York House

People and relatives told inspectors they were happy with the care and felt at home. Professionals also gave positive feedback about the service.

“People and their families were happy with the care provided.” from the report

Relatives said people received their medicines daily and were supported by staff.

“From what I understand medication is given daily and support provided by staff.” from the report

Care plans recorded people's communication needs and gave staff guidance about how to communicate clearly, including when someone was distressed.

“People's care plans included details of their communication needs.” from the report

People were involved in menu planning and could choose what they ate and drank. Dietary requirements were accommodated.

“We all get together; we all choose what we want.” from the report

People had access to a large garden and different indoor areas, including a quiet room and spaces with or without television.

“People had access to a large garden with plenty of seating.” from the report

Some risk assessments were missing or did not match the care plans. Staff were not always aware of important risks, including choking and diabetes.

“Some risk assessments were missing or lacked detail and some conflicted with information in the care plan.” from the report

An incident had not been reported, and two reported incidents had not been investigated. There was no clear evidence that lessons had been shared to prevent a repeat.

“Two incidents had been reported; these had not been investigated and there was no evidence of what had been done or lessons learned shared with staff.” from the report

There was only one staff member on the night shift, and that person was not trained to administer medicines. The manager had not completed medicines competency assessments.

“There was 1 member of staff on shift at night, but they were not trained in medicine administration.” from the report

People had no recorded goals and very little meaningful activity. Activities were not consistently personalised or linked to people's interests.

“During our visit, no activities were planned, and people were sitting in communal areas with no stimulation.” from the report

The home had not completed capacity assessments or recorded best-interest decisions for some restrictions. Less restrictive options had not always been considered.

“The registered manager had not ensured mental capacity assessments were completed or held best interest meetings for decisions.” from the report

Audits did not identify problems in care plans, risk assessments and incident management. There was no tracker to identify patterns or learning from incidents.

“The service's quality assurance systems and processes were not effective to monitor and improve the quality and safety of the service.” from the report