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CQC report explained · a residential care home

What the CQC found at Yealand Drive (Adult Care Home)

Goodpublished 12 August 2023, 3 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People were protected from abuse and avoidable harm. Inspectors found suitable staffing, safe recruitment, safe medicines systems, infection control measures and appropriate management of risks.
Effective?
Good
This key question was not reviewed in this focused inspection. Its previous rating was carried forward into the overall rating.
Caring?
Good
This key question was not reviewed in this focused inspection. Its previous rating was carried forward into the overall rating.
Responsive?
Good
This key question was not reviewed in this focused inspection. Its previous rating was carried forward into the overall rating.
Well-led?
Good
The manager and staff put people's wishes at the centre of support. Governance systems were effective, and people and staff were involved in decisions and service improvements.
The latest report, explained

What inspectors found, August 2023

Yealand Drive (Adult Care Home) is rated Good; inspectors found safe, caring support that promoted choice, independence and community life.

This was an unannounced focused inspection. One inspector visited on 30 June 2023 and returned on 9 July 2023 to speak with the manager and check more records. Inspectors spoke with three residents and three care staff, observed care, looked around the home and reviewed care, medicine and safety records.

The home was rated Good overall. Safe and Well-led were both rated Good. Inspectors found that people were protected from abuse, supported by enough trained staff, and given their medicines safely. Infection prevention arrangements were also judged satisfactory.

The report describes people being supported to make choices, build independence and take part in activities they enjoyed. Staff knew people well and supported their communication, health needs and personal goals. The manager was described as approachable, and the home's systems for checking quality and safety were effective.

This was a focused inspection of Safe and Well-led only. The other key questions were not inspected during this visit, so their previous ratings were carried forward when calculating the overall rating.

What inspectors praised
  • Independence and choice

    Staff helped people build skills, pursue their interests and take part in activities in the home and local community. People were involved in decisions about their rooms and shared areas.

    “People were supported to gain skills and independence.” from the report
  • Kind and personalised care

    Staff knew people well and understood their individual communication needs. Inspectors found that care was kind, compassionate and respectful of privacy and dignity.

    “People received kind and compassionate care from staff who knew them well.” from the report
  • Safe staffing

    Staffing levels and staff skills matched people's needs. Staffing also allowed people to go out into the local community when they wanted.

    “The service had enough appropriately skilled staff to meet people's needs and to keep them safe.” from the report
  • Good management oversight

    The manager was visible and approachable. Quality checks and governance systems helped the home monitor safety, rights and the quality of support.

    “Governance processes were effective and helped to keep people safe, protect people's rights and provide good quality care and support.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How will you support my relative's individual communication needs, including any use of body language, sounds or gestures?
  2. 02How do you review medicines and check that they are still having the intended effect?
  3. 03How will staffing levels support my relative to take part in activities and go out into the local community?
  4. 04How will my relative be involved in setting personal goals and making decisions about their support and living environment?
  5. 05What were the most recent safety incidents or safeguarding concerns, and what changes were made as a result?

This was a focused inspection of Safe and Well-led only; the other key question ratings were carried forward from the previous inspection when calculating the overall rating. This explanation was written from the published report of 12 August 2023 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.

An earlier report, explained

What inspectors found, February 2022

Inspected but not rated; inspectors found good infection control, safe visiting arrangements and continued person-centred care.

Inspectors visited the home on 13 January 2022. This was an announced, targeted inspection during the COVID-19 pandemic. They looked mainly at infection prevention and control, visiting arrangements and staffing pressures.

They found that staff used protective equipment safely and that the home had enough supplies. The home was clean, and frequently touched surfaces were cleaned regularly. The provider had systems for testing, vaccination checks and safe admissions.

People were given information about infection risks in ways they could understand. Staff supported contact with families and created different activities during restrictions. The home was experienced in supporting people and continued to provide person-centred care.

The service was inspected but not rated. This report does not provide a full overall rating or ratings for the other four questions.

What inspectors praised
  • Infection control

    Staff were trained to use protective equipment safely, and inspectors observed them using it effectively. The home also had enough protective equipment and kept the premises clean.

    “Staff were trained in infection prevention and control and using Personal Protective Equipment, (PPE), safely. We observed staff used PPE effectively.” from the report
  • Support during restrictions

    Staff adapted activities when usual routines were not possible. People took part in activities such as a virtual choir and COVID-secure celebrations.

    “Staff had been creative in developing different activities for people when they were unable to follow their usual activities during the periods of restrictions.” from the report
  • Family contact

    The home followed visiting guidance and helped people stay in touch with friends and family through visits, telephone calls and letters.

    “The registered manager had followed government guidance about visiting. They supported people to keep in touch with their friends and families, including by visits, telephone calls and letters.” from the report
  • Clean environment

    The staff team kept the home clean and hygienic. Frequently touched surfaces were cleaned regularly during the day.

    “The staff team kept the home clean and hygienic. Frequently touched surfaces were cleaned regularly throughout the day to reduce the risk of infection.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01What is the current staffing position, and how would the home manage staff sickness or COVID-19-related pressures now?
  2. 02How are visits currently arranged, and what happens if there is an infection outbreak?
  3. 03How does the home now provide activities that match each person's interests and usual routines?
  4. 04How are staff vaccination, exemption and testing records checked for people working or visiting in the home?
  5. 05Can you show us the latest full CQC rating or explain what other checks have taken place since this targeted inspection?

This was a targeted inspection of infection prevention and control, visiting arrangements and staffing pressures during the COVID-19 pandemic; it was inspected but not rated and did not assess all five areas of care. This explanation was written from the published report of 11 February 2022 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.

The story over the years

Every inspection of Yealand Drive (Adult Care Home)

3 rated inspections over 8 years: the service has held its Good rating throughout.

  1. August 2023Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Yealand Drive (Adult Care Home) →

  2. February 2022Inspected but not rated
    Safe: Inspected but not rated

    Read what inspectors found at Yealand Drive (Adult Care Home) →

  3. January 2018Goodstayed Good
    Safe: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. October 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. March 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. January 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. March 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. December 2010

    Registered with the Care Quality Commission on 15 December 2010.

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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