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CQC report explained · a residential care home

What the CQC found at Yoakley House Care Home

Goodpublished 9 June 2018, 8 years ago

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

The five questions inspectors ask
Safe?
Good
People said they felt safe. Inspectors found suitable risk assessments, safe medicines systems, enough staff and appropriate checks on the building and equipment.
Effective?
Good
People's needs were assessed and reviewed. Staff supported people with health appointments, food, mobility and decision-making, and staff received training and supervision.
Caring?
Good
People and relatives described staff as kind and caring. Inspectors saw people being treated with dignity, privacy and respect, and supported to remain independent.
Responsive?
Good
Care was planned around people's preferences and routines. Activities, faith support and complaint handling were available, although some end-of-life wishes had not been fully recorded.
Well-led?
Good
The management team checked the service regularly, listened to feedback and acted on shortfalls. Records were accurate and staff said managers were approachable and supportive.
The latest report, explained

What inspectors found, June 2018

Yoakley House Care Home was rated Good; inspectors found safe, kind and well-organised care, with some end-of-life plans not fully completed.

This was an unannounced inspection by two inspectors on 1 May 2018. They reviewed care, risk and medicines records, staff records and management records. They observed care and spoke with people, relatives, staff and health professionals.

The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe and that staff were kind, respectful and caring. Inspectors found enough staff, safe medicines systems, suitable food, good support with health needs and activities.

The home had systems for checking quality, learning from accidents and dealing with complaints. One area needed further attention: some end-of-life planning documents were not fully completed because people and relatives had not felt comfortable having those discussions. Staff training was planned to improve confidence in this area.

The Good rating means inspectors found the home met the relevant standards at the time of this inspection. It does not mean that every part of care was perfect or that the findings are a current assessment.

What inspectors praised
  • Kind and respectful care

    People and relatives spoke positively about staff. Inspectors saw staff protecting privacy, offering reassurance and supporting people at their own pace.

    “Everyone we spoke with during our inspection told us staff were kind and caring.” from the report
  • Safe medicines and staffing

    Medicines were ordered, stored, given and recorded safely. Inspectors also found enough staff on duty to meet people's needs.

    “People's medicines were managed safely and effective systems were in place to order, store, administer, record and dispose of medicines.” from the report
  • Personalised routines

    People helped plan their care and could follow preferred routines, including when they got up, went to bed and ate breakfast.

    “The routines at the service were flexible to people's needs and wishes.” from the report
  • Good management oversight

    The provider and managers carried out regular checks, considered feedback and acted when they found shortfalls.

    “The provider and registered manager worked to continually improve the service.” from the report
  • Activities and community links

    People had a range of activities and pastimes, including exercise, crafts, quizzes and visits from entertainers. They were involved in planning activities.

    “People continued to take part in a range of activities and pastimes they had enjoyed before moving into Yoakley House, including sport and crafts.” from the report
What inspectors were concerned about
  • End-of-life wishes not fully recorded

    needs fixing

    Some recognised planning documents about people's end-of-life wishes were incomplete. The manager had identified this and arranged training to help staff discuss and record these preferences.

    “Recognised tools to plan and record people's end of life wishes were available but had not been fully completed as people and their relatives had not felt comfortable having these conversations.” from the report
Questions to ask them, based on this report
  1. 01How do you now record a person's end-of-life wishes, especially if they or their relatives do not feel comfortable discussing them?
  2. 02What training have staff completed about end-of-life care since this inspection?
  3. 03How do you make sure there are enough staff at different times of day, including the morning?
  4. 04How do you assess and support a person who wants to continue managing some of their own medicines?
  5. 05What activities are available when the activities coordinator is not working?

This was an unannounced inspection of the overall service and all five CQC questions; the report used a shorter format because the previous overall rating was also Good. This explanation was written from the published report of 9 June 2018 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 Yoakley House Care Home

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

  1. June 2018Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Yoakley House Care Home →

  2. November 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. January 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. November 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. July 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. January 2011

    Registered with the Care Quality Commission on 14 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.

Next steps

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