Archived: Wharfedale View

Updated 13 April 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This service provides care and support to people living in specialist ‘extra care’ housing. It provides a service to older adults and younger disabled adults.

This was an announced inspection carried out on 27 February and 2 March 2018. We gave the service 48 hours’ notice of the inspection visit because we needed to be sure the registered manager was available and to make arrangements for people who used the service to be asked if we could visit them.

Inspection site visit activity started on 27 February 2018 and ended on 2 March 2018. It included visits to people who used the service and their relatives. We also spoke with care workers when we visited the service and by telephone after the visit. We visited the office location on 27 February 2018 to see the registered manager and office staff; and to review care records and policies and procedures.

The inspection was carried out by one adult social care inspector and an expert- by- experience who had experience of extra care housing services. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Before our inspection, we reviewed all the information we held about the service, including registration reports and statutory notifications sent to us by the service. Statutory notifications contain information about changes, events or incidents that the provider is legally required to send us. We contacted the local authority and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.

Before the inspection, the provider completed a Provider Information Return (PIR). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

At the time of the inspection, there were 30 people receiving the regulated activity of personal care from the provider. During our inspection, we spoke with six people who used the service, five relatives, five care workers, a senior care worker, the registered manager and the area manager.

We spent time looking at documents and records related to people’s care and the management of the service. We looked at three people’s care plans and three people’s medicines records. We also looked at staff training and recruitment files, a selection of the home's policies and procedures, quality assurance and auditing processes, and meeting minutes.

Updated 13 April 2018

This was an announced inspection carried out on 27 February and 2 March 2018. This was our first inspection of the service since it became registered in January 2017.

Warfedale View provides support with personal care to people living in specialist ‘extra care’ housing. At the time of our inspection, 30 people were using the service.

Extra care housing is purpose-built or adapted single household accommodation in a shared site or building. The accommodation is rented, and is the occupant’s own home. People’s care and housing are provided under separate contractual agreements. The Care Quality Commission (CQC) does not regulate premises used for extra care housing; this inspection looked at people’s personal care service.

Not everyone using Warfedale View receives regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.

There was a registered manager in post. A registered manager is a person who has registered with the CQC to manage the service. Like registered providers they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.

We found some improvements were needed to fully ensure the safe management of medicines. The registered manager took prompt action to ensure the concerns were addressed during the inspection. We made a recommendation that the provider keep medicines under review to ensure the improvements made are sustained.

People told us they felt safe. Care workers understood how to keep people safe and told us any potential risks were identified and managed. Risk management plans were in place to ensure people’s safe care. Care workers knew how to protect people from risks associated with harm and abuse. Safeguarding procedures and policies were in place. Care workers and the registered manager were aware of their responsibilities to identify and report any allegations of abuse to the local authority.

Overall, there were sufficient staff to provide the service people needed. Some people were not satisfied with their call times. The registered manager agreed to review this with people. Safe recruitment practices were followed. Care workers felt well supported and received appropriate training.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. People’s care records clearly identified where people had capacity to make decisions about their care and support. Care workers understood people needed to consent to their care and were confident they supported people to make their own decisions. People received assistance with meals and healthcare when required. This supported people to maintain their health and well-being.

People we spoke with told us they were happy with the care they received and were complimentary about the care workers who supported them. People said staff knew them well and treated them with kindness and compassion. Care workers were familiar with people’s routines and individual needs. Staff understood the importance of treating people with dignity and respect and promoting their independence.

People told us they had no complaints and when they had raised any issues, they were dealt with quickly and appropriately. People’s diverse needs were respected and they were supported to avoid social isolation. People felt involved with the service and planning of their care and support. Care records were updated as people’s needs changed to ensure care workers were fully aware of their needs.

The registered manager and the provider monitored and reviewed the quality of care through audits, spot checks, and reviews of the service. This demonstrated a commitment to continuous improvement of the service. People, their relatives and care workers all spoke highly about the way the service was managed.