Wharfedale View, an extra care housing service in Leeds, received an overall rating of Good across all five key questions at its first CQC inspection in November 2023. Minor recommendations were made regarding consistency of medicines records and robustness of governance systems for checking care records, and the provider was advised to register the correct service user bands with CQC.
Concerns (4)
moderate
Governance
: “The provider had not applied to the CQC to add the service user band to include people with a learning disability and autistic people to their registration.”
minorMedication management: “some protocols for 'as required' medicines needed more personalisation. We saw no evidence people had been harmed or that this was a widespread concern.”
minorRecord keeping: “The provider's governance systems for checking care records needed to be more robust to ensure all areas for improvement were consistently identified and addressed.”
minorCare planning: “One person's care plan did not fully reflect how their health condition impacted upon them as the day progressed.”
Strengths
· People received consistent care from a small group of staff who knew them well, enabling strong relationships and continuity of care.
· Staff were recruited safely with appropriate background checks and received regular training and competency assessments.
· People felt safe and staff responded promptly to risks; risk assessments were personalised and regularly reviewed.
· The registered manager promoted a positive, open learning culture and was responsive to inspection recommendations.
· People were actively involved in care planning and decision-making, with personalised and detailed care records.
Quality-Statement breakdown (17)
safe: Using medicines safelyGood
safe: Assessing risk, safety monitoring and managementGood
safe: Systems and processes to safeguard people; Learning lessons when things go wrongGood
safe: Staffing and recruitmentGood
safe: Preventing and controlling infectionGood
effective: Supporting people to live healthier lives; Staff working with other agencies; Supporting people to eat and drinkGood
effective: Staff support: induction, training, skills and experienceGood
effective: Ensuring consent to care and treatment in line with law and guidance; Assessing people's needsGood
caring: Ensuring people are well treated and supported; respecting equality and diversity; privacy, dignity and independenceGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
responsive: Planning personalised care; Supporting people to maintain relationships and activitiesGood
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportNot rated
well-led: Continuous learning and improving care; Engaging and involving people and staffGood
well-led: Promoting a positive, person-centred, open and inclusive culture; Working in partnership with othersGood
well-led: Managers and staff understanding roles, quality performance, risks and regulatory requirements; Duty of candourGood