Inspection on 10/11/05 for Wharfedale House

This inspection was carried out on 10th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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

Wharfedale House 09/11/07

Wharfedale House 07/11/06

Wharfedale House 26/05/05

Wharfedale House 26/10/04

Wharfedale House 09/06/04

Wharfedale House 15/02/04

Similar services:

Snydale Care Home

Staveley Birk Leas Nursing Home

Fairmount Nursing Home

Currergate Nursing Home

Brookfield

Castlethorpe Care Home

Elmleigh Convent

Woodlands Respite Care Centre

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Wharfedale House 16 Wharfedale Lawn Wetherby Leeds West Yorkshire LS22 6PU Lead Inspector Valerie Francis Unannounced Inspection 10th November 2005 09:30 Wharfedale House DS0000001522.V262753.R01.S.doc Version 5.0 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 Wharfedale House DS0000001522.V262753.R01.S.doc Version 5.0 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 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. Wharfedale House DS0000001522.V262753.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Wharfedale House Address 16 Wharfedale Lawn Wetherby Leeds West Yorkshire LS22 6PU 01937 585667 01937 547300 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) Leonard Cheshire Mrs Wendy Bennett Care Home 18 Category(ies) of Physical disability (18), Physical disability over registration, with number 65 years of age (8) of places Wharfedale House DS0000001522.V262753.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th May 2005 Brief Description of the Service: The home was first registered in1998. Leonard Cheshire is the registered provider.Wharfedale House is located in the Wetherby area of Leeds, close access to Wetherby shopping centre and local recreational facilities, which are in walking distance from the home. There is a good bus route to Leeds city centre and Harrogate, which is used by some service users with support from staff. The building is purpose built, to accommodate eighteen younger adults with physical disabilities. There are also some older people accommodated at the home whose primary care need is their physical disability. The building is set in large grounds with a car park shared with people living in the surrounding bungalows.There is a large garden to the rear and to the side of the building. A patio and benches are available to the side of the building, which can be used by service users, to sit out in the good weather.The home has seven bedrooms downstairs and six upstairs; each floor has a lounge/dining room and a kitchen. The kitchen on the first ground is used as the main food preparation area.The laundry is on the first floor. All bedrooms have telephone; en-suite toilet and level access showers.There are also four self-contained flats, three singles and one double for people who wish to be more independent but need staff support.Bedrooms are equipped with aids and adaptations to meet the needs of the occupant. Wharfedale House DS0000001522.V262753.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced. It started at 9am finishing at 4pm The manager was working on this day. The time was spent looking at some documents, which included, care plans, staff recruitment files, medication records, minutes of meetings with residents and staff and maintenance records. 8 residents and 4 staff were spoken to about living and working at Wharfedale House. The views of visitors are included in the report. The inspector looked around part of the building. The atmosphere within the home was open and friendly. There was a real sense of resident lead environment where residents were relaxed going about their business, doing what they enjoy in the home and in the community with the support and encouragement from staff. The manager was given feedback about the inspection findings at the end of the inspection. During discussion with residents and staff they spoke of their sadness of the manager leaving. But was happy that she would be continuing to work with Leonard Cheshire. What the service does well: The home staff provide residents with good support and encouragement, they are actively involved in the running of the home and their views are taken seriously. The manager runs a home that is open, and was accessible to residents and staff. Wharfedale House DS0000001522.V262753.R01.S.doc Version 5.0 Page 6 The home is well managed and both residents and staff are confident that the home manager and line management to the home would take their concern seriously and they are accessible. What has improved since the last inspection? What they could do better: Residents must have clear contract of terms and conditions so that they are clear of their rights and who is responsible. Training must be carried out on death, dying and the ageing process. The furnishing and the decoration in communal areas and the kitchen must be repaired or replaced. The matter relating to cleanliness in residents rooms must be resolved. The kitchens must be kept clean at all times, so that it is in keeping with food hygiene regulations. Wharfedale House DS0000001522.V262753.R01.S.doc Version 5.0 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. Wharfedale House DS0000001522.V262753.R01.S.doc Version 5.0 Page 8 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 Outcomes Statutory Requirements Identified During the Inspection Wharfedale House DS0000001522.V262753.R01.S.doc Version 5.0 Page 9 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 the following standard(s): 1 &5 The home has a statement of purpose, which when combined with the opportunity to visit the home, gives prospective residents and their carers/relatives detailed information on which to base their decision when considering moving into the home. The matter of the written contract, which involves, the management of the building and the registered provider could create uncertainty about the rights and responsibilities of all concerned. EVIDENCE: Residents and staff have had some input in the recent review of the home’s Statement of Purpose. Which is available to prospective residents their families and others. A copy is available in the home along with the service user guide; all residents have been given a copy of the service users guide. Residents have been given a copy of Leonard Cheshire tenancy agreement as a temporary measure whilst the issue of the full terms and condition is resolved with the building provider and organisations legal services. Which will make sure that resident right as tenants are protected. Wharfedale House DS0000001522.V262753.R01.S.doc Version 5.0 Page 10 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 the following standard(s): 6, 7, 8 and 9 Information recorded in care plans and risk assessments is good, however, some information was not in place. All efforts are made for residents to be involved in matters that reflect their personal and home life. EVIDENCE: Residents now have a full care plan which reflect their change in care needs. Two residents care files were inspected; it was evident that evaluations and reviews are carried out with input from residents who takes the opportunity to be involved in the care planning process of their care which in the main is their views how they would like to be looked after. Residents have key workers and they are responsible for making sure care plans, risk assessments and reviews are up to date. Although risk assessments are carried out and the home responds quickly to matters concerning the residents, there was no supporting plan in place for the identified risks for day to day living or risk of developing pressure sores. Wharfedale House DS0000001522.V262753.R01.S.doc Version 5.0 Page 11 Residents are involved in the recruitment and selection of staff by being involved in the interview process of new staff at the home. It was clear that staff had very good knowledge of the people living at the home and were able to describe the care and support given to individual service users. Wharfedale House DS0000001522.V262753.R01.S.doc Version 5.0 Page 12 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 the following standard(s): 11 and 12 Residents have opportunity for personal development. Activities mainly take place in the surrounding community. EVIDENCE: Residents are encouraged and supported to learn personal skills and undertake training, one resident had recently completed a degree via Open University and another person completed an IT course at the local college. There is an activity co-ordinator employed, who arranges outings and social activities individually or as a group for residents. During the course of the inspection it was evident that residents go out independently or with staff to pursue their interest, or go shopping in the local shopping centre. Daily records confirmed that regular outings and activities are arranged and Residents have the opportunity to attend service at the local churches independently or with staff escort. Wharfedale House DS0000001522.V262753.R01.S.doc Version 5.0 Page 13 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 the following standard(s): 20 and 21 Staff have received training in the handling, recording, storage, administration and disposal of medication. Medication Administration Record (MAR) charts was up to date. EVIDENCE: Most of the staff who have been designated to administer medicine have completed a certificate on safe handling of medicine, the new member of staff is currently undertaking the course. The home’s policy procedure in safe handling of medicine is in line with the Royal Pharmaceutical Guidelines for residential Home (RPS). Medication in resident’s rooms is stored in a locked cupboard with a risk assessment in place. There are regular checks and monitoring of residents medication, some residents see their GP in private where medication is looked at and staff informed of any changes. There is a mixed age group of residents living in the home for which the older people standard is used, to ensure the care provided is appropriate for the resident group. Wharfedale House DS0000001522.V262753.R01.S.doc Version 5.0 Page 14 Staff recognise the change in needs of the people living at the home, so much so that a one day in house training has been given to staff with a plan in place for training with the local Hospice on death and dying. Training has also been given on the ageing process and illness, which affect the change in needs of residents. Wharfedale House DS0000001522.V262753.R01.S.doc Version 5.0 Page 15 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 the following standard(s): 22 Residents are safeguarded from abuse; a complaint procedure is in place, which is available to residents and others. EVIDENCE: Prospective residents and other have access to Leonard Cheshire complaint procedure in the home’s statement of purpose. During discussion with residents, they indicated that they were confident that if they had any concerns or complaints they would be taken seriously and dealt with by the manager or senior management in the organisation. During the inspection relatives who were spoken to, indicated that they had made a complaint to the manager which was dealt with appropriately. They also said they felt reassured that their complaint will be thoroughly investigated. Records of all complaints are kept, along with how the complaint has been investigated. Wharfedale House DS0000001522.V262753.R01.S.doc Version 5.0 Page 16 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 the following standard(s): 24,26,27,28 & 30. Some resident’s bedrooms and the kitchens needed thorough cleaning. Some furniture in the communal sitting areas needs replacing so that residents have access to furniture that was comfortable. EVIDENCE: Sitting areas and corridors appeared to be clean and tidy. Bedrooms seen were personalised by the occupants and was said to be clean by the occupant with some input from staff if it was appropriate, despite this it was felt that extra help was needed to keep some bedrooms clean. It is acknowledged that residents have rights and choice, however some staff help was needed to work with residents to make sure that the level of cleanliness and hygiene is not compromised. This matter was discussed with the manager. One relative visiting spoke of their relative’s bedroom and the issue regarding cleanliness in this room, the manager said attempts are made to involve residents. Wharfedale House DS0000001522.V262753.R01.S.doc Version 5.0 Page 17 The kitchen furniture and equipment on each floor was showing signs of wear tear and needed refurbishing. The top floor kitchen equipments, where the main food is prepared needs replacing with equipment that is suitable for staff to use to carry out their role of food preparation. Some cupboards needed cleaning of food debris. Worktops were cluttered, and the sealant around the worktop was peeling, the trolleys were found to be dirty and needed cleaning. In general a through cleaning and tidy up was needed. The furniture in the communal sittings room was also showing signs of wear and tear; some consideration should be given to replace the furniture with ones that are robust with a domestic style in appearance. The cover of the sofa chair in the dining/ sitting room was torn, threadbare and dirty and needed replacing. Work had started in the laundry area to improve access to resident especially those in wheel chairs so that they can carry out their laundry using the washer and dryer, which would allow them to do their laundry independently or with some assistance from staff. The washing machine and dryer was being moved to the back of the wall to allow people in wheelchair to have better access, an automatic door opener to be fitted and a ironing bench which would allow people to be independent. Wharfedale House DS0000001522.V262753.R01.S.doc Version 5.0 Page 18 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 32 33 34 Staff have a good understanding of the needs of residents and there is good teamwork. Staff benefit from regular staff meetings, supervision and training courses. EVIDENCE: Four members of staff and manager were spoken to. Everyone said they thought the home provided a good standard of individualised care. They also thought the team worked well together, and felt there had been improvements in communication. Staffing levels at the home is now providing residents with consistency and continuity. Staff had a good understanding of service user’s needs and key worker responsibilities. Staffing level on each shift appeared to be satisfactory. The manager said staffing is regularly reviewed and if residents needs changed and additional staff was needed then this would be in place. Yearly staff appraisal is carried out. It was apparent from discussion with staff that they were fully aware of their role and remit in the home, all have been issued with a copy of the General Social Care Council (GSCC) code of conduct. Wharfedale House DS0000001522.V262753.R01.S.doc Version 5.0 Page 19 Staff have the opportunity for training in matters that would assist them in their service delivery and their personal development. There is a training matrix in place and one of the courses that are being arranged for staff is bereavement training, and loss and grief, which is to be carried out by the training officer. There was evidence on file that the organisation’s recruitment and section policy procedures were used when new staff are appointed. There was evidence on file of completed application form, interview and offer letter and copy of the terms and conditions. At the time of the inspection there was 50 of the care staff with an NVQ qualification. Wharfedale House DS0000001522.V262753.R01.S.doc Version 5.0 Page 20 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 41, 42 and 43 The home’s manager has a good understanding of the needs of residents and provides strong leadership. Recording systems are good. The health and safety of residents and staff are not compromised. EVIDENCE: It was evident from discussion with the manager that she was aware of residents needs and was aware of what was happening in the home. Systems are in place to ensure staff and residents receive support and guidance. Strategic plans are in place to ensure the home continues to develop and operates smoothly. The manager is moving to another area of work in the organisation and a new manager has been appointed to become the registered manager for the home, senior support workers are confident that they will work closely together to Wharfedale House DS0000001522.V262753.R01.S.doc Version 5.0 Page 21 make sure that there is continuity in the service delivery to people living at the home. Residents use regular residents meeting as a forum to discuss their views on matters that relates to them as a group, and are confidant that any areas of concern that they have will be dealt with quickly and effectively. The views of residents and others are sought through the yearly selfassessment monthly regulations 26 visits by line management to home, and staff meetings, which are held monthly. Senior staff meetings are held two monthly Records contain good information and they are stored securely in a locked area. The home’s policies and procedures are reviewed annually, at the time of the inspection the organisation was in the process of reviewing them. The pre inspection questionnaire confirmed that policies and procedures are available, and regular maintenance and health and safety checks are completed at the home. A copy of the electrical wiring certificate was seen. Wharfedale House DS0000001522.V262753.R01.S.doc Version 5.0 Page 22 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 3 X X X 2 Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X 3 3 2 X 2 Standard No 6 7 8 9 10 Score 3 4 4 3 X LIFESTYLES Standard No Score 11 3 12 3 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score 3 3 3 4 X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Wharfedale House Score X X 3 2 Standard No 37 38 39 40 41 42 43 Score 4 X 3 X 3 3 3 DS0000001522.V262753.R01.S.doc Version 5.0 Page 23 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 YA5 Regulation 14 Requirement Residents must have clear contract of terms and conditions so that they are clear of their rights and who is responsibly. Previous timescale 31.12.05 Training must be carried out on death, dying and the ageing process. Previous timescale 30.09.05 Timescale for action 28/02/06 2 YA21 18 28/01/06 3 YA28 23 (2)(b)(d) The furnishing and the 28/02/06 decoration in communal areas and the kitchen must be repaired or replaced. The matter relating to cleanliness in residents rooms must be resolved. The kitchens must be kept clean at all times, so that it is in keeping with food hygiene regulations. Risk assessments must be supported by a care plan, which has an action plan how risk would be minimised. 20/01/06 4 YA30 23 5 YA30 23 16/01/06 6 YA6 16 16/01/06 Wharfedale House DS0000001522.V262753.R01.S.doc Version 5.0 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Wharfedale House DS0000001522.V262753.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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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