Inspection on 24/04/07 for Fairburn Chase

This inspection was carried out on 24th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Fairburn Chase 12/07/06

Fairburn Chase 09/01/06

Fairburn Chase 04/07/05

Fairburn Chase 01/06/05

Fairburn Chase 11/11/04

Fairburn Chase 29/06/04

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME MIXED CATEGORY MAJORITY YOUNGER ADULTS Wheldon View Care Centre Wheldon View Wheldon Road Castleford West Yorks WF10 2PY Lead Inspector Gillian Walsh Key Unannounced Inspection 24th April 2007 10:00 X10029.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Wheldon View Care Centre DS0000006266.V333432.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People and Care Homes for Adults 18 – 65*. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Wheldon View Care Centre DS0000006266.V333432.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wheldon View Care Centre Address Wheldon View Wheldon Road Castleford West Yorks WF10 2PY 01977 559703 01977 517664 wheldonview@exemplarhc.com Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Wheldon Health Care Limited Ms Michelle Julie Mehta Care Home 76 Category(ies) of Physical disability (PD) 53 registration, with number Old Age, not falling into any other category (OP) of places 30 Wheldon View Care Centre DS0000006266.V333432.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home with nursing - code N, to service users of the following gender:Either whose primary care needs on admission to the home are within the following categories: Old aage, not falling within any other category - Code OP Physical disability - Code PD The maximum number of srevice users who can be accomodated is: 76 2. Date of last inspection 12th July 2006 Brief Description of the Service: Wheldon View is situated on the outskirts of Airedale village and Castleford town centre with limited access to local shops although this is partly compensated for by the home having use of it’s own minibus. It is a purpose built home for 76 residents, caring for both older people and younger adults with a physical disability. The home is registered for personal care and nursing beds. All bedrooms are single and offer en-suite facilities. There is a well-tended central forecourt garden for residents to sit out in the good weather. A team of qualified nurses, care assistants and ancillary staff work at the home and the local doctors and their Primary Health Teams support them. The manager informed the Commission for Social Care Inspection in April 2007 that fees currently range from £329 to £900 per week. Additional charges include hairdressing, private chiropody and newspapers. Information about the home is available to potential residents via the Statement of Purpose, Service User Guide and the last inspection report, all of which are available in the home’s reception. Wheldon View Care Centre DS0000006266.V333432.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. As part of this unannounced inspection, two inspectors from the Commission for Social Care inspection (CSCI) visited to the home. The visit started at 10am and finished at 5.30pm. During the visit, time was spent speaking with people who live at the home and some visiting relatives, speaking with staff and management, reviewing some documentation, checking medication systems and taking a tour of the home. Alongside this, the service provider was asked to complete a pre-inspection questionnaire, which was returned prior to the visit. The views of people who live at the home and their relatives were sought, not only through conversation during the visit but also through surveys sent out to 10 people and their relatives prior to the visit. 7 people who live at the home and 6 relatives responded to the surveys. Responses were generally very positive, particularly from people who live at the home, and particularly in relation to improvements in their care and opportunities in their lifestyles. Detail of the comments made have been included within the body of this report but are generally summed up by one person who has lived at the home for some time, who said “Because of recent improvements, it is a pleasure to live here” At the time of the visit the home was preparing for changing the structure within the home to provide three rather than two dedicated units. This has included extensions to the building, which has provided new communal lounges and bedrooms and included a general refurbishment to other areas within the home. All of this has been done to a high standard and is appreciated by the people living at the home. In writing this report, information and evidence was not only obtained by way of visiting the home but also from notifications, safeguarding and complaint information sent to CSCI and from the last CSCI inspection reports. The inspector would like to thank people who live at the home, their relatives and staff for their time, assistance and hospitality during this inspection. Wheldon View Care Centre DS0000006266.V333432.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: To ensure that people who live at the home have all of their needs met, care planning can be further developed to include individual’s psychological needs and personal choices and aspirations. Improvements in daily record keeping will further demonstrate that people are receiving the care and support described within their plan. Wheldon View Care Centre DS0000006266.V333432.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Wheldon View Care Centre DS0000006266.V333432.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Wheldon View Care Centre DS0000006266.V333432.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): OP3 and YA2. OP6 (intermediate Care) not applicable to this service. People do not move into the home without first having their needs assessed and assurance given that these needs can be met at the home. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: Wheldon View Care Centre DS0000006266.V333432.R01.S.doc Version 5.2 Page 10 Pre-admission assessments were seen for people from both the older people’s and younger adults’ units. Physical needs had been fully assessed and there is now evidence that peoples’ social and psychological needs are being considered as part of this assessment. Some evidence is available to show that personal goals and aspirations (particularly in relation to younger adults) are discussed prior to admission but this is not always used as a basis for the care planning process. Wheldon View Care Centre DS0000006266.V333432.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service Users, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): OP 7, 8, 9, 10 and YA 6, 9, 16, 18, 19 and 20. Whilst further development is needed to care planning systems, people who live at the home are happy that their care needs are met appropriately and by staff who are considerate of their need for privacy and dignity. New systems have ensured that people are protected by procedures in relation to management of medication. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Wheldon View Care Centre DS0000006266.V333432.R01.S.doc Version 5.2 Page 12 EVIDENCE: During the visit, five care plans (three from the younger adults unit and two from the older peoples unit) were examined in detail. Since the last inspection, new care planning documentation has been introduced which is indexed and easy to follow. All of the care plan files seen included a life history and various comprehensive assessments, which included nutrition, moving and handling and tissue viability. Each care plan file starts with a section called “Daily Care Needs”. This section is split into sub headings covering areas of daily living including personal care, mobility, communication, medication, continence, diet and sleep. Detail is given under each sub heading outlining how the persons’ needs in these areas should be met on a daily basis. Generally this information is good, but it was disappointing to see that social, recreational and educational needs are not yet fully taken into account as part of the care planning process and that little information is included about the individuals’ aims or aspirations in relation to how they hope to live in the future. The manager acknowledged this and said that as the documentation had only just been introduced the plans were not yet complete but that they would be further developed to provide a more person centred approach. Wherever a problem or the potential for a problem is highlighted as a result of assessment, a specific care plan is formulated. An example of this is where weight loss had been identified as an issue and a care plan had been put in place to identify what actions should be taken to prevent this becoming a problem to the person concerned. Whilst the care plan was detailed, it failed to include the individuals’ tastes and preferences regarding their food and drinks. One of the care plan files seen was for a person whose main areas of need, as identified in daily records, were confusion, incontinence and resistive behaviour however no care plans had been developed in any of these areas. Similarly information was available in some of the other files seen that the people involved had psychological problems such as depression and short term memory loss. Again these needs had not been considered in the care planning process. Discussion took place with the manager about how staff must not just concentrate on physical needs when developing care plans but also to include psychological needs and personal preferences. The manager again acknowledged this and said that work would be undertaken to ensure that these areas would be included within the care plans. Wheldon View Care Centre DS0000006266.V333432.R01.S.doc Version 5.2 Page 13 Evidence was not available in all of the care plans that the person concerned had been involved in the development of their care plan. People spoken with during the visit did know however that a care plan was in place for them. All of the files seen contained a communication with professionals sheet, which is completed whenever a person has made a visit to a clinic, hospital, local dentist or optician or has been seen by a health or social care professional in the home. It was clear from this that people have access to a variety of healthcare professionals to ensure that their needs are met appropriately. Also included in care plan files are risk assessments, which are developed not just for use of mechanical aids such as wheelchairs and bedrails but also to minimise any potential risks presented through individuals lifestyle choices. Systems and processes in relation to safe storage and administration of medication were inspected during the visit. New systems for auditing of medication have been put in place and have resulted in a huge improvement. The majority of medication checked tallied with the documentation and on the one instance where the amount of medication available in the home did not agree with the documentation, this could be easily explored and accounted for. All of the people living at the home who were spoken with and those who responded in surveys, were very happy with the care they are receiving. Comments included “I like the carers a lot because they do a lot for me and support me”, “the carers and nurses are doing a great job” and the parents of one person living at the home said “All round care is good, well looked after, keep us informed”. Staff were observed to have an easy and respectful relationship with people who live at the home. Generally they were observed to be mindful of peoples needs in relation to maintaining their privacy and dignity although the methods used for transporting people to and from bathrooms, which included simply covering the person with towels, could be reviewed to better ensure their dignity. One person spoken with said that they felt much better about their relationship with staff since some people had left and new staff had been recruited. Wheldon View Care Centre DS0000006266.V333432.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service Users have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): OP 12, 13, 14, 15 and YA 11, 12, 13, 15 and 17. People who live at the home are happy with the support, choice and opportunities available to them to enable them, as far as possible, to experience the lifestyle of their choice. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: Wheldon View Care Centre DS0000006266.V333432.R01.S.doc Version 5.2 Page 15 Since the last inspection a new life skills co-ordinator has been employed at the home to work primarily within the younger adults unit. This enables the existing co-ordinator to concentrate on working within the older peoples unit. All of the people who live at the home who were spoken with during the visit said that there had been a recent huge improvement in activities within the home. A number of activities are now organised on a daily basis for all the people to take part in if they wish, including various outings and competitions. On the day of the visit the final of the dominoes competition was taking place which many of the people who live at the home and staff had enjoyed taking part in over the previous weeks. The winner was presented with a cup. One person was also having Sky television fitted, which had been organised by the lifestyle co-ordinator, so that they could pursue their hobby of watching sport in their own room. Life skills co-ordinators are also looking to access opportunities for people to go out of the home to take up education or for social activity. The manager said that one person is currently attending college to study English, another person has recently completed an art course and another has started to attend a day centre in Wakefield. The manager said that one of the life skills co-ordinators is currently looking at planning holidays for people particularly from the younger adults unit, which should result in people being supported to take holidays of their choice. In order to support people to maintain their independence, a new kitchen is currently being completed in the younger adults unit where people will be able to cook their own meals, make their own drinks and launder their own clothes. Two of the people spoken with who previously rarely left their rooms, said that they really enjoy taking part in activities and now spend little time in their rooms. Some visitors confirmed this saying that they never know where to look to find their relative, as they are so busy. As mentioned previously in this report, care plans are still in need of development to include peoples’ needs in relation to social, recreational, educational and employment needs, but all of the people who were either spoken with or who responded within surveys were happy with the opportunities they now have to make decisions about their lifestyles and the social and leisure aspects of their lives at the home. People are also supported to attend religious services. One person said that they were happy to attend their church every other week, which is arranged for them. All of the relatives who responded to surveys were happy with the arrangements at the home for visiting their relative but one person said that Wheldon View Care Centre DS0000006266.V333432.R01.S.doc Version 5.2 Page 16 telephone messages left with staff do not always get passed on to their relative. This was discussed with the manager who said she would look into this to ensure good communication is maintained. Regular residents meetings are held at the home and the minutes of these meetings were seen on the notice board. One person who lives at the home said in a survey “Because of recent improvements, building extensions/skills co-ordinator, it is a pleasure to live here!” and a relative said in a survey that staff at the home take people out on trips and “keep them occupied with activities”. A new café style menu has recently been introduced for the lunchtime meal where people can choose from a menu of things such as burgers, pizzas sandwiches, jacket potatoes and salads. The menus are available on the tables in picture as well as written form. Breakfast and evening meal menus are more traditional but offer choice and cater for special diets and needs. One person who lives at the home said that meals have really improved recently, particularly with a “more modern” menu. Wheldon View Care Centre DS0000006266.V333432.R01.S.doc Version 5.2 Page 17 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service Users feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): OP 16, 18 and YA 22 and 23. People who live at the home have confidence in the complaints system and are protected by systems in place relating to safeguarding vulnerable people. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: Since the last full inspection, although some complaints have been received by the home, the amount has reduced considerably in relation to previous years. Documentation was seen to show that all complaints have been dealt with appropriately and thoroughly through the home’s complaints procedure. All of the people who live at the home who were spoken with, and those who responded in surveys, said that they had confidence in staff to deal properly with any complaints they raised. One relative said in a survey “Staff are helpful and listen to issues that arise”. Staff at the home have knowledge of, and access to, Wakefield Metropolitan District Council’s safeguarding policies and procedures and have usually Wheldon View Care Centre DS0000006266.V333432.R01.S.doc Version 5.2 Page 18 referred appropriately, although one documented instance where an altercation had taken place between two people who live at the home had not been reported under safeguarding procedures. Staff spoken with were aware of what may constitute abuse and their responsibilities with regard to safeguarding people The home also follows its own company’s policies and procedures for protection of vulnerable adults and staff training records show that staff have received training in this area. Wheldon View Care Centre DS0000006266.V333432.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): OP 19, 26 and YA 24 and 30. People who live at the home are happy with the comfort and cleanliness of their environment. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: Since the last inspection a number of improvements have been made to the home including an extension to the building, which has provided new and Wheldon View Care Centre DS0000006266.V333432.R01.S.doc Version 5.2 Page 20 improved communal lounge space and some new bedrooms for people who live at the home. Work has also been completed in order to create a new younger adults unit upstairs separate to the older peoples unit. This means that up to fifty three people under the age of sixty five and thirty people over the age of sixty five can now be accommodated at the home. The Commission for Social Care Inspection has recently approved this change to the home’s registration. Names for the newly developed units were decided by way of a competition among people who live at the home. Dining rooms have been refurbished and provide a very pleasant environment for people to enjoy their meals and the décor and comfort provided by the new lounges are of a very high standard. Lounges are now identified as either for watching television or where people can sit quietly or enjoy music. Some existing lounges are also being refurbished with new décor and furnishings. Improvements are also being made to activity rooms. The manager said that bedrooms are also being refurbished and people are able to choose from a selection of carpets but have complete choice over the colour and decoration schemes. This was discussed with some of the people who live at the home who are looking forward to doing this. Bathrooms have been redecorated and some wet areas have been developed in response to peoples needs. In addition to this and the new kitchen/therapy room, the hairdressing room has been revamped and modernised to provide a pleasant hair salon and nail bar. People spoken with during the visit were very happy with the improvements and one person who has lived at the home for some time said that due to these recent improvements they have nothing to complain about and find it a pleasure to live at the home. Another person who has moved into a new and larger bedroom was also pleased with improvements. Two people who have moved temporarily from downstairs to what will be the new younger adults unit upstairs said that they would like to stay in the new unit. Generally the home was clean and tidy although some bathrooms were somewhat cluttered as they were being as storage places. This was dealt with during the visit. One relative said in a survey that staff needed to be more careful when dealing with catheter bags so that odours were not present in bedrooms. This was discussed with the manager, who will monitor this but not identified as a problem during the visit. Wheldon View Care Centre DS0000006266.V333432.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): OP 27, 28, 29 and 30 and YA 32, 34 and 35. People who live at the home are supported by an appropriately trained and recruited staff team who are available to them in sufficient number to meet their needs. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: Since the last inspection there have been a number of staff changes and reorganisation of staffing within the home. This has been positive as all the people spoken with during the visit said they now felt that there are enough staff available to meet their needs and that staff are kind and attentive. Comments received in surveys from people who live at the home include “I like the carers a lot because they do a lot for me and support me” and “the carers Wheldon View Care Centre DS0000006266.V333432.R01.S.doc Version 5.2 Page 22 and nurses are doing a great job”. A relative also said “My wife says they are very good to her”. One person who lives at the home said that they do not usually have to wait very long at all for staff to respond to their call bell although there are still odd occasions when they have to wait longer than they think is reasonable. Induction for all new staff is organised through the company and includes the common induction standards as defined by the skills for care council. At the moment 22 of the care staff working at the home hold the NVQ level two certificate in care, although there are a number of other staff are in the process of attaining this award. Mandatory training is organised on a rolling programme and other training needs are identified through supervision. Staff spoken with said that they are happy with the training they receive and records confirmed that supervision is now being held for all staff on a regular basis. 4 staff personnel files were seen and contained documentation to show that recruitment policies and procedures to protect residents’ safety are followed. Staff spoken with said that they felt there was a much improved atmosphere within the home and that they were enjoying the team approach and spirit which has developed. Wheldon View Care Centre DS0000006266.V333432.R01.S.doc Version 5.2 Page 23 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): OP 31, 33, 35, 38 and YA 37, 39 and 42. People who live at the home are supported and protected by good managerial systems. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Wheldon View Care Centre DS0000006266.V333432.R01.S.doc Version 5.2 Page 24 EVIDENCE: The home’s manager is a registered nurse with many years’ experience of care in a residential setting. She has completed her studies for the registered managers award and is awaiting the results. The manager has recently seen the home through a number of changes, all of which, according to the people who live there, have been for the better, and she should be congratulated for the dedication and hard work she has displayed over the last months. For quality monitoring purposes, satisfaction surveys are sent out on an annual basis via the home’s head office to gain the views of residents, staff and other stakeholders. One person said that they had recently completed one such survey and had praised the manager and staff for all the improvements at the home. Several people who live at the home said that they felt much more involved in what goes on. Staff and resident meetings are held on a regular basis and minutes of some of these minutes were seen. Small amounts of personal allowances are held in the home’s safe at the request of some residents. The amounts and the documentation relating to this money were checked and found to be appropriate and accurate. A programme of supervision for all staff is now in place and staff meet with their line manager on a one to one basis a minimum of six times each year. Records were seen to confirm this and one member of staff said that this gives them the opportunity to discuss any problems they may be having and any training needs they have identified. Some documentation relating to health and safety practices and systems within the home were seen and the manager confirmed to the Commission, prior to the inspection, that regular maintenance and health and safety checks are carried out on systems and equipment at the home. Wheldon View Care Centre DS0000006266.V333432.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 X 3 3 4 X 5 X 6 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 ENVIRONMENT Standard No Score 19 3 20 X 21 X 22 X 23 X 24 X 25 X 26 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 X 33 3 34 X 35 3 36 X 37 X 38 3 Wheldon View Care Centre DS0000006266.V333432.R01.S.doc Version 5.2 Page 26 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP3 YA2 YA7 OP14 YA6 Good Practice Recommendations Pre-admission assessments should include details of prospective residents’ social and educational needs and personal aspirations. Care plans should give details of decisions people have made in relation to their care and lifestyle, and be signed by them. Care plans should reflect individuals’ aspirations and goals and demonstrate evidence of positive planned interventions, therapeutic and rehabilitation programmes. 50 of the care staff employed should hold the NVQ level 2 award in care. 2. 3. 4. OP28 YA32 Wheldon View Care Centre DS0000006266.V333432.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI. Wheldon View Care Centre DS0000006266.V333432.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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