Inspection on 26/11/08 for Coppice Close

This is the latest available inspection report for this service, carried out on 26th November 2008.

CSCI found this care home to be providing an Good service.

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.

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10 Whitfield Avenue

Extracts from inspection reports are licensed from CQC, this page was updated on 13/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Coppice Close 1 Coppice Close Cheswick Green Solihull West Midlands B90 4HX     The quality rating for this care home is:   two star good service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Julie Preston     Date: 2 6 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: Coppice Close 1 Coppice Close Cheswick Green Solihull West Midlands B90 4HX 01564703090 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Solihull Care Trust Type of registration: Number of places registered: care home 4 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 4. The registered person may provide the following categories of service only: Care Home only - Code PC. The servcie users of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: - Learning Disabilities - Code LD. Date of last inspection Brief description of the care home Coppice Close is situated in a residential area of Solihull close to Shirley town centre, where there are a range of shops, places of worship, pubs, restaurants and community centres. The home is registered to provide care and accommodation to up to four adults with a learning disability. Bedrooms are all on the first floor and people share a bathroom on this floor. There are toilet facilities on the ground floor as well as a large lounge, kitchen and laundry room. The home has a rear garden and parking spaces to the front. It costs 1635.00 each week to live at the home and people make Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 4 Brief description of the care home contributions towards this from their welfare benefit. Information is shared with people in weekly planning meetings and the CSCI inspection report is made available for people and their families to read. Care Homes for Adults (18-65 years) Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The visit to this home took place over one day. People who live there and the staff team did not know that we were coming. During our visit we case tracked two people. Case tracking means that we meet and talk to people and the staff that support them, look at records about their care, the way their medicines are looked after and look at the home they live in to make sure that it meets their needs. Case tracking helps us understand the experiences of people who live in the home. We also talked to the manager, the assistant house leader and other staff about the support they give to people and looked at records that explain how to help people stay Care Homes for Adults (18-65 years) Page 6 of 28 safe and well. We were not able to gather the views of all of the people who live in the home as they have complex communication needs. We looked around the home to make sure that it was clean, warm and a pleasant place for people to live. Notifications that the home send us about events that may affect the well being of people who live there were also looked at as well as information about complaints. This helps us understand how people are being listened to and how their health and safety is protected. What the care home does well: What has improved since the last inspection? 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 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 28 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples have information about the home and opportunities to visit, before they move in so that they can make an informed choice about whether to live there. Peoples needs are assessed before moving in to the home so that they can be confident their needs will be met. Evidence: There have been no new people admitted to the home since our last visit and there is currently one vacancy. The home has a procedure for assessing the needs of people before they move in so that they can ensure their needs will be met. We looked at the procedure, which included a statement that trial visits would be offered to help people decide whether the home will meet their needs. There is a statement of purpose and service user guide that describes the services and facilities provided in the home. We were told that the documents are made available to people and their families. Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: The service user guide contains photographs, pictures and plain language so that people can understand the content. Care Homes for Adults (18-65 years) Page 11 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are good systems of care planning to make sure that peoples needs are understood and met. Risks to peoples health and well being are not always managed effectively to ensure that they are protected from possible harm. Evidence: We looked at two peoples care plans. Care plans describe the support that people need to manage their day to day lives. The plans had information about individual likes and dislikes, for example, (X) would rather have a bath than a shower. This should make sure that people receive care in a way that they prefer. The two plans had been recently reviewed so that they remained relevant to peoples current needs. We saw that people had signed their own care plans, knew where they were kept and the content. This indicates that people are included and involved in planning their own Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: care. The staff that we spoke to demonstrated good knowledge of peoples needs that reflected the records we looked at. The home completes risk assessments so that people are protected from taking unreasonable risks which may cause them harm. Some risks had been identified, but did not have a corresponding plan to manage the risk. For example, a person was described as being prone to falls, but there was no information to explain how to reduce and manage the risk. This does not ensure that people are fully protected from possible harm. We were told that people need support to manage their money. We looked at the records of the two people that we case tracked and found that the amount of cash held on their behalf matched the records of their income and expenditure. A member of staff said that peoples money was accounted for at the handover between shifts to reduce the risk of errors going unnoticed. Care Homes for Adults (18-65 years) Page 13 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home experience a meaningful lifestyle that promotes their independence and is reflective of their individual needs. Evidence: We looked at activity records and spoke to people about the opportunities they have to go out and do things they enjoy. One person told us that he went out every day and particularly enjoyed going to a local church hall for social evenings. Each person has a planning meeting to decide what they are going to do every week. As a result of the meetings an activity plan is devised, which is pinned up in the kitchen for people to look at. We saw that the plans used pictures and photographs to Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: explain the activities, which makes the information easier for people to understand. Photographs of the staff on duty each day are also displayed in the home so that people know who will be supporting them. During our visit people went out to fetch their daily newspaper and to see their families. It was evident from looking at records and talking to people that there are a range of activities available that people enjoy taking part in. The home supports people to keep in touch with their friends and relatives so that they do not lose relationships that are important to them. People told us that they make and receive telephone calls from their relatives and often see their friends at local community groups or at the Gateway club. We looked at menus and records of food that people had eaten to make sure that a range of healthy and nutritious meals are offered. The records showed us that a choice of food is offered at each meal and that people are included and involved in menu planning, shopping and cooking. People told us that they enjoyed making hot drinks and sandwiches and liked the menus that they planned. Care Homes for Adults (18-65 years) Page 15 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are effective systems in place to make sure that peoples personal and health care needs are identified, understood and met. Evidence: The manager told us that each person has a plan that describes their personal and health care needs. We looked at the plans for two people. Both plans included a description of peoples preferred personal care routines, which had been signed by the person as well as the member of staff that had written the plan. One person told us that the staff were kind and always helped him when he needed support. We looked at two peoples financial records, which showed that they shopped for their own toiletries and clothes as part of a regular routine. People who live at Coppice Close have a Health Action Plan. This is a record of the support and services that a person needs to stay healthy and well. The two plans that Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: we looked at had been completed, however we were told that all were to be reviewed and that the manager and house leader had met with a health facilitator from Solihull Care Trust to begin this process and arrange training for staff. This shows that staff at the home are taking care to make sure that peoples health care needs are being identified and met. The home have written hospital plans for people so that accurate information about their health needs is accessible in the event that they have to go into hospital at short notice. A member of staff showed us one of the plans, which included details about the way a person communicates, how they express pain and discomfort and the medicines that they take to stay healthy and well. The staff member explained that the plans had been written to reduce the risk of peoples needs being misunderstood or not met should a hospital stay be required. The four members of staff that we spoke to demonstrated good knowledge of peoples personal and health care needs, which indicates that they had read and understood written plans of care. We looked at the storage and management of peoples medicines to make sure that it was being looked after safely. Medicines were stored securely and the records that we looked at cross referenced with the medication kept in the home, which indicates that medicines had been given as prescribed. In one case the amount of paracetamol available had not been entered onto the persons medication record. This does not help the staff team to keep track of how much medicine the person should have and could lead to problems when checking medicines held in the home. From the records that we looked at, this had occurred only once. Other records showed that the balance of medicines had been recorded. We saw from staff records and from talking to the manager that all staff have completed training in the safe handling of medicines. This should contribute to a safer system of handling and managing medicines for the benefit of people who live in the home. Care Homes for Adults (18-65 years) Page 17 of 28 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are systems in place to listen to and act upon complaints and to safeguard people from possible harm. Evidence: Neither the home or commission has received any complaints about the service within the last twelve months. The complaints procedure is included in the homes statement of purpose and service user guide so that it is accessible to people who live there and their families. One person said that he would tell staff if he was unhappy and was confident that they would sort out any problems that he had. There have been no safeguarding issues raised with regard to the people who live at the home within the last twelve months. A copy of Solihull Care Trusts safeguarding vulnerable adults procedure was available in the office. The manager confirmed that Care Trust managers meet to discuss the implementation of safeguarding and complaints policies as part of their roles and responsibilities. The staff that we spoke to clearly stated that they would not hesitate to report safeguarding incidents so that people were protected. From discussion with three members of staff and from looking at their records, it was evident that training in Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: safeguarding had been completed in 2008. Care Homes for Adults (18-65 years) Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well furnished and clean which means that people live in a comfortable environment. Evidence: Coppice Close is situated in a residential area of Solihull, close to the town centre of Shirley. The home looks no different to others in the area. There is good access to local facilities such as pubs, shops, cafes and public transport links. This is important to the people who live there as they make regular use of community resources. We looked around the home to make sure that it was clean, comfortable and that the facilities met peoples needs. The home has a large lounge, which had new sofas and easy chairs, television and blinds. People told us that they had chosen the new furniture. The lounge leads on to the kitchen where people cook and eat their meals. There is enough space in the kitchen for people to sit together at meal times. Each person has their own bedroom, to which they have a key so that they can keep their belongings safely and their room private. The two bedrooms that we were invited Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: to look at were well furnished and clearly reflected peoples personal tastes. The home was clean throughout, with no indication of poor cleansing routines. People told us that they are involved in keeping their bedrooms clean and tidy, which they enjoy doing. There is a first floor bathroom and a ground floor toilet with wash hand basin. The first floor bathroom has a grab rail next to the toilet. The grab rail was stained and rusted, which does not look pleasant and should either be replaced or removed if people do not need to use it. Care Homes for Adults (18-65 years) Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The homes recruitment and training procedures contribute to making sure that people are supported by a well trained and competent team of staff. Evidence: We spoke to one person who lives in the home about the qualities of the staff team and were told that they are all good, kind, nice people. Some people who live at Coppice Close were not able to give us their views about the staff team because of complex communication needs. However, from observing staff working with them it was evident that people enjoyed spending time with the staff on duty. We looked at the staff rota to make sure that there were enough staff on duty each day to meet peoples needs and promote their day to day living. The rota showed that there are up to four members of staff on duty each day with one staff member sleeping in at the home overnight. From speaking to staff and looking at the rota it was noted that one staff member Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: works alone from 4.30pm each day until 7am the following morning. We were told that every attempt was made to ensure that an additional staff member was available twice a week so that people could go out during the evening, but that this was not always the case. There were no arrangements to ensure that staff had been briefed about what to do in the event of an emergency arising overnight that may require the help other staff to safeguard people living in the home. We looked at the recruitment records for one member of staff, which showed that a range of checks had been made to ensure that people had been protected from the risk of having unsuitable staff working with them. These included receiving written references, Criminal Records Bureau checks and a completed application form. Solihull Care Trust offers a rolling programme of staff training so that staff have the opportunity to complete new training and refresher courses. This should ensure that people are supported by a well trained team of staff. Care Homes for Adults (18-65 years) Page 23 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is being well managed and peoples health nad safety is promoted and protected. Evidence: The home has a new manager who has been in post since May 2008, who has not yet applied to the commission for registration as manager. This person has completed a range of training (called National Vocational Qualifications) that are relevant to her managerial role. The manager has twenty two years experience of working with people with a learning disability and demonstrated effective knowledge of social care during our visit. The home has an experienced assistant house leader, who is responsible for the day to day running of the service in the managers absence. Quality assurance systems are in place. We met the person who is due to undertake visits to the home to check the quality of service and care being delivered. The person Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: is in the process of devising a new format for monitoring quality and showed us a copy of the new paperwork, which she felt would more accurately reflect the outcomes for people who live in the home. The home have completed a quality audit for commissioners of Solihull Care Trust, which identifies and evidences how the service promotes positive outcomes for the people who live there. We saw that the home have had a medicines and infection control audit, of which there were no issues that remained outstanding. Questionnaires sent out by the home to visitors included comments that praised the staff team and complimented them on their approach to helping people communicate using systems of pictures and photographs to enable them to make choices. The manager confirmed that questionnaires were being developed to ask for the views of people who live in the home about the service they receive. We looked at a range of records to make sure that the health and safety of people living in the home was being promoted and protected. Fire safety and electrical equipment had been tested and serviced on a regular basis to ensure that it was safe us use and in good working order. There were no obvious health and safety hazards within the home during our visit. Staff training records showed that health and safety, first aid, fire safety and food hygiene training had been completed for the ongoing protection of people who live at Coppice Close. Care Homes for Adults (18-65 years) Page 25 of 28 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, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 28 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, Care Homes 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 1 9 13 Risk assessments must be completed for people where hazards have been identified. So that peoples health and safety is promoted and protected. 28/02/2009 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 2 30 33 The grab rail in the first floor bathroom should be replaced or removed if people to do not need to use it. The staff rota should be reviewed to make sure that there are enough staff on duty during the evening to support people to go out and do things they enjoy. There should be a written procedure to explain the action to be taken by staff working alone at night in the event of an emergency. 3 33 Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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