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Yanah Care

Overall: Good read more about inspection ratings

C006b Concord Business Centre, Nottingham Road, Nottingham, NG7 7FF (0115) 748 3626

Provided and run by:
Monarch INC. Limited

All Inspections

During an assessment under our new approach

Date of Assessment: 31 July 2025 to 31 August 2025. Yanah Care is a supported living service providing personal care to 3 people across 3 separate buildings.

We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.

Right Support:

People were encouraged to lead their lives in their chosen way and took control of decisions about their care. Independence was encouraged and supported. People felt able to discuss their care and support needs with staff.

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.

 

Right Care:

People received dignified care that respected their privacy and human rights. Care and support was person-centred. Individualised care and support plans were in place that enabled staff to provide appropriate and safe care for each person.

 

Right Culture:

The ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive, and empowered lives. People told us they liked the staff who supported them, they liked living where they lived, and they led happy and fulfilling lives.

The provider was previously in breach of the legal regulation in relation to good governance. Improvements were found at this assessment and the provider was no longer in breach of this regulation.

People's care and support records and risk assessments had improved. They now reflected people's needs and were more person-centred. Quality assurance processes were now effective in highlighting areas of concern and improvement.

People’s medicines were well managed, and the provider acted on safeguarding concerns, accidents, and incidents. Guidance and assessments provided by other health and social care professionals were used to form meaningful care and support plans. Staff were well trained. This included training to support younger people and adults and those with a learning disability. This helped to improve people’s experiences and reduced the risk of harm.

People were protected from harm and kept safe. Staff understood, managed, and acted on risks. Where able, people were involved in the assessments of their needs. Where required, advocates, relatives and professionals were also involved to ensure people’s voices could be heard.

Staff monitored people’s health to support healthy living. Staff supported people to understand their care and support needs to enable them to give informed consent. Staff involved those important to people to assist them with making decisions should they have reduced or no capacity.

People were treated with kindness and compassion. Staff supported people’s independence and encouraged and supported them to maintain relationships with family and friends. There was a particular focus on supporting people to feel part of their local community.

Staff provided information to people in a way that they could understand. This included information provided in accessible formats.

Management had effective governance processes in place that identified risks and encouraged development and continued improvement across the service.

During an assessment under our new approach

Date of Assessment: 1 May 2025 to 30 June 2025. The service is a care at home service providing support to people under and over the age of 65, some of whom may be living with dementia. The service also cared and supported people with a learning disability; although this was not their primary reason for receiving care at home. A small number of people were under the age of 18. We have taken all of this into account when making our assessment of this service.

We inspected this service to follow up on concerns we identified during our assessment in March 2023. The provider was previously in breach of legal regulations in relation to management and governance. Improvements were found at this assessment and the provider was no longer in breach of these regulations.

People's care records and risk assessments had improved. They now reflected people's care needs and were person-centred. Quality assurance processes were now effective in highlighting areas of concern and improvement.

People’s medicines were well managed, and the provider acted on safeguarding concerns, accidents and incidents. Guidance and assessments provided by other health and social care professionals were used to form meaningful care plans. Staff were well trained. This included training to support younger people and those with a learning disability. This helped to improve people’s experiences and reduced the risk of harm.

People were protected and kept safe. Staff understood, managed and acted on risks. People were involved in assessments of their needs. Staff monitored people’s health to support healthy living. Staff made sure people understood their care needs to enable them to give informed consent. Staff involved those important to people to assist them with making decisions should they have reduced or no capacity.

People were treated with kindness and compassion. Staff supported people’s independence and encouraged and supported them to maintain relationships with family and friends.

Staff provided information to people in a way that they could understand. This included information provided in accessible formats. People knew how to give feedback and were confident the provider took it seriously and acted on it.

Management had effective governance processes in place that identified risks and encouraged development and continued improvement across the service.

9 March 2023

During an inspection looking at part of the service

We expect health and social care providers to guarantee people with a learning disability, and autistic people, respect, equality, dignity, choices and independence, and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

About the service

Yanah Care is a domiciliary care agency, providing personal care to people living in their own homes. There were 27 people receiving personal care at the time of the inspection. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.

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

Right Support

The service supported people to be as independent as possible. Staff communicated with people in ways which met their needs. Care support was provided flexibly by staff. Staff supported people to take their prescribed medicines safely.

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.

Right Care

The provider’s staff sometimes needed advice and additional support to understand people’s specific cultural and dietary requirements, but quickly learned how to meet those needs. People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. Staff understood how to protect people from poor care and abuse. People who had individual ways of communicating, using body language, sounds etc, could interact comfortably with staff and others involved in their treatment/care and support because staff had the necessary skills to understand them.

Right Culture

People received compassionate care from staff who were responsive. Staff turnover was low, which supported people to receive consistent care from staff who knew them well. Staff placed people’s wishes and needs at the heart of everything they did.

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 the service, based at the provider’s previous premises, was Requires Improvement (published on 10 March 2022) and there were 4 breaches of regulations. 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 some improvements had been made, but the provider remained in breach of 1 regulation.

Why we inspected

The inspection was prompted in part due to concerns received about how the provider’s staff responded to incidents. A decision was made for us to inspect and examine those risks.

The provider had taken action to mitigate the risks identified, by updating people’s care plans and providing additional training, guidance, and support to staff on what to do if a person’s health suddenly declines. The overall rating for the service has remained Requires Improvement, based on the findings of this inspection.

We have found evidence that the provider needs to make improvements. Please see the Effective and Well-led sections of this full report. You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Yanah Care on our website at www.cqc.org.uk.

Enforcement

We have identified an ongoing breach of Regulation 17 (Good Governance), in relation to the provider’s quality monitoring processes and procedures, 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.