Yew Tree

This report details the findings of an inspection of Yew Tree, a residential care home for up to two individuals, currently supporting one person with complex needs including a learning disability and autism. The inspection focused on assessing the safety, effectiveness, care, responsiveness, and leadership of the service, with a particular emphasis on ensuring a 'Right Support, Right Care, Right Culture' approach. Overall, the service was found to be performing well across all areas.

Regarding safety, the home ensures the individual is protected from avoidable harm. Risks are thoroughly assessed and managed with clear guidance, and the service learns effectively from incidents, involving external specialists and staff in debriefs to improve support strategies. While staff are safely recruited and trained, there was a minor point for improvement noted regarding the accessibility of information for 'as required' medicines, which the manager has agreed to address.

In terms of how effective the care is, Yew Tree consistently achieves good outcomes for the person it supports. Staff receive comprehensive training, particularly in positive behaviour support, and feel well-supported through regular supervision and team meetings. The service collaborates effectively with external professionals, ensuring care plans are regularly reviewed and adapted to meet individual needs, including adapting the home's layout to enhance comfort and reduce potential issues.

The care provided is described as consistently compassionate and respectful. Staff demonstrate a deep understanding of the individual's needs and preferences, fostering positive interactions and respecting privacy, dignity, and independence. The person is actively involved in decision-making about their care, with an advocate ensuring their views are represented, and relatives are consistently included in care reviews.

The service is responsive to the individual's needs and preferences. Care plans are personalised and regularly updated based on the individual's behaviour and feedback. Efforts are made to support the person in maintaining relationships and engaging in relevant activities, with staff actively adapting their approach to suit the individual's level of enthusiasm. Communication needs are well understood and supported, with staff encouraging verbalisation and using visual aids.

Finally, the service is well-led, with a strong focus on continuous improvement. A robust quality assurance system is in place, with regular audits and reviews of incidents. Staff meetings provide a forum for discussing and implementing changes to support routines, aiming to reduce anxieties. The leadership team fosters a positive and supportive culture, where staff feel listened to and encouraged to contribute ideas for enhancing care.