CQC report explained · a residential care home
What the CQC found at Young Prospects
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Requires improvement
- Inspectors found medicines were not always stored correctly, some records were not accurate and some staff had not completed training for certain medicines. Other safety arrangements, including staffing, safeguarding, risk assessments, cleanliness and fire checks, were generally satisfactory.
- Effective?
- Good
- People's needs were assessed and care plans gave staff guidance. Staff had ongoing training, supervision and appraisals, and the service worked with healthcare professionals.
- Caring?
- Good
- The person inspectors spoke with said they felt listened to and involved in care decisions. Staff treated people with dignity, respected privacy and supported independence.
- Responsive?
- Good
- Care plans were personalised and reviewed when needs changed. People were supported with communication, activities, hobbies and raising concerns.
- Well-led?
- Good
- Staff and the person inspectors spoke with were positive about the leadership. Quality checks were in place, although inspectors said oversight of medicines was not fully effective.
What inspectors found, December 2019
Young Prospects is rated Good overall, but inspectors found medicines safety needed improvement.
This was a planned, unannounced inspection on 13 November 2019. Two inspectors spoke with one person using the service, staff and visitors. They reviewed care plans, medicines records, incident records, training records and quality checks.
The overall rating was Good. Effective, caring, responsive and well-led care were all rated Good. People were supported by staff who understood their needs, respected their dignity and helped them make choices.
Safe was rated Requires Improvement. Inspectors found problems with medicine storage, records and staff training for some medicines. They made a recommendation for the provider to review medicine management.
The home provides short-break respite care for younger people with learning or physical disabilities. The report says the upstairs supported living service was not regulated by the CQC, and the provider was instructed to ensure its registration details were correct.
Kind and respectful care
Inspectors observed dignified and respectful interactions. The person they spoke with said staff treated them well.
“All of the interactions we observed throughout the inspection between people and staff were dignified and respectful.” from the report
Personalised support
Care plans described people's needs and preferences and were reviewed when required. Staff supported communication and chosen activities.
“People's care plans contained personalised information and were detailed about the needs and preferences of the person.” from the report
Staffing and recruitment
Inspectors found enough staff were planned according to people's needs. Recruitment checks included identity, references and DBS checks.
“Staff were recruited safely. Checks included verification of identity, references from previous employers and the Disclosure and Barring Service (DBS).” from the report
Good leadership
Staff spoke positively about the manager and workplace. The home had internal and provider-level checks to monitor care.
“All of the staff we contacted as part of the inspection process told us that morale within the service was high” from the report
Medicine storage and records
seriousSome medicines were stored in the wrong type of secure cabinet. The register for medicines needing extra security was not always accurate, and handwritten records were not always checked by two staff.
“Some medicines were not stored in accordance with policy.” from the report
Medicine training
seriousSome staff had not completed training for safely giving certain medicines used when required. Inspectors said this presented a risk, although they found no evidence of harm.
“Training in the safe administration of some 'when required' medicines had not been completed by staff.” from the report
Registration details
needs fixingThe provider was instructed to make sure the service was correctly registered for the number of people supported and the address used.
“We have instructed the registered manager to ensure they and the provider take appropriate steps to ensure the service is correctly registered” from the report
- 01What changes have you made to medicine storage since the November 2019 inspection?
- 02How do you now check that medicine registers and Medication Administration Records are accurate and properly countersigned?
- 03Have all staff completed training for medicines given when required?
- 04What action was taken to correct the service's registration details and location address?
- 05How will you make sure the support provided during a short break matches my relative's individual care plan and communication needs?
This was an unannounced inspection of the care home, including the premises and care provided; the upstairs supported living service was not regulated by the CQC, and only two people were receiving personal care at the time. This explanation was written from the published report of 5 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.
What inspectors found, February 2017
Rated Good in all five areas; inspectors found safe, kind and responsive support, but there was no registered manager at the time.
This was an announced inspection on 13 and 16 January 2017. Inspectors spoke with two people, four relatives and four staff. They reviewed care plans, medicine records, staff recruitment files and quality checks.
The home provided short breaks for people with learning disabilities. Inspectors found that people were safe and treated with dignity. Staff understood people's needs, supported their choices and helped them build confidence and independence.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This means the inspection found a good standard of care across the areas checked, although it does not mean that every part of the service was perfect.
Personalised support
Care plans were written around people's preferences and support needs. People were involved in planning and reviewing their care.
“People were involved in their care and support planning.” from the report
Safe staffing
Staffing levels changed to match people's needs, activities and appointments. Inspectors found enough staff to keep people safe and support their welfare.
“There were sufficient staff deployed to keep people safe and support the health and welfare needs of people.” from the report
Kind and respectful staff
People appeared relaxed and happy with staff. Staff listened, explained what they were doing and protected people's dignity and privacy.
“The atmosphere in the service was calm and relaxed and staff spoke to people in a caring and respectful manner.” from the report
Support for independence
Staff helped people take part in everyday tasks, use the community and move towards more independent lives.
“The service was flexible and responsive to people's individual needs and preferences.” from the report
Regular checks
The provider and manager checked areas such as medicines, infection control and health and safety. The results were used to make improvements.
“Regular monthly and weekly checks on the quality of service provision took place and results were actioned to improve the standard of care people received.” from the report
No registered manager
needs fixingThere was no registered manager when inspectors visited. The current manager was applying to become registered.
“The service did not have a registered manager.” from the report
- 01Has the current manager now completed the application to become registered?
- 02How does the seven-bed short breaks service work in practice, including the length of stays and staffing arrangements?
- 03How will staff support my relative's particular communication, health and emotional needs?
- 04How are people involved in writing and reviewing their care and support plans?
- 05What activities and community support could my relative access during a stay?
This was an announced inspection of the refurbished seven-bed short breaks service at 29 Shrewsbury Road; the upstairs area at 29a Shrewsbury Road, now part of supported living, was not included. This explanation was written from the published report of 28 February 2017 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 Young Prospects
2 rated inspections over 3 years: the service has held its Good rating throughout.
- December 2019Goodcurrent ratingstayed GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2017GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2014
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- May 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 19 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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