# York House

*Operated by LJ Care Homes Ltd.*

York House is a CQC-regulated home-care agency in Lincoln.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Good |
| Safe | Good |
| Effective | Good |
| Caring | Good |
| Responsive | Good |
| Well-led | Good |

Rating published: 06/10/2022

## Practical info

- Postcode: LN4 4BU
- Registered manager: Bracken, Jayne
- Local authority: Lincolnshire
- Region: East Midlands
- City: Lincoln
- Last CQC check: 06/Oct/2022 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: Open culture; people and staff felt able to raise concerns with the registered manager
  - Published: 2022-10-06
- Finding
  - Evidence: Service working within principles of the Mental Capacity Act with appropriate DoLS authorisations
  - Published: 2022-10-06
- Finding
  - Evidence: Audits effective in driving improvements; incidents analysed for learning
  - Published: 2022-10-06
- Finding
  - Evidence: Registered manager worked collaboratively with local authority and health/social care professionals
  - Published: 2022-10-06
- Finding
  - Evidence: Effective infection prevention and control measures, including COVID-19 compliance
  - Published: 2022-10-06
- Finding
  - Evidence: Safe recruitment with DBS checks and references
  - Published: 2022-10-06
- Finding
  - Evidence: Staff completed training in safeguarding, moving and handling, and supporting distressed people
  - Published: 2022-10-06
- Finding
  - Evidence: Sufficient staffing levels; people receiving home care reported staff arrived on time and stayed full duration
  - Published: 2022-10-06
- Finding
  - Evidence: Medicines safely managed and administered as prescribed; staff competency assessed
  - Published: 2022-10-06
- Finding
  - Evidence: Improvements made since previous inadequate rating; service no longer in Special Measures
  - Published: 2022-10-06
- **governance** _(minor)_
  - Evidence: some improvement was still needed in the home care records.
  - Published: 2022-10-06
- **record_keeping** _(moderate)_
  - Evidence: We recommend the provider develops their home care records to take account of best practice in risk management.
  - Published: 2022-10-06
- **care_planning** _(moderate)_
  - Evidence: for people who received care in their own home, risk had not been fully mitigated. For example, risks around mobility had not been fully described.
  - Published: 2022-10-06

### safe

- Finding
  - Learning lessons when things go wrong
  - Published: 2022-10-06
- Finding
  - Staffing and recruitment
  - Published: 2022-10-06
- Finding
  - Assessing risk, safety monitoring and management; Using medicines safely; Preventing and controlling infection
  - Published: 2022-10-06
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2022-10-06
- Finding
  - Learning lessons when things go wrong
  - Published: 2022-08-23
- Finding
  - Staffing and recruitment
  - Published: 2022-08-23
- Finding
  - Preventing and controlling infection
  - Published: 2022-08-23
- Finding
  - Using medicines safely
  - Published: 2022-08-23
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2022-08-23
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2022-08-23

### well_led

- Finding
  - Working in partnership with others
  - Published: 2022-10-06
- Finding
  - Engaging and involving people, public and staff
  - Published: 2022-10-06
- Finding
  - Duty of candour
  - Published: 2022-10-06
- Finding
  - Promoting a positive culture; clarity of roles; continuous learning and improving care
  - Published: 2022-10-06
- Finding
  - Working in partnership with others
  - Published: 2022-08-23
- Finding
  - Duty of candour; engaging and involving people, public and staff
  - Published: 2022-08-23
- Finding
  - Promoting a positive culture; managers clear about roles; continuous learning and improving care
  - Published: 2022-08-23

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-232410795

HomeCare Compass is an independent guide and is not affiliated with the CQC.