Terry Yorath House is a 'care home'. People in care homes receive accommodation and personal care under a contractual agreement. CQC regulates both the premises and the care provided and both were looked at during this inspection.
Terry Yorath House offers ten permanent and two short stay places for adults with profound physical disabilities. The centre is located in a small housing estate that is in Leeds, near Roundhay Park and local shops, pubs and a health centre. At the time of our inspection, 11 people were using the service.
At our last inspection we rated the service Good. At this inspection we found the evidence continued to support the rating of Good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
This inspection took place 23 and 26 February 2018. The inspection was unannounced on the first day; this meant the staff and provider did not know we would be visiting.
A registered manager was in post. 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.
People told us they felt safe. People continued to receive care which protected them from avoidable harm and abuse. Staff met people's needs in a safe way and were, available when people needed and wanted support. Plans to improve staffing levels were in place. Systems for managing medicines safely were overall, effective. The registered manager responded swiftly to some issues we identified with medicine support to ensure safe medicine management. There were systems in place to make sure managers and staff learnt from any incidents such as accidents..
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice. People’s health needs were met well. People were encouraged to eat a healthy, balanced diet of their choice. Staff had received training and support which gave them the skills and knowledge to meet people's individual needs.
People told us they were treated well. We saw people were supported by kind and attentive staff; many of whom had worked at the service for a number of years. This meant people had continuity of care. Staff respected people's privacy, treated them with dignity and encouraged them to be as independent as possible.
Person-centred care plans had been developed with people’s involvement. Care plans and risk assessments were updated as people’s needs changed to ensure staff were fully aware of people’s needs. People were supported to spend their time how they wanted to and were encouraged to maintain their social interests within the local community. People knew how to raise concerns if they were unhappy.
The provider had systems in place that continued to be effective in assessing and monitoring the quality of the service provided. The management team showed a commitment to running a well-led service for the benefit of the people who used it. Staff understood their roles and responsibilities and said they felt well supported by the management team who were open and approachable.
Further information is in the detailed findings below.