
'They are all nice and well trained.'
We saw that people who used the service were responded to promptly when they asked for any support or assistance, for example, help to make a drink. People who used the service said they would speak to staff or the manager if they had any concerns.
'Something here just clicks, it is so right.'
'Wouldn't be anywhere else, feels like home.'
'We all get on so well, staff and residents, like one big extended family.'
'Very happy here.'
'A good tonic, always when coming here.'
People who use the service were comfortable with staff and had a good rapport with them. It was clear that staff knew the people they were supporting very well. Staff showed a good understanding of people's communication needs. People said they had enough staff to support them. They said they liked the staff and got on well with them. People's comments included:
'The staff are very good, never have to wait long for their attention.'
'Staff are available most of the time you need them, they always try and work round what we want.'
People spoke highly of their involvement in planning their own care and support. One person said, 'We all have individual plans, tailor made for our needs.' We saw that care practices were good. Staff were kind and supportive to people, they treated people as individuals. Staff gave good examples of how people are treated with dignity and respect. They said it was important to give people choices and encourage independence as much as possible.
People said they had enough to do and enjoyed the activity that was planned at the home. People told us they have weekly planning meetings for activity and outings. They said this made sure they could 'speak up' about what they wanted to do and staff support could be arranged. They said this system worked well.
Staff said they had a good team who worked well together. They said the home was well managed and the manager worked alongside them to make sure the service was running well and in the best interests of people who use the service. They said the manager and senior managers were supportive and approachable.
People who use the service also said the home was run well. One person said, 'Fantastic manager, her door is always open and she gets involved.'