Inspection on 04/07/05 for Fairburn Chase

This inspection was carried out on 4th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 found no outstanding requirements from the previous inspection report, but made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Fairburn Chase 24/04/07

Fairburn Chase 12/07/06

Fairburn Chase 09/01/06

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 ADULTS 18-65 Wheldon View Care Centre Wheldon View Wheldon Road Castleford WF10 2PY Lead Inspector Gillian Walsh Mavis Pickard Unannounced 4 July 2005 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 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 J51J01_s6266_Wheldon View_v237406_040705.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Wheldon View Care Centre Address Wheldon View Wheldon Road Castleford WF10 2PY 01977 559703 01977 517664 Telephone number Fax number Email 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 Care Home with Nursing 76 Category(ies) of Physically Disabled - 29 places registration, with number Over 65 - 76 places of places Terminally Ill - 2 places Terminally Ill, over 65 - 2 places Wheldon View Care Centre J51J01_s6266_Wheldon View_v237406_040705.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Conditions of this registration are listed on the registration certificate displayed at the service. Date of last inspection 11.11.04 Brief Description of the Service: Wheldon View is situated on the outskirts of Airedale village and Castleford town centre with a limited access to local shops although this is partly compensated for by the home having use of a minibus which is shared with two other homes in the same site. It is a purpose built home for 76 residents, 47 of whom are older people with the remainder of places being for 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. Wheldon View Care Centre J51J01_s6266_Wheldon View_v237406_040705.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the younger adults unit made by two inspectors on 4th July 2005. An inspection of the older persons unit was made on 1st June 2005 and the report from that visit should be read in conjunction with this report. Time was spent touring the unit, speaking with residents and staff and examining documentation. Since the last inspection a new manager has been employed at the home but as she is not yet registered with the Commission, is referred to within the report as the acting manager. The responsible individual is working closely with the acting manager to continue her commitment to raising standards at the home. The inspectors would like to thank residents, visitors and staff for their time and assistance during the inspection. What the service does well: What has improved since the last inspection? What they could do better: 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. Wheldon View Care Centre J51J01_s6266_Wheldon View_v237406_040705.doc Version 1.40 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Wheldon View Care Centre J51J01_s6266_Wheldon View_v237406_040705.doc Version 1.40 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, and 4. The documentation available to prospective residents giving the information they need to make an informed choice about moving into the home is in need of updating. Prospective residents are given the opportunity to “test drive” the home but the assessment of their needs does not fully take into account their potential goals and preferred lifestyles. EVIDENCE: Copies of the home’s statement of purpose and service user guides are available at the home but both of these documents contain the details of the previous manager and responsible individual and therefore do not give potential residents accurate information about the management arrangements at the home. The acting manager said that potential residents are always visited by a senior member of staff to make an assessment of their needs before a decision is made to offer a place at the home. A copy of one of these assessments was seen and although physical needs were covered there was little evidence that potential resident’s social and psychological needs are fully considered or that personal goals and aspirations are discussed. The acting manager explained that potential residents are invited to visit and spend time at the home before making the decision to move in. This could include an overnight stay if required. Wheldon View Care Centre J51J01_s6266_Wheldon View_v237406_040705.doc Version 1.40 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 and 7. Care plans concentrate on physical needs, but do not always adequately do this, and give little indication of residents input into their plans or of decisions they make about their lives. EVIDENCE: New care planning documentation has recently been introduced at the home, which if completed correctly could provide a good basis for the development of the care plan. The documentation includes various assessments but not all of these had been completed. Some information from previous assessments had been copied onto the new documentation but, in one file, rather than make a new assessment or ask the resident for information about themselves the staff member had written that there was no information available. Some of the documentation may not be appropriate to the age group of the residents for example the section headed “my family” could appear childish. Each resident has a care plan and the inspectors looked at a selection of these. Care plans in general concentrated on resident’s physical needs and although some care plans were in place for social needs these were not individualised and none gave any detail of personal goals or aspirations. Wheldon View Care Centre J51J01_s6266_Wheldon View_v237406_040705.doc Version 1.40 Page 9 One of the care plan files seen was for a resident who is blind but no care plan had been developed in relation to this. Another plan instructed staff to inform the resident’s relatives of changes to very intimate and personal health matters but no indication was given that the resident had agreed to this. Some care plans had been signed by the resident concerned but others had not and some residents told the inspectors that they did not know much about their care plans. Very little evidence was available within the care plans to demonstrate that residents are supported to make decisions about their lives. One resident said that they usually did things such as get up and go to bed at the convenience of the staff as they did not want to be a trouble. Wheldon View Care Centre J51J01_s6266_Wheldon View_v237406_040705.doc Version 1.40 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 14, and 15 Opportunities for residents in relation to personal development and appropriate activities are very limited and there is little involvement with facilities within the local community. Not all leisure activities available at the home are appropriate to the age and abilities of residents. Residents maintain appropriate personal relationships. EVIDENCE: None of the care plans seen contained any information with regard to residents’ aspirations relating to personal development through rehabilitation or education. The acting manager said that to her knowledge none of the current residents wished to attend college or engage in employment and none of the residents who spoke with the inspectors expressed any wishes in this area. The acting manager said that residents at the home occasionally use the local pub but there was no evidence of any other involvement within the local community. Activities staff are employed at the home and on the morning of the inspection one of the activities staff said that they were spending one to one time with residents. An activities programme is in place but this is for the whole home and appeared to be more suited to the leisure needs of older Wheldon View Care Centre J51J01_s6266_Wheldon View_v237406_040705.doc Version 1.40 Page 11 people rather than younger adults. One resident said that they would like to go on a trip to a museum but did not feel that this would be possible as they felt that other residents may not share their interest. The acting manager later said that there was no reason why this trip should not be organised even if others did not wish to go. The resident’s games/computer room was inaccessible as it was being used to store new furniture and other items. The inspectors met with residents whose families visit often and take an active role in their care but the care plans for these residents did not reflect this involvement and there was no evidence relative’s involvement is welcomed and supported. Wheldon View Care Centre J51J01_s6266_Wheldon View_v237406_040705.doc Version 1.40 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 and 19 Not all residents receive help and support in the way they prefer and require which can result in physical needs not being met. EVIDENCE: Most of the residents who spoke with the inspectors said that they were happy with the way in which they are supported by staff. One resident said they were happy to fit in with the staff routine, as they didn’t have any real preferences. One resident said that at home they were able to use the commode for toileting but whilst at the care home they were not offered this facility and had to use their pad. Another resident was sure that they still had some very limited abilities to mobilise with assistance but that they were not given this assistance and was afraid that they would lose these skills. Residents appear to receive appropriate healthcare as required but in one instance a resident had been seen by a healthcare professional but this had not been recorded. Care plans give little evidence of how emotional needs are met (see standard 6). Wheldon View Care Centre J51J01_s6266_Wheldon View_v237406_040705.doc Version 1.40 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 The responsible individual and the acting manager are working to ensure that complaints will be promptly and appropriately responded to. EVIDENCE: Since the last inspection the home has received complaints, which were not initially dealt with to the satisfaction of the complainant. However, since the change in management structure at the home, complaints are now being dealt with appropriately. Wheldon View Care Centre J51J01_s6266_Wheldon View_v237406_040705.doc Version 1.40 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 29 and 30. On the day of the inspection the home was not comfortable or safe due to the poor organisation of the carpet fitting. Not all residents have the specialist equipment they need to meet their needs. Current cleaning routines do not ensure that the home is clean. EVIDENCE: At the time of the inspection preparations were being made for new carpets to be laid in all the corridors and in one lounge. Most of the old carpets had been lifted but this was affecting almost all of the residents as all their bedroom doors had had to be opened to allow the workmen to lift the carpets. The main lounge had had the carpet removed but had been left with piles of rubbish in the corners. The acting manager said that this situation had been ongoing for a number of days and that the carpet fitters were unable to say when the carpets would be fitted. One of the lounges on the unit was not accessible due to the carpet fitting and the resident’s computer/activities room could not be used as it was being used to store furniture. Wheldon View Care Centre J51J01_s6266_Wheldon View_v237406_040705.doc Version 1.40 Page 15 Concerns about fire safety were raised in relation to bedroom doors. All bedroom doors are double with one small door and one larger door. The smaller door is usually held closed with a bolt but on the day of the inspection the majority of these were open as were the larger doors. None of these doors were fitted with self closures or door guards and therefore in the event of a fire, residents in their rooms would be at risk. Some specialist equipment is available for most of the residents as they require but one resident who was unable to access the en-suite had not been provided with a commode and had to use their pad for elimination. Another resident who was unable to mobilise, was sitting alone in one of the lounges without any means to call for help as the call bell on the wall was out of reach and did not have an extension lead. Pendant call bells are not available in the home. Another resident was found in a distressed state as they were in need of assistance but the call bell had been tied out of their reach. The residents smoke room was in need of redecoration, new flooring due to cigarette burns and cleaning. The extractor fan was heavily stained and dusty. The responsible individual said that new flooring had been ordered for this room. The majority of bedrooms were clean and tidy but one room which had been vacated several days prior to the inspection still had used bedding screwed up on the bed and the bed frame was very dusty and had spillages on it. The waste bins in the room had also not been emptied. A shower room was also found to be unclean with grimy tiles and tissue paper on the floor. The toilet in the room had a seat which had been repaired with tape which staff said had been there for a long time. Wheldon View Care Centre J51J01_s6266_Wheldon View_v237406_040705.doc Version 1.40 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 Residents are supported by appropriately trained staff. EVIDENCE: Training is ongoing at the home and the acting manager was confident that all staff are up to date with mandatory training. Each member of staff has a personal training file but there was not a training plan available. The acting manager said that it is her intention to get a good overview of training needs at the home and to produce a training plan. Wheldon View Care Centre J51J01_s6266_Wheldon View_v237406_040705.doc Version 1.40 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37 and 42 The new acting manger and the responsible individual are working to ensure that residents benefit from efficient management of the home. The health and safety of residents is not protected by current procedures. EVIDENCE: Since the last inspection the registered manager ha left the home and a new manager has been appointed. As the new manager is not yet registered with the commission, she is referred to within this report as the acting manager. Some of the residents who spoke with the inspectors were unsure about who the manager of the home was. The acting manager said that she had been introducing herself to residents and their families but understood that residents would need time to get used to and to recognise her and said that she would continue in her efforts to build relationships with them. Records relating to fire safety, water temperatures and other maintenance checks were seen and were appropriate. Concerns with regard to the health, welfare and safety of residents were highlighted (please refer to standards 18, 19, 24 and 29) during the visit. Wheldon View Care Centre J51J01_s6266_Wheldon View_v237406_040705.doc Version 1.40 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 2 x 3 x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 1 2 x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 1 x x x x 1 1 Standard No 11 12 13 14 15 16 17 2 2 2 2 2 x x Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Wheldon View Care Centre Score 1 1 x x Standard No 37 38 39 40 41 42 43 Score 3 x x x x 1 x J51J01_s6266_Wheldon View_v237406_040705.doc Version 1.40 Page 19 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. 1. Standard YA6 Regulation 15 Requirement Timescale for action 31 August 2005 2. YA18 and YA19 3. YA 24 YA42 4. YA29 The registered person must ensure that, after consultation with the service user or their representative, a written plan of care is prepared as to how the service users needs in respect of health and welfare are to be met. 12(3) The registered person shall for the purpose of providing care to service users, and making proper provision for their health and welfare, so far as practicable ascertain and take into account their wishes and feelings. 13(4)(a)(c The registered person shall ) ensure that (a)all parts of the home to which service users have access are so far as reasonably practicable free from hazards to their safety And (c)Unnecesary risks to the health or safety of service users are identified and so far as possible eliminated.This must include seeking the advice of the fire offcer in relation to bedrrom door closures. 23(2)(n) The registered person must ensure that suitable adaptations J51J01_s6266_Wheldon View_v237406_040705.doc 31 August 2005 31 July 2005 31 August 2005 Page 20 Wheldon View Care Centre Version 1.40 5. YA30 23(2)(d) are made, and such support, equipment and facilities, as may be required are provided, for service users who are old, infirm or physically disabled. The registered person must ensure that all parts of the home are kept clean and reasonably decorated. 31 July 2005 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. 2. 3. 4. 5. 6. 7. Refer to Standard YA1 YA2 YA6 YA7 YA11 and YA12 YA13 YA14 Good Practice Recommendations The registered person should ensure that the information within the statement of purpose and the sevice user guide is current and up to date. Pre admission assessments should include details of prospective residents social and educational needs and personal aspirations. Care plans should give clear details of how residents needs are to be met. This should include social, psychological and educational needs as well as physical needs. Care plans should give details of decisions residents have made in relation to their care and lifestyle. The registered person should ensure that opportunities for personal development .are made available to residents Facilities within the local community should be explored and arrangements made, where appropriate, for residents to make use of these facilities. Consideration should be given to the appropriateness of the activities programme with particular reference to the suitability of activities for some of the younger service users. The registered person should ensure that, where appropriate, families should be supported be involved in the care of their relative and this should be reflected within the care plan. The registered person should ensure that any refurbishments are planned to keep disruption to residents to a minimum. The registered person should consider providing pendant type call bells for residents who are unable to mobilise J51J01_s6266_Wheldon View_v237406_040705.doc Version 1.40 Page 21 8. YA15 9. 10. YA24 YA29 Wheldon View Care Centre 11. YA35 independantly. A training plan should be developed which identifies training completed and planned training. Wheldon View Care Centre J51J01_s6266_Wheldon View_v237406_040705.doc Version 1.40 Page 22 Commission for Social Care Inspection Park View House Woodvale Office Park Woodvale Road Brighouse. HD6 4AB National Enquiry Line: 0845 015 0120 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. 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