CQC report explained · a residential care home
What the CQC found at Yad Voezer 2
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about testing, protective equipment, social distancing, hygiene, cleaning and the building layout. They also signposted the provider to resources to develop its approach.
- Effective?
- Good
- This question was not covered or rated in this inspection.
- Caring?
- Good
- This question was not covered or rated in this inspection.
- Responsive?
- Good
- This question was not covered or rated in this inspection.
- Well-led?
- Good
- This question was not covered or rated in this inspection.
What inspectors found, November 2020
Inspected but not rated; inspectors found mostly good infection control practices, with some further development suggested.
The inspection took place on 5 November 2020. It was an announced review of infection prevention and control during the coronavirus pandemic.
Inspectors were assured that the home followed shielding and social distancing rules, used protective equipment safely, accessed testing and promoted safety through its layout and cleaning practices.
The home tested people and staff regularly, used regular agency staff shifts to reduce infection risks and carried out daily infection control audits. Staff also used objects and songs to help people understand coronavirus precautions.
This inspection was not rated. It does not provide an overall quality rating or ratings for care, effectiveness, responsiveness or leadership.
Regular testing
The home had testing kits and regularly tested people living there, staff and agency workers.
“The service had access to Covid-19 testing kits and carried out regular testing of all staff and people using the service, including agency staff members.” from the report
Reducing agency staff risks
Agency staff were given permanent shifts so they did not work at other services, which reduced the reported risk of spreading coronavirus.
“Agency staff were regularly used by the service and given permanent shifts to ensure they did not work at other services thus reducing the risk of the spread of Covid19.” from the report
Daily infection checks
The manager carried out daily infection control audits and monitored cleaning schedules.
“Daily Infection prevention and control (IPC) audits were carried out by the manager to ensure staff maintained good IPC practices.” from the report
Accessible communication
Staff used objects of reference and singing to help people understand masks and handwashing.
“This included, using objects of reference, such as showing people a mask to explain why they needed to wear them when they went out in the community and staff sang to encourage people to wash their hands using good hand washing techniques.” from the report
Further development suggested
minorInspectors signposted the provider to resources to develop its infection prevention and control approach. The report does not explain what specific improvement was needed.
“We have also signposted the provider to resources to develop their approach.” from the report
- 01What infection prevention and control resources did inspectors suggest you use, and what has changed since the inspection?
- 02How often are people living here and all staff, including agency staff, tested now?
- 03Do agency staff still work permanent shifts at this home rather than at other services?
- 04How do you help each person understand coronavirus precautions and changes to routines?
- 05Can I see the latest infection prevention and control audit and cleaning records?
This was an announced thematic review focused on infection prevention and control during the coronavirus pandemic; it was not a full inspection and the service was not rated. This explanation was written from the published report of 21 November 2020 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, December 2019
Yad Voezer 2 is rated Good; inspectors found safe, kind and personalised care, with a few areas still being improved.
This was an unannounced inspection. Inspectors spoke with four people, two relatives and five staff. They checked care records, medicines, staff recruitment and records about how the home was managed. They also sought information from professionals and the local authority.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that people were treated kindly, supported to make choices and helped to stay independent. Care plans described people's needs, communication and preferences, and staff supported people to take part in activities and go out.
The home had improved since its previous inspection, when the overall rating was Requires Improvement. Problems with medicines, building maintenance, staff recruitment and governance had been addressed. Inspectors did identify some smaller issues, including a hot water tap that needed regulating, a complaint that took longer than expected, and ongoing work around end of life planning and family feedback.
Improved medicines safety
Medicines were stored safely and records showed that people received them as prescribed. The provider was no longer in breach of the medicines regulation found at the previous inspection.
“Medicine administration records reviewed were accurate and up to date and people received their medicines as prescribed.” from the report
Flexible staffing
Staffing was planned around people's needs, including helping people go out into the community when they wanted.
“Staffing was planned flexibly to meet people's needs to ensure there was always enough staff, which included supporting people to go out in the community when they wanted.” from the report
Kind and respectful care
Inspectors observed calm, polite and positive interactions. Staff respected people's dignity, culture and choices.
“Staff were caring and kind and spoke in a calm and polite manner.” from the report
Personalised activities
Each person had an activity plan based on their interests. People were supported with activities such as going to the library, shopping, swimming and attending a day centre.
“Each person had an individual weekly activity plan detailing how they liked to spend their time.” from the report
Hot water safety
needs fixingHot water taps in a communal bathroom had not been properly regulated when inspectors visited. The issue was addressed during the inspection, but the provider said it might have been linked to the boiler.
“During our visit we identified hot water taps in the communal bathroom on the top floor had not been properly regulated to ensure this was not too hot.” from the report
Complaint response time
needs fixingOne complaint had taken longer than the home's expected timeframe because a meeting with the relevant authority took time to arrange.
“The deputy manager told us this had taken longer than the expected timeframe for this to be actioned due to the time taken to arrange a meeting with the relevant authority.” from the report
End of life planning
needs fixingDiscussions with some relatives about end of life care were still ongoing. The report says this was a sensitive subject and that the existing approach had not changed.
“The deputy manager told us they had spoken with some relatives, but this was on-going and had been a sensitive subject to discuss.” from the report
Family feedback
minorThe home planned to send questionnaires to relatives, but acknowledged that seeking their views had not happened as often as hoped.
“This had not been as frequent as they hoped, but this is an area they realised they needed to improve on.” from the report
Activities in the home
minorOne relative felt the home would benefit from more activities inside the home, including art and music therapy.
“Another relative told us they felt the service would benefit from more activities in the home, such as art and music therapy.” from the report
- 01How do you now check and record the temperature of hot water taps, especially in communal bathrooms?
- 02How will you make sure complaints are dealt with within the timescales in your complaints policy?
- 03How do you discuss and record each person's end of life wishes, and how are relatives involved?
- 04How often do you ask relatives for feedback, and what changes have followed from their views?
- 05What activities are available inside the home, including art or music activities?
This was an unannounced planned inspection covering the premises and care provided, with all five CQC question areas assessed. This explanation was written from the published report of 19 December 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Yad Voezer 2
5 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- November 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- December 2019Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2018Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- September 2017Requires improvementstayed Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- May 2017Requires improvementstayed Requires improvementSafe: Requires improvementWell-led: Requires improvement
- August 2015Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- August 2014
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- August 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 25 January 2011.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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