Background to this inspection
Updated
2 June 2018
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This comprehensive inspection took place on 25 April 2018. We gave the service 48 hours’ notice of the inspection visit because the service was a small care home for younger adults who are often out during the day. We needed to be sure that they would be in.
The inspection was carried out by one inspector. Before this inspection we reviewed the information we held about the home, such as information we had received from the local authority and notifications we had received from the provider. Notifications are documents that the registered provider submits to the Care Quality Commission (CQC) to inform us of important events that happen in the service. We used information the provider sent to us in the Provider Information Return (PIR). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We contacted Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.
As part of this inspection we spoke with the three people who used the service. We spoke with the registered providers one of whom was the registered manager. We observed interactions between the registered providers and people using the service. We spoke with one relative and two social care professionals.
We looked at two care plans, training records as well as a selection of records used to monitor the quality of the service.
Updated
2 June 2018
Yearsley Villa is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The registered providers live at Yearsley Villa and provide all care and support themselves to the three long-term residents. At the time of our inspection there were three people living at the home.
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.
At this inspection we found the service remained Good.
People told us they felt safe. The registered providers had completed safeguarding adults training. People were protected from avoidable harm and risk management plans were in place which provided clear guidance about the support people required to stay safe and well. Medicines were safely managed.
People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice. The registered providers had the skills and knowledge required to meet people’s needs. People’s health needs were well met.
Care was provided with warmth and compassion. People had lived at the home for between 16 and 22 years and were happy, well cared for and content. The registered providers supported people to be as independent as possible.
Care records were person-centred and contained all relevant information to enable the registered providers to give personalised care and support. Care plans and risk assessments were updated as people's needs changed. People were supported to spend their time how they wanted to. People knew how to raise concerns if they were unhappy.
The registered providers showed a commitment to running a well- led service for the benefit of the people who used the service. Feedback was obtained from people who used the service and their relatives. People described the service as being ‘homely and a family environment’.
The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.
Further information is in the detailed findings below.