Background to this inspection
Updated
13 May 2021
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
As part of CQC’s response to the COVID-19 pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.
This inspection took place on 27 April 2021 and was announced.
Updated
13 May 2021
The inspection took place on 1 October 2018 and was unannounced. This meant the provider did not know we would be visiting.
At our last inspection in February 2016 we rated the service Good. At this inspection we found the evidence continued to support the rating of Good. There was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection. At this inspection we found the service remained Good.
Daniel Yorath House is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Daniel Yorath House can accommodate up to 20 people with an acquired brain injury. At the time of our inspection there were 15 people using the service.
Daniel Yorath House is a specialist neurobehavioural rehabilitation centre for people aged 18-65 with acquired brain injury. It can also support people aged 16-18 and over 65 years. It forms part of the nationwide network of rehabilitation support services provided by The Brain Injury Rehabilitation Trust (BIRT).
A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. At the time of our visit, the registered manager had been on sick leave and had just left the organisation. The manager had been in post for 11 months and was now in the process of registering with CQC.
People we spoke with told us they felt safe at Daniel Yorath House. Staff had been trained in safeguarding issues and knew how to recognise and report any abuse.
People’s medicines were managed and stored safely.
There were enough staff to meet people's needs. Any new staff were appropriately vetted to make sure they were suitable and had the skills to work at the service. The staff were given support by means of regular training, supervision and appraisal.
The therapy team of qualified health professionals worked alongside support staff to deliver a holistic rehabilitation approach to people.
Peoples dietary needs were fully understood and people told us staff encouraged them to eat a healthy diet.
People were supported, where appropriate, to manage their health needs. Staff responded promptly to any changes in the person’s health or general demeanour.
People told us they knew how to raise a concern if they were unhappy with anything regarding their stay and we saw people were asked about their views of the service
Systems were in place for auditing the quality of the service and for making improvements. We saw the manager was keen to share learning from incidents and to take forward improvements they had identified through their quality assurance process.