The Care Quality Commission
  • Care Home
  • Care home

Recovery House

Overall: Outstanding read more about inspection ratings

122 Haxby Road, York, North Yorkshire, YO31 8JP (01904) 622096

Provided and run by:
Gravers Care Home Ltd

All Inspections

28 March 2018

During a routine inspection

Recovery House is a transitional care setting based in the city of York that provides support and accommodation for up to five people with their mental health recovery. The premises are arranged over three floors, with bedrooms on each floor. All bedrooms are single, with a shared kitchen, bathroom facilities and toilets.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good in the key questions Safe, Effective and Well-led with an increase to a rating of outstanding in the key questions Caring and Responsive. There was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format in the key questions Safe, Effective and Well-led because our rating in those areas has not changed since our last inspection.

People told us staff were extremely kind and caring, and their privacy and dignity was upheld and promoted. We received consistently positive feedback which showed us that people felt highly valued and respected. The service was outstandingly responsive to people's individual needs and wishes. This included offering a range of recovery based group work and innovative ‘family work’ sessions, enabling people to achieve their potential.

There was a strong ethos of inclusivity that was promoted by staff. People who lived at the home had access to the same training and information documents as staff, and staff spoke about themselves during morning meetings alongside people who lived at the home. Independence was encouraged and supported with the aim of people moving on to supported living arrangements.

Staff had been recruited following safe policies and procedures, and there were sufficient numbers of staff employed to make sure people received the support they needed during the recovery process.

Staff received appropriate training and support that enhanced the knowledge they had already gained during their careers as health or social care professionals. This included training on how to protect people from the risk of harm and on the home’s recovery programme.

People were supported to have choice and control over their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Recovery (care) plans described the person and the level of support they required to reach their individual goals. Plans were reviewed regularly to ensure they remained an accurate record of the person and their day to day needs.

People were supported to take part in a wide range of activities and education within the local community and links made by staff enabled people to explore new interests and gain confidence.

People told us they were aware of how to express concerns or make complaints and felt their comments would be listened to. People were given the opportunity to share their views about the service provided.

The feedback we received and our observations on the day of the inspection demonstrated that the home was well managed. The registered manager carried out audits to ensure people were receiving the care and support they required, and to ensure the safety of the premises.

Further information is in the detailed findings below.

22 September 2015

During a routine inspection

The inspection took place on the 22 September 2015. It was unannounced. This was the first inspection of the service since its registration in November 2014.

Recovery House provides care and support to up to five people. There were four people using the service when we carried out our inspection.

Recovery House offers an innovative approach to mental health recovery, in a transitional care setting, based in the City of York, providing a 24 hour day recovery focused programme for up to five service users. The purpose of Recovery House is to address and support the individual recovery needs of service users. Depending on these needs, a service user stay can range from six months up to a maximum of two years, with the expectation that the service user will progress to more independent living arrangements.

Recovery House is a large Edwardian terraced town house, situated on Haxby Road, within walking distance of York city centre, local amenities, local and national transportation links and the York District Hospital. Over three floors the house has five large single occupancy bedrooms and shared communal living areas.

Recovery House has a registered manager. 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. As the registered manager is also registered to manage another service there is also an acting manager in place.

People were supported to make decisions and to take risks and these were recorded in people’s individual care plans. Staff had received training in safeguarding vulnerable adults and were clear about the policies and procedures to follow should an allegation be made.

There were sufficient numbers of staff on duty who told us they had gone through a thorough recruitment regime before their employment commenced. All of the people we spoke with including those using the service, relatives and other professionals spoke highly of the staff working at Recovery House.

People received their medication safely. They were supported and encouraged to manage their own medicines where possible.

Staff received induction, training and support to help them in their roles. People living at Recovery House and their relatives said that staff appeared skilled and knowledgeable.

People were supported to make their own decisions. All of the people living at Recovery House had capacity; any restrictions in place had been agreed to and recorded within people’s individual care records.

People did their own shopping and cooking. They were supported in doing so by staff.

People told us they could access a range of health care services. They attended health appointments either independently or with staff if that was what they wanted. We saw that other health professionals were involved in people’s care.

People spoke positively of the care and support provided by staff working at Recovery House. Families told us of the progression people had made and people told us they were treated with dignity and respect by staff.

People had detailed care records in place to record how they should be cared for and the support they may require. However, in some cases these records contained some outdated information and could be more structured in terms of recovery.

The home had good management systems in place to support people. People’s views were sought and regular meetings were held to seek people’s views. However, quality monitoring systems could be further developed so that all aspects of service delivery could be monitored.