Yarborough House RCH

Yarbrough House RCH is a residential care home providing personal care to up to 25 people aged 65 and over, some of whom may be living with dementia. The service was supporting 20 people at the time of the inspection.

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

People had been placed at risk due to fire safety measures not being actioned in a timely manner and having insufficient staffing numbers to evacuate people in the event of a fire. Other areas of improvement including maintenance checks, health risks and decorating were identified. The provider took action to address urgent concerns we found during the inspection.

The provider lacked the appropriate systems and processes to drive forward improvements in a timely manner. The provider's own systems of oversight had not identified most concerns we found during the inspection.

People were supported by kind and caring staff. End of life care wishes were explored and recorded. We have made a recommendation about the management of complaints.

Visits to people were arranged in line with government guidance. We signposted the provider to resources to support their approach including the use of essential care givers.

Systems in place to monitor staffing levels were not effective and all relatives we spoke with said there were staff shortages at times. Prescribed medicines were managed safely however, improvements in the provision of as required medication was required.

Staff knew how to report allegations and concerns of abuse and understood their roles clearly and what was expected of them. Recruitment and selection processes were followed.

People were supported to have maximum choice and control of their lives and staff supported in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

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

Rating at last inspection

This service was registered with us on 2 December 2020 under this provider and this was their first inspection.

Why we inspected

This was a planned inspection as a newly registered 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.

Enforcement and Recommendations

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.

We have identified breaches in relation to safety and provider oversight at this inspection.

Please see the action we have told the provider to take at the end of this report.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

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.