Latest Inspection
This is the latest available inspection report for this service, carried out on 23rd July 2010. CQC found this care home to be providing an Good service.
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.
For extracts, read the latest CQC inspection for Wharfedale House.
What the care home does well In the main, people who live at Wharfedale House are happy living there and they are satisfied with the service they receive at the home. People benefit from a well run home. The registered manager has a good knowledge of how people`s needs should be met and spends time with people who receive a service. She communicates a clear sense of direction and has a good understanding of where the service should develop. What the care home could do better: We have not made any requirements as a result of this inspection visit. A more robust system for logging and recording action taken in response to complaints should be introduced. This will make sure complaints can be properly monitored. Arrangements for accommodation should be signed and agreed with people who receive a service and/or their representative. This will make sure people know what type of service they should receive. Random inspection report
Care homes for adults (18-65 years)
Name: Address: Wharfedale House 16 Wharfedale Lawn Wetherby Leeds West Yorkshire LS22 6PU two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Carol Haj-Najafi Date: 2 3 0 7 2 0 1 0 Information about the care home
Name of care home: Address: Wharfedale House 16 Wharfedale Lawn Wetherby Leeds West Yorkshire LS22 6PU 01937585667 01937547300 Telephone number: Fax number: Email address: Provider web address: www.lcdisability.org Name of registered provider(s): Name of registered manager (if applicable) Patricia Macey Type of registration: Number of places registered: Conditions of registration: Category(ies) : Leonard Cheshire Disability care home 18 Number of places (if applicable): Under 65 Over 65 8 physical disability Conditions of registration: 18 The maximum number of service users who can be accommodated is: 18 The registered person may provide the following category of service only: Care home only - Code PC, to service users of the following gender: Either, whose primary care needs on admission are within the following categories: Physical disability - Code PD and PD(E) Date of last inspection Brief description of the care home The home was first registered in 1998. Leonard Cheshire is the registered provider. Wharfedale House is located in the Wetherby area of Leeds with close access to Wetherby shopping centre and local recreational facilities, which are in walking
Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home 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 back 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. The scale of fee charges are available by contacting the manager of the home. Care Homes for Adults (18-65 years) Page 3 of 9 What we found:
We carried out this random inspection in response to information we received about the service and the registered provider, Leonard Cheshire Disability. Concerns were raised about safeguarding practices, complaints processes and arrangements for the accommodation for people receiving a service. Before we carried out this inspection we looked at; - Relevant information from other organisations and what other people have told us about the service. - Information we have about how the service has managed any complaints or safeguarding incidents. - What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. - The previous key inspection which was carried out on 9 November 2007 and annual service reviews. Two inspectors carried out an unannounced visit to the home on 23 July 2010. We spent four and a half hours at the home. We spoke to six people who live at Whardedale House, three staff and the registered manager. We also looked at some records. We talked to the manager about the home. She provided good examples to show they do things well and discussed areas where they want to improve. Before we carried out our site visit the registered manager had told us they had some problems recruiting staff and had drawn up an action plan to address this. The manager discussed this in more detail at our inspection. Two people raised concerns that the home is using a lot of agency staff. One person said it is difficult when staff come and they dont know the home very well. Another person said, We sometimes have agency staff, mostly the same ones, they are all pleasant, havent met any that arent nice. At the time of our visit five staff were on duty including the deputy manager. The deputy manager has worked at the home for several years. Two staff on duty work for Leonard Cheshire. One had only worked at the home for a few weeks and the other for three months and two staff were agency workers although one of the agency workers works at the home on a regular basis. One staff from Leonard Cheshire said they have completed their induction training and the other staff said they are part way through their induction. The manager acknowledged that it is a concern because the home was staffed by relatively new staff but said they are monitoring the situation and doing everything they can to address the staffing problem. We spoke to people who live at Wharfedale House about the care they receive. Generally people said they are very satisfied with the service they receive at the home and are satisfied that the manager will deal with concerns appropriately. Five people who live at the home said they feel safe; one person said they dont feel safe although these concerns generally related to the organisation rather than the home. One person who
Care Homes for Adults (18-65 years) Page 4 of 9 lives at the home said, Yes I feel very safe, can lock my door if I want to. When I had some money taken, they got the police for me and I now have my own safe. Another person said, Staff are just brilliant, treat us well, feel they listen to what we say, a lot better than my other place. People said they know how to make a formal complaint and the majority of people said they would talk to the manager or deputy if they want to raise a concern or complaint. One person said they were not allowed to make a complaint. Another person said, I feel very comfortable here, I am not unhappy at all, but if I was I would talk to the manager or deputy manager. Another person said, Any complaints are always sorted out. We spoke to the SUNA (Service User National Association) representative for Wharfedale House. They told us they take problems that are difficult to sort out to national meetings and gave an example when they had raised an issue because they were struggling to find drivers. Some people who live at the home were unsure if they have received a copy of the Leonard Cheshire Have your say leaflet that tells people how they can make suggestions or complaints. Other people confirmed that had received a copy. A complaints procedure was displayed in the home but this was more of a flow chart of what action staff/management take in response to a complaint rather than a procedure for people who want to make a complaint. The manager showed us a pictorial complaints procedure which includes details of agencies people can contact if they are unhappy with the response from Leonard Cheshire and said these have been given to each person who lives at the home. The manager said this procedure should be displayed and on the day of our site visit was arranging for it to be put on notice boards around the home. We spoke to the manager about safeguarding processes. The manager was familiar with safeguarding procedures and had a good understanding of how any safeguarding allegations should be referred to the local authority. Staff we spoke to said they would report any concerns or allegations to the manager or deputy manager and they were confident these would be dealt with appropriately. One staff said, I raised a concern recently and it was sorted out swiftly and properly. Problem solved. We looked at complaints and safeguarding records. The complaints and safeguarding incidents were well recorded and provided a clear picture of the concern, allegation or complaint received. However it was very difficult to find out how many concerns, complaints or allegations had been received or how the service had responded to some of them. We received a complaint in 2009 and asked the home to look into the complaint and respond to us. We could not find reference to this in the complaints record. We are currently following up a complaint with Leonard Cheshire Disability. At the inspection we found that the home has systems in place to deal with complaints and safeguarding and will look into any concerns raised although the records should be more organised so complaints and safeguarding can be monitored more carefully. During our visit we observed interaction between people who live at the home and staff. Staff explained what they were doing and gave reassurance when they supported people, and were friendly and caring. Staff asked people what they wanted and explained what was happening. For example, one person was asked what time they wanted lunch and if they wanted support with a task later in the day.
Care Homes for Adults (18-65 years) Page 5 of 9 When we spoke to staff during our site visit they said it is a good home and people who live at the home are well cared for. One staff said, People are treated with respect. Its a good home. Another staff said, People get a good service. Ive worked in lots of other places and this is the best. We looked at three peoples standard agreements for services provided by Leonard Cheshire. One persons agreement had not been signed by the person and there was no record as to why the document was not signed. Another agreement was signed. Another agreement was in the process of being discussed and signed by the person receiving the service and their relative. Most people said they were unsure if they have an agreement/contract. One person who has lived at the home for a few months confirmed they had signed a contract but said they were looking for alternative accommodation. They said the home and their advocate were helping them look at what options are available. One person raised concerns that Leonard Cheshire has not discussed arrangements for their accommodation with them satisfactorily. The manager confirmed this is being dealt with by senior management. At the last inspection we made seven requirements. We have looked at these during our annual service reviews and discussed these with the manager during the site visit, and are satisfied the requirements have been met. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 7 of 9 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 5 Arrangements for accommodation should be signed and agreed with people who receive a service and/or their representative. This will make sure people know what type of service they should receive. A more robust system for recording complaints and safeguarding should be introduced. This will make sure complaints can be properly monitored. 2 22 Care Homes for Adults (18-65 years) Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 9 of 9 - 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!
