Inspection on 26/05/05 for Wharfedale House

This inspection was carried out on 26th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 1 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 10/11/05

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 MIXED CATEGORY MAJORITY ADULTS 18-65 Wharfedale House 16 Wharfedale Lawn Wetherby Leeds LS22 6PU Lead Inspector Val Francis Unannounced 26 May 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 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. Wharfedale House J52 S1522 Wharfedale V226921 260505 Stage 4.doc Version 1.40 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 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 Foundation Wendy Bennett Care Home 18 Category(ies) of Physical disability (9), Physical disability over 65 registration, with number years of age (9) of places Wharfedale House J52 S1522 Wharfedale V226921 260505 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26/10/04 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 J52 S1522 Wharfedale V226921 260505 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Regulated care homes have a minimum of two inspections a year; these may be announced or unannounced visits. The last inspection was announced and took place on the 26th October 2004. There have been no further visits until this unannounced inspection, which was carried out by one inspector, which started at 10. 30am and ended at 4.45 pm. The people who live in the home use the term residents therefore this is the term that will be used throughout this report. During the inspection records were examined, some areas of the home were seen: kitchens, lounge and dining rooms but no bedrooms were inspected on this occasion; care staff were observed carrying out their work, and discussions were held during the day with six members of staff, and ten of the eighteen residents. The remaining residents were either out of the home or they were resting during the inspector’s tour around the premises; some of the inspector time was spent observing staff interaction with residents. What the service does well: What has improved since the last inspection? Since the last inspection, residents have been issued with temporary terms and conditions of residence provided by Leonard Cheshire, whilst the issue is being resolved. Wharfedale House J52 S1522 Wharfedale V226921 260505 Stage 4.doc Version 1.40 Page 6 The layout of residents’ care plans is now much improved with each person having a care plan that is clear about his or her special needs, with an action plan showing how these would be met. The home’s policies and procedures now incorporate the good practice guidance for staff in safe handling of medicine in accordance with the Royal Pharmaceutical Society (RPS) guidance for residential homes. At the time of this inspection the home had 50 of their care staff with a NVQ. 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. Wharfedale House J52 S1522 Wharfedale V226921 260505 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Standards Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Wharfedale House J52 S1522 Wharfedale V226921 260505 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitablity of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2,3,4 and 5. People who use the service are able to access clear information, which would enable them to make a choice about whether or not they may want to live at the home. An assessment is carried out of all prospective residents, to ensure their needs can be met at the home. The matter relating to terms and conditions still is not fully resolved. EVIDENCE: A statement of purpose and service user guide is accessible, and provides prospective residents and anyone that has an interest in the home with information on the aims of the home and the service available. The home’s pre-assessment document, which has recently been revised, is used to collect information on the needs of prospective residents, before admission to the home. Wharfedale House J52 S1522 Wharfedale V226921 260505 Stage 4.doc Version 1.40 Page 9 Before making a decision to live at the home prospective residents can visit the home and if possible have an overnight stay. There is a core of staff that have the skills and training to meet the needs of resident’s in their care. The manager said residents have been issued with a temporary terms and condition of residency by Leonard Cheshire until the issues is resolved with the building management. Wharfedale House J52 S1522 Wharfedale V226921 260505 Stage 4.doc Version 1.40 Page 10 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14, and 33 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7 and 10. Residents are given every opportunity to be involved in issues that affect their lives. EVIDENCE: All residents have a care plan that reflected their care needs and how they would be meet. Good information was seen through out. It was evident from discussions with residents and from information seen in care plans that residents are actively involved in the care planning process. It was clear from talking to staff that they had good knowledge and understanding of the residents’ needs. Wharfedale House J52 S1522 Wharfedale V226921 260505 Stage 4.doc Version 1.40 Page 11 Residents meetings are held monthly which a staff representative attends. A representative from the resident group attends various other group meetings outside of the home that is pertinent to the resident group. It was evident from the minutes of meeting and from discussion with residents that they had the opportunity to be involved in other aspecs of the running of the home, i.e. the recruitment and selection of staff. The homes’ information that is available to residents includes the policy procedure, which makes them aware that any information about them would be handled in confidence; this is highlighted in staff induction training and a copy of the policy procedure is in the staff handbook. Wharfedale House J52 S1522 Wharfedale V226921 260505 Stage 4.doc Version 1.40 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. Service Users find the lifestyle experiencd in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. 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. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. 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. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 13,14,15, 16 and 17. Residents are encouraged and supported to use community recreational facilities. The management team and catering staff are working with residents to resolve the issue of the food served. Wharfedale House J52 S1522 Wharfedale V226921 260505 Stage 4.doc Version 1.40 Page 13 EVIDENCE: There are various forms of contact with the community, for recreational social activities and for shopping. Some residents use the local Day Centre and one resident teaches at the local flower club. The manager said the local charity shop that is part of the Leonard Cheshire charity work closely with the home giving some financial support. Contact with family and friends is encouraged and supported. In the main residents visit friends and families. There is a new policy procedure about Personal Relationships. The manager has attended a training course and, training would also be given to staff and residents if they wish. From discussion with residents it was evident that they are confident that their rights are respected and they can discuss issues freely with the manager. At the time of inspection there was one full time cook and an interview had been arranged for another who would work at weekends, to ensure there are catering staff every day. Meals have been some concern for residents for some time. The matter is discussed at residents meetings with the cook when menu was made with residents input, the inspector found that during discussion with residents there was mixed feelings about the quality of the food served. Plans are in place to get views from residents after each main meal times. Some residents living in the flats make their own food with support from their personal carer. Wharfedale House J52 S1522 Wharfedale V226921 260505 Stage 4.doc Version 1.40 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 and 21. Health and personal support is given to residents in accordance with their wishes. Training is needed for staff on ageing and bereavement EVIDENCE: Personal support is given in accordance with individual care plans, which have been put together by residents and their key worker. Aids and other equipment is available, to enable residents independence and for staff assistance when delivering personal care. Staff are given appropriate training for any special needs residents may have. The individual plan provides information how their emotional needs would be met. The manager said the emotional needs of residents is paramount and was the reason the Personal Relationship Policy Procedure has been made, that would assist staff in this area. Wharfedale House J52 S1522 Wharfedale V226921 260505 Stage 4.doc Version 1.40 Page 15 It was evident from care plan information that regular contacts are maintained with health care professionals. The local district nurse team and the staff work closely together. There was no information that would indicate that staff have had training on the ageing process or bereavement and palliative care. Residents have the opportunity to put in their care plans if they wished to be resuscitated and their last wishes at the end of their time. It was evident that care is provided to residents to meet their individual needs which takes into account their physical needs, age and ability. Despite this it was acknowledged that training was needed on the ageing and death of residents. Wharfedale House J52 S1522 Wharfedale V226921 260505 Stage 4.doc Version 1.40 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16, 18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are sageguarded. (OP NMS 35) The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 16, 18 and 35 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 23 Systems are in place to protect residents from abuse. EVIDENCE: The home has copies of the local authority’s Adult Protection policy and their own procedures and information of other agencies they can access if the need arose. All staff spoken with were aware of the procedure and senior staff were aware of the action to be taken when responding to an allegation of an abuse. It was clear that they had no hesitation in reporting abuse no matter who was involved. Wharfedale House J52 S1522 Wharfedale V226921 260505 Stage 4.doc Version 1.40 Page 17 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 5,29 and 30. All effort is made provide residents with accommodation that meets their physical needs, in an environment that is homely. EVIDENCE: The building is purpose built to accommodate people with Physical disabilities. The building provides residents with aids and adaptations and specialist equipment to meet their disability and to assist staff when attending to them. All bedroom sizes meet the minimum standards and fitted with furniture to meet individual needs. Residents had taken the opportunity to furnish their Wharfedale House J52 S1522 Wharfedale V226921 260505 Stage 4.doc Version 1.40 Page 18 rooms to suit their choice and style. People in the flats have a lounge and kitchen. There is a handyman who carries out general maintenance and gardening. Some of the paintwork was showing signs of wear and tear, which is mainly due to the damage caused by wheelchairs. Re-painting was underway. The kitchen on the ground floor that is used for catering for the home needs refurbishing with equipment and fitment that are robust and can meet the needs of the home. It is acknowledged that residents are encouraged to be independent and they also use the kitchen for drinks and snacks. However this area must be kept clean in line with food hygiene guidelines. All equipment in the home is checked at the appropriate intervals. Staff have had training in moving and handling which is continually updated to ensure that they are in line with the current moving and handling requirements. Wharfedale House J52 S1522 Wharfedale V226921 260505 Stage 4.doc Version 1.40 Page 19 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 34 and 35 (Adults 18-65) and Standards 27,29 and 30 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,35 and 36. Residents have access to staff who are clear about their role and are trained and supervised to ensure they can meet the care needs of people living at the home. EVIDENCE: Each member of staff is provided with a job description before their employment to ensure they know what their roles and responsibilities are within the staff team. They are given a copy of the General Social Care Council (GSCC ) code of conduct, which gives them clear guidance of the code and practices of a care worker. Wharfedale House J52 S1522 Wharfedale V226921 260505 Stage 4.doc Version 1.40 Page 20 There is a good training and development plan for the home and for individuals. There is a designated training officer in the organisation, whose role is to ensure that all new staff receive induction and foundation training and ongoing training that is linked with residents’ needs and individual care plans. At the time of the inspection the home had 14 care staff 7 of which had a National Vocational Qualification in care (NVQ) Level 2 or 3. Other staff were working towards this qualification. One to one staff supervision is given approximately every eight weeks; responsibility for supervising the staff team is shared amongst the home management team i.e. the manager supervises the senior staff in the home and in turn they supervise a number of the care staff and ancillary staff. During supervision, discussions are held about their training and any other matter that relates to them personally. Wharfedale House J52 S1522 Wharfedale V226921 260505 Stage 4.doc Version 1.40 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. 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. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 39 and 42 (Adults 18-65) and Standards 33,35 and 38 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38 and 40. The management of the home is clearly committed to the needs of the people living at the home and the staff providing the care. EVIDENCE: Wharfedale House J52 S1522 Wharfedale V226921 260505 Stage 4.doc Version 1.40 Page 22 From discussion with the residents, staff and from the inspector’s observation it was evident that the management approach of the home is one that is open, positive and inclusive, residents are consulted in matters that would affect the running of the home and their care. Both residents and staff told the inspector that the atmosphere in the home is now friendly without tension and there is now clear leadership, which staff and residents understand. Staff and residents have access to policies and procedures, which comply with the legislation. All new policies and procedures are discussed at staff meetings and staff are given copies if need be. Residents are involved in putting policies and procedures together via the Disability People Forum. A resident representative from the home sits on these committees, who then discuss matters in house meetings. Staff also have an input through the Staff Association group a representative from the home sit on this group, who feedback information to the staff team in the home. Wharfedale House J52 S1522 Wharfedale V226921 260505 Stage 4.doc Version 1.40 Page 23 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. Where there is no score against a standard it has not been looked at during this inspection. 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 x 3 3 3 3 Standard No 22 23 Score x 3 Score ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x x 3 x x 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING 3 3 x x x 3 2 Score 11 12 13 14 15 16 17 Standard No 31 32 33 34 35 36 x x x x 3 3 x 4 x 3 x x x Version 1.40 Page 24 CONDUCT & MANAGEMENT PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Wharfedale House Score 3 3 x 2 37 38 39 40 41 42 43 J52 S1522 Wharfedale V226921 260505 Stage 4.doc 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 The matter of the terms and conditions of residency must be resolved so that residents are clear of their rights and who is responsible. Training must be carried out on ageing and the death of residents. communal areas are in needed of refubishing which includes the main catering kitchen.A plan of action to be sent to the CSCI area office. The kichen must be kept clean at all times so that it complies with food hygeine regulations. Timescale for action 31st December 2005 30th September 2005 2. 3. 21 30 18 23 (2) )b) 4. 30 23 (2) (d) ongoing 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 Good Practice Recommendations Wharfedale House J52 S1522 Wharfedale V226921 260505 Stage 4.doc Version 1.40 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. Extracts may not be used or reproduced without the express permission of CSCI. Wharfedale House J52 S1522 Wharfedale V226921 260505 Stage 4.doc Version 1.40 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!