Background to this inspection
Updated
20 December 2023
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
Inspection team
The inspection team consisted of an inspector, 2 regulatory officers and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
This service provides care and support to people living in specialist ‘extra care’ housing. 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. CQC does not regulate premises used for extra care housing; this inspection looked at people’s personal care.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the CQC to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
The inspection was announced. We gave the service 24 hours’ notice of the inspection. This was because we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 8 November 2023 and ended on 16 November 2023. We visited the location’s office on 8 November 2023.
What we did before the inspection
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We reviewed all the information we received since the service registered with CQC. We sought feedback from the local authority commissioners and safeguarding teams. We used all of this information to plan our inspection.
During the inspection
We spoke with 3 people who used the service and 2 relatives about their experience of the care provided. We spoke with 7 members of staff including the registered manager, care coordinator, operations manager and care staff. We reviewed a range of records. This included 3 peoples care records and medication records. We looked at 3 staff files in relation to recruitment and training. We also reviewed a variety of records relating to the management of the service, including policies, procedures and audits.
Updated
20 December 2023
About the service
Wharfedale View is an 'extra care' housing service which provides personal care for people within their own flats at the Wharfedale View housing complex. At the time of our inspection 27 people received personal care. Not everyone who used the service received personal care. Care Quality Commission (CQC) only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
The service supported adults including people living with dementia, physical disabilities, mental health conditions, learning disabilities and autistic people.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.
People’s experience of the service and what we found
Right Support: People received their medicines safely although some medicines records could have been more consistently detailed and personalised. We made a recommendation about this. People told us they received good care which met their needs. People were supported by regular staff which enabled them to develop positive relationships with their care staff.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Staff worked in partnership with people, relatives and health and social care professionals to enhance people’s quality of life and provide good outcomes for people. People were actively involved in making decisions about their care and staff respected people’s preferences.
People received effective support to eat and drink and risks were identified and well managed.
Right Care: People received consistent care from staff who knew them well. People told us staff were kind, caring and promoted their independence. People's needs and preferences were assessed and staff respected people’s individual wishes. People and those important to them were involved in planning their care.
Staff understood how to protect people from poor care and abuse. People said they felt safe when staff cared for them. Staff were recruited safely and there were enough staff to meet people’s needs.
Risks were assessed and actions taken to maintain people’s safety and wellbeing. Care records were personalised and contained detail which supported staff to deliver person-centred care.
Right Culture: Quality assurance and monitoring systems enabled the provider to maintain operational oversight and monitor the quality of care provided. The provider's governance systems for checking records needed to be more robust. We made a recommendation about this.
The registered manager promoted a positive and open culture where the needs and views of people using the service were put first. Staff listened to and responded positively to people’s views.
Staff received appropriate training and ongoing support to ensure they provided people with safe care which met the positive values and caring ethos of the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 3 October 2022 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow Up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.