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CQC report explained · a residential care home, run by City Care Partnership

Yew Tree

Fairy Lane, Sale, Trafford, M33 2JT

Goodpublished 14 February 2024, 2 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found that risks were assessed and reviewed, staff knew how to report safeguarding concerns, and there were enough safely recruited staff. Medicines records were complete, but guidance for medicines given when needed also needed to be added to the medicines file.
Effective?
Good
Staff had high training compliance, regular support and worked with health and behaviour specialists. The person's health, nutrition, communication and legal restrictions were reviewed and supported.
Caring?
Good
Staff treated the person with dignity and respect and supported them to make choices and develop independence. Relatives and professionals described the staff team positively.
Responsive?
Good
Care plans reflected the person's likes, dislikes, communication and support needs. The person was supported with activities, family contact and ways to express what they wanted.
Well-led?
Good
Inspectors found an open culture, clear management arrangements and regular checks of medicines, care plans, incidents and staff support. The home worked with family and a range of professionals.
The latest report, explained

What inspectors found, February 2024

Rated Good; inspectors found safe, caring and personalised support, with one medicines-record improvement identified.

The inspection took place on 23 January 2024. One inspector reviewed care plans, medicines records, staff recruitment files, complaints, incidents and safeguarding records. They also observed support, spoke with a relative, seven staff members and three professionals.

The home supports one person with complex needs, including a learning disability and autism. Inspectors found enough trained staff, safely managed risks, person-centred care and good support with health, communication, activities and family contact.

All five areas were rated Good: safe, effective, caring, responsive and well-led. This means inspectors found the person's needs were met and the service was consistently managed. The overall Good rating was unchanged from the previous inspection, published on 11 November 2017.

What inspectors praised
  • Staff knew the person well

    The home had a stable staff team who had supported the person for several years. Staff understood how the person communicated and how to reduce their anxieties.

    There was a stable staff team, who had supported the person living at Yew Tree for several years and knew them well.from the report
  • Specialist behaviour support

    A positive behaviour support specialist visited weekly and helped staff understand possible triggers and use consistent strategies.

    An external PBS specialist visited Yew Tree weekly to observe the support provided and support the staff team to reduce the person's anxieties.from the report
  • Choice and independence

    The person was supported to make day-to-day choices and take part in their own care. Staff encouraged skills such as making their bed and buttering toast.

    Staff encouraged the person to be involved in their care where possible, for example buttering their own toast and making their own bed.from the report
  • Positive relationships and communication

    Relatives said communication was good and they were involved in reviews. The person also had daily phone calls with family and support to take part in preferred activities.

    The communication is good. They keep me informed and I'm involved in everything.from the report
What inspectors were concerned about
  • Medicine guidance was not in the main medicines file

    needs fixing

    Instructions for when to give an as-needed medicine were recorded on the computer system but not also in the medicines file. The registered manager said this would be completed.

    We discussed with e registered manager that this information should also be in the medicines file, so it was easily accessible when staff were administering the medicines.from the report
Questions to ask them, based on this report
  1. 01Has the guidance for as-needed medicines now been added to the medicines file, and how do staff find it during a medicines round?
  2. 02How will you support my relative to communicate choices, discomfort and anxiety?
  3. 03How often will the positive behaviour support specialist work with staff, and how will you check that agreed strategies are followed?
  4. 04How will my relative be supported to take part in activities and maintain contact with family?
  5. 05How are relatives and advocates involved in reviewing care and decisions about restrictions?

This was an announced inspection covering all five CQC questions, including the care provided and the premises; the previous Good ratings in all five areas remained unchanged. This explanation was written from the published report of 14 February 2024 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 Yew Tree

2 rated inspections over 6 years: the service has held its Good rating throughout.

  1. February 2024Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Yew Tree

  2. November 2017Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

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

  3. March 2015

    Registered with the Care Quality Commission on 20 March 2015.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

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