You are here

Yercombe (Gloucestershire) Trust Good

Inspection Summary


Overall summary & rating

Good

Updated 22 August 2017

The inspection took place on 20 and 24 July 2017. This was an unannounced inspection. The service was last inspected in April 2016.

Yercombe (Gloucestershire) Trust provides accommodation for up to 10 older people . The service looks after people on a permanent or respite basis. At the time of our inspection there were seven people living at the service and three who were having a short respite stay.

There was a registered manager employed at Yercombe. A registered manager is a person who has registered with the Care Quality Commission 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 the inspection there was an interim manager in post as the registered manager had taken a planned period of leave. The service had notified CQC about this temporary change.

There were four breaches of legal requirements at the last inspection in April 2016. We identified shortfalls in relation to the safe management of medicines, gaining people’s consent, safeguarding people from abuse and the service’s quality assurance systems were not always effective . We found at our comprehensive inspection on 20 and 24 July 2017 the provider had followed their action plan and met the requirements of the regulations.

The service was safe. Risk assessments were implemented and reflected the current level of risk to people. There were sufficient staffing levels to ensure people received safe care and treatment. Staff had a good awareness of safeguarding policies and procedures and felt confident to raise any issues of concerns with the management team. Where there had been safeguarding concerns these had been investigated appropriately and the local authority and CQC had been notified about these. The registered manager had carried out the relevant checks to ensure they employed suitable people at Yercombe Trust.

People received effective care and support. Staff received appropriate training which was relevant to their role. Staff received regular individual meetings called supervisions and appraisals. Where required, the service was adhering to the principles of the Mental Capacity Act 2005 (MCA) or Deprivation of Liberty Safeguards (DoLS). People had sufficient levels of food and drink and were supported by the staff to maintain their nutritional intake. People were supported to access other health professionals when required. The environment had been adapted to meet the needs of people living at the home. People were supported to personalise their living spaces.

The service was caring. People and their relatives spoke positively about the staff at the home. Staff demonstrated a good understanding of respect and dignity and provided care which maintained people’s dignity. People had end of life care plans which reflected their needs and preferences.

The service was responsive to people’s needs. Care plans were person centred and contained sufficient detail to provide consistent, high quality care and support. People were supported to engage in a range of activities based on their preferences and interests. There was a complaints procedure in place and where complaints had been made these had been dealt with appropriately?

The service was well-led. Systems had been implemented to assess and monitor the safety and quality of the service. The registered manager and interim manager were well liked and respected. Staff morale was good and reflected the positive support from management. There was a positive and open culture within the service. The vision and values of the service were well known to all of the staff and the management. The registered manager had informed CQC of the relevant notifications as required by the law.

Inspection areas

Safe

Good

Updated 22 August 2017

The service was safe.

People told us they felt safe living at Yercombe Trust.

Risk assessments were implemented and reflected the current level of risk to people.

There were sufficient staffing levels to ensure safe care and treatment to support people.

The management of medicines within the service was safe.

Staff had a good awareness of safeguarding policies and procedures and felt confident to raise any issues or concerns with the management team.

The registered manager had carried out the relevant checks to ensure they employed suitable people at Yercombe Trust.

Effective

Good

Updated 22 August 2017

The service was effective. People were receiving effective care and support. Staff received appropriate training and support which was relevant to their role.

Where required, the service was adhering to the principles of the Mental Capacity Act 2005 (MCA) or Deprivation of Liberty Safeguards (DoLS).

People had sufficient levels of food and drink and were supported by the staff to maintain their nutritional intake. People were supported to access other health professionals when required.

The environment had been adapted to meet the needs of people living at the home. People were supported to personalise their living spaces.

Caring

Good

Updated 22 August 2017

The service was caring.

People and their relatives spoke positively about the staff at the home.

Staff demonstrated a good understanding of respect and dignity and provided care which maintained people’s dignity.

People had end of life care plans which reflected their needs and preferences.

Responsive

Good

Updated 22 August 2017

The service was responsive to people’s needs.

Care plans were person centred and contained sufficient detail to provide consistent, high quality care and support.

People were supported to engage in a range of activities based on their preferences and interests.

There was a complaints procedure in place and where complaints had been made, there was evidence these had been dealt with appropriately.

Well-led

Good

Updated 22 August 2017

The service was well-led. Systems had been implemented to assess and monitor the safety and quality of the service.

The registered manager and interim manager were well liked and respected. Staff morale was good and reflected the positive support from management. There was a positive and open culture within the service.

The vision and values of the service were well known to all of the staff and the management.

The registered manager had informed CQC of the relevant notifications as required by the law.