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Inspection Summary


Overall summary & rating

Good

Updated 2 October 2019

About the service

York House is located in the garden of the St Valery Care home but is registered separately as a care home. All staffing , activities and meals are provided by the main home St Valery. York House is comprised of two self-contained flats. Accommodation and personal care support are provided for a maximum of three people, over the age of 65 years with dementia type conditions who have lower dependency needs. The provider and registered manager have chosen to use the two units for single occupancy only. The number of people accommodated at any one time is therefore two. At the time of the inspection the service was full. York House is in the garden area of the larger service St Valery which is registered with the Care Quality Commission separately. People from York House are supported by staff from St Valery and make full use of the facilities at St Valery for their day to day support, meals and activities.

People’s experience of using this service and what we found

We spoke with one of the people from the York House accommodation during our inspection and their relative. They told us that they were happy living at the service but now wanted to move into the main home and this was under discussion. Their relative commented that the whole service had a “lovely family atmosphere”, and that they were very happy to leave their relative there as they knew that they were well looked after. People from York house chose when they wished to make use of the main home facilities or could have their meals provided to them in their accommodation. The person we spoke with came into the main home every day for their meals and activities.

The registered manager fostered a culture of placing people at the centre of everything they do and aspire to do at St Valery. They and staff were passionate about the people they supported living their life to the fullest in the least restrictive way.

People and relatives spoke positively about the service. People told us that they felt safe and found the service homelike. “It’s like living at home really.” The provider had ensured that people lived in a safe well-maintained environment, risks were assessed and managed. Any improvements made were with a view of enhancing peoples experience. There were enough suitable staff available to meet people needs.

Staff were highly trained and motivated. The registered provider and manager fostered a nurturing and empowering environment so that staff could develop and feel confident in their knowledge and skills. Staff enjoyed working in the service and felt valued and supported. Staff retention was therefore very good and provided people with excellent continuity of high-quality care. Peoples dietary and health needs were managed well, and health professionals told us the service referred to them appropriately. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People and their relatives universally told us that staff were kind and caring. Their support was compassionate and there was thought given to way in which they supported to uphold people’s dignity. There was a busy but relaxed atmosphere within the service with lots of chatter, laughter and smiles between people and the staff supporting them. The culture was open and friendly, and visitors were made welcome. There was a sense that people, their relatives and staff knew each other well. A York house relative told us that they were really happy with the service offered to their family member which was not “institutionalised. Another relative told us that they thought people in the service were “treated as equals by staff and given their self-respect.” This approach extended to relatives with one who visited many times in the week saying they were treated by staff “like a pal.”

Staff were very knowledgeable abo

Inspection areas

Safe

Good

Updated 2 October 2019

The service was safe.

Details are in our safe findings below

Effective

Good

Updated 2 October 2019

The service was effective.

Details are in our safe findings below

Caring

Good

Updated 2 October 2019

The service was caring.

Details are in our safe findings below

Responsive

Good

Updated 2 October 2019

The service was responsive.

Details are in our safe findings below

Well-led

Good

Updated 2 October 2019

The service was well led

Details are in our safe findings below