10 August 2022
During an inspection looking at part of the service
York House is a residential care home providing personal to up to 16 people. The service also provides personal care to people living in their own homes. The service provides support to older people, some of whom may be living with dementia. It also provides support to people with physical disabilities or sensory impairment.
At the time of our inspection there were 10 people living at the home and a further five people who received support in their own homes. Not everyone who received support in their own homes received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
People’s experience of using this service and what we found
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Risks to people living in the care home had been assessed, however, more work was needed to fully identify the risks to people receiving care in their own home. We have recommended the provider review the information in the care plans for people who receive care in their own homes.
Audits were in place to assess the quality of care provided and had identified most actions needed to drive improvements in care.
There were enough staff to meet people’s needs. Staff had received the training needed to provide safe care. Staff were confident to raise concerns where they felt people may have been at risk of harm.
The registered manager worked collaboratively with the local authority to ensure action was taken to keep people safe from abuse. Incidents were identified, analysed and action was taken to keep people safe.
Medicines were safely managed and people received their medicines as prescribed. The home was clean and staff followed infection control processes.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was inadequate (published 8 June 2022) and there were breaches of regulation. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
This service has been in Special Measures since 8 June 2022. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.
Why we inspected
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.
We carried out an unannounced comprehensive inspection of this service on 13 January 2022. Breaches of legal requirements were found. We undertook this targeted inspection to check whether the Warning Notice we previously served in relation to Regulation 12, 13, 17 and 18 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 had been met.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.