25 January 2023
During an inspection looking at part of the service
Yew Tree Holdings Ltd is a residential care home providing accommodation and personal care to up to 26 people in one adapted building. The service provides support to people with varying needs, including dementia, diabetes and mental health needs. At the time of our inspection there were 26 people using the service.
People’s experience of using this service and what we found
People told us they felt safe and were well cared for. One person told us, “I see the staff every day. Everybody is very caring. If we aren’t well, we get looked after here.”
The assessment of individual risks had improved, and plans were in place to manage risks and prevent harm to people. Accidents and incidents were better recorded and monitored to prevent further incidents. People’s medicines were now managed well, so people could be assured they received their medicines safely.
People were protected from potential abuse by a staff team who were clear about their responsibilities to protect people. There were sufficient staff who were suitably skilled and trained to meet people’s needs. Robust recruitment processes were now in place, so safe choices of new staff were made. People were protected from infection by appropriate infection prevention and control measures.
People were supported to have maximum choice and control of their lives and staff supported in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. People told us they were supported to make choices and decisions if they needed it.
People’s needs were now assessed and reviewed regularly, and care plans provided detailed guidance for staff that was person centred. People were happy with the food provided and their nutritional and hydration needs were met. Healthcare professionals were contacted quickly if people needed advice or treatment for health concerns.
People, relatives and staff were complimentary about the registered manager, describing her as supportive and approachable. People told us all staff were kind and caring and treated them well. A more robust system was in place to monitor the quality and safety of the service. Action was taken to learn lessons and continue to improve.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 17 July 2021) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We received concerns in relation to the management and leadership, people’s care and the cleanliness of the service. As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Yew Tree Holdings Ltd on our website at www.cqc.org.uk
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.