• Care Home
  • Care home

Yew Tree Nursing Home

Overall: Requires improvement read more about inspection ratings

Yew Tree Place, Romsley, Halesowen, West Midlands, B62 0NX (01562) 710809

Provided and run by:
Yew Tree Nursing Home Limited

Latest inspection summary

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Background to this inspection

Updated 18 October 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The first day of inspection was carried out by an inspector and an Expert by Experience making calls to relatives. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service. The second day of inspection was carried out by an inspector and a specialist advisor with specialist knowledge of nursing.

Service and service type

Yew Tree Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Yew Tree Nursing Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with eight people who used the service and nine people’s relatives by phone to gain their feedback about the service. We also spoke with ten staff including the business manager, care staff and nurses and registered manager who was also the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We also spoke with a doctor who was visiting the home.

We reviewed a range of records. This included four people’s care records and samples of medicine records and daily and associated records of their care including care plans and risk assessments. We looked at three staff records and a variety of records relating to the management of the service, including audits and procedures were reviewed.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

Overall inspection

Requires improvement

Updated 18 October 2022

About the service

Yew Tree House Nursing Home is registered to provide accommodation, nursing and personal care for up to 41 older people, including people living with dementia. At the time of our inspection visit, 30 people lived at the home.

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

People did not always have risks to their health and welfare effectively managed. Steps to reduce the risk to people from falls were not always in place.

Medicines were not always managed safely. Medicines were not always given in line with the prescribed instruction.

Oversight of accidents and incidents needed improving. There was no analysis of causes or triggers of incidents. This did not allow for learning lessons to reduce the frequency of accidents or incidents.

Care plans and risk assessments did not always contain the information staff needed to keep people safe.

Audits were not effective in identifying area of concern or where actions where needed to improve the experiences of people that used the service.

There were systems to identify when people needed safeguarding and staff understood their responsibilities to keep people safe.

Staff had access to comprehensive training and support to carry out their roles.

People and relatives told us they felt safe and were happy with the care they received.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 24 January 2021).

Why we inspected

We received concerns in relation to the management of falls risks. 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 good to requires improvement based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Yew Tree Nursing Home on our website at www.cqc.org.uk.

You can see what action we have asked the provider to take at the end of this full report.

Enforcement and Recommendations

We have identified breaches in relation to safe management of falls and in the governance and management oversight of the service at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.