This is the latest available inspection report for this service, carried out on 18th February 2009.
CSCI found this care home to be providing an Excellent 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.
Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Coppice Nursing Home 84 Windsor Road Oldham Lancashire OL8 1RQ three star excellent 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. 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: Kath Oldham Date: 1 8 0 2 2 0 0 9 Information about the care home
Name of care home: Address: Coppice Nursing Home 84 Windsor Road Oldham Lancashire OL8 1RQ 01616268522 01616274358 coppice@risewayhomes.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Riseway Care Homes Limited care home 44 Number of places (if applicable): Under 65 Over 65 15 19 24 0 dementia old age, not falling within any other category physical disability sensory impairment Conditions of registration: 4 0 24 1 No service user under 55 years to be admitted to the home. No more than 25 service users to be admitted for nursing care. The home manager shall be a first level registered nurse and be supernumerary for a minimum of 35 hours a week. Number of persons accommodated - 44. One registered general nurse to be on duty 24 hours a day. Date of last inspection Care Homes for Older People Page 2 of 10 Brief description of the care home The Coppice is a large detached home set within a walled garden, which has been extended and extensively modernised to provide nursing care and personal care for up to 43 service users. The home is owned by Riseway Care Homes Limited, which is a privately owned company. The Coppice is under the day-to-day control of a general manager who is also a qualified nurse. Accommodation is provided over two floors. Thirty-nine of the rooms are single en-suite whilst two bedrooms and one double room without en-suite facilities are provided with hand washbasins. Two bathrooms and a shower room are provided on the ground floor and a further two bathrooms are provided on the first floor. One dining room is situated on each floor. The first floor has one lounge area whilst the ground floor has one large lounge incorporating a bar area and two further small lounges. The home is located close to the town centre and is accessible to local transport services. There is ample car parking space for those travelling to the home by car. Fees for accommodation and care at the home range from 375 pounds to 713.50 pounds per week. Additional charges are also made for hairdressing, newspapers and personal toiletries. A service user guide is on display in the reception area of the home and a copy is provided in all residents? rooms. Care Homes for Older People Page 3 of 10 What we found:
The last key inspection at The Coppice was on 16th January 2007 on that inspection the quality rating awarded was excellent. We did an annual service review for Coppice on 26th February 2008. An annual service review is a report that we write for good or excellent services that have not had a key inspection in that year. Good services only have an inspection every two years and excellent services every three years. The annual service review does not routinely include a visit to the service. The review is an analysis of all the information that we have gathered about the service since the last main inspection. When we did the annual service review in February 2008 we found no evidence to suggest that our quality rating had changed or that we needed to bring the inspection forward. This random inspection was unannounced, which means the manager and staff were not told we would be visiting, and took place on 18th February 2009 commencing at 10.00am. We spent six hours at the home. At the last inspection on 16th January 2007 the overall quality rating for the Coppice Nursing Home was judged as excellent so we did this inspection to satisfy ourselves that nothing had changed and that residents were still happy with the care they were receiving. The Coppice was inspected against standards that cover the support provided, daily routines and lifestyle, choices, complaints, comfort, how staff are employed and trained, and how the service is managed. We looked briefly at all the key standards. We found our information at the visit by observing care practices, talking with people staying at The Coppice, talking with the Manager, relatives and staff. A sample of care, employment and health and safety records were looked at. Since the last inspection at the Coppice we have not received any complaints, concerns or safeguarding matters. The manager has dealt with a couple of safeguarding matters in line with local authorities procedures. The weekly range of fees charged by the home is between 375 and 713.30 pounds each week. Additional charges are made for hairdressing, personal toiletries, podiatry and magazines. References to we or us in this report represent the Commission for Social Care Inspection. Prospective residents have their needs assessed before they move into Coppice Nursing Home so they know their needs can be met.The manager told us that she would always visit each prospective resident and take a member of staff with her so if they chose to come to visit the home there are familiar faces when they visit. Care Homes for Older People Page 4 of 10 Care plans to assist with personal care tasks were completely person centred. This meant that staff knew exactly what they needed to do to help the resident to meet their needs in the way they preferred. The care plans focused on what residents were able to do for themselves which helped them to maintain their independence. The staff team have worked hard with residents and their relatives and friends developing care plans that are unique to them,so that they receive the right amount of support and care that meets their needs. This ensures residents make their own informed decisions and have the right to take managed risks in their daily lives. The care provided to residents is reviewed at least monthly and in some cases more regularly to make sure residents needs are being met in the way they prefer. Residents spiritual needs are recorded so they can be given the opportunity and any help they need to continue to follow their faith if they wish. Representatives of local churches visit the Coppice to offer communion or hold a service. Residents bedrooms are individualised and thought is given to making sure there is the right amount of light and fresh air to ensure their comfort. One resident said their eyesight was deteriorating and staff always made sure the light was switched on whatever the time of day so they could see better Residents who are able and can do so, can keep their own medicines They are supported when they need to take medicines away from the home. This is done in the safest and best way for them. There is flexibility in the times medicines are given to make sure it is given at the right time and also the best time for the person. One resident said they didnt get up until late morning and their medication is given to them when they get up. We looked at a sample of the medication administration records for residents. There was no record of administration of medication for one type of medication for a resident on two separate days. In addition two further prescribed medications had not been signed as administered on one particular night. Symbols are detailed on the medication administration records to be used by staff when medication is not needed for example. One such symbol O is used and the records need to indicate why the symbol was used. This is so it is clear why someone hasnt had their tablets or medicine. We saw that on some occasions this symbol had been used but an explanation as to why the medication wasnt administered was not recorded. This needs to be addressed to make sure an accurate record is made of medicine administration. For another resident one medication was not recorded as having been administered. The medication was prescribed to be given four times a day. The manager told us that the medication was prescribed when needed by the resident. The medication administration records didnt indicate this. This should be addressed to make sure residents get the medication as they need it. There was one medication which had been handwritten that had not been double signed to confirm that the medication and dosage instructions had been written down accurately. This best practice guidance is in place to safeguard residents and staff so Care Homes for Older People
Page 5 of 10 that residents are given their medication in line with their doctors instructions. The nurse said that she had intended getting a staff member to verify this entry. This does need to be done right away as these things can be forgotten and residents given their medication before the entry is double checked. Residents health care needs are being met. Staff and the manager do all they can to help people to look after their own health care needs. One resident said they had always gone to the same optician and this had been continued when they came to live at Coppice. Residents said they are able to maintain contacts with friends and relatives within the privacy of their own room. One resident said that there visitors are made welcome and are offered drinks and refreshments. Residents are encouraged to pursue activities of their choice so that they can maintain and develop new skills and friends. What the care home does well: What they could do better:
The manager should ensure that staff sign the medication administration records when administering medication to confirm residents had received their prescribed medication. The manager should ensure that when symbols are used to record the omission of Care Homes for Older People
Page 6 of 10 medication and these need defining that this is done on each occasion the symbol is used. The manager should ensure that the medication records clearly record the regularity of when medication should be prescribed so that the omission of administration is as prescribed by the residents doctor for example when required. When handwritten medication is on the medication records the manager should make sure that it is verified by a second member of staff to confirm that the entry has been copied from the prescription accurately. 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 Older People Page 7 of 10 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 8 of 10 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 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 9 The manager should ensure that staff sign the medication administration records when administering medication to confirm residents had received their prescribed medication. The manager should ensure that when symbols are used to record the omission of medication and these need defining that this is done on each occasion the code is used. Ensure that the medication records clearly record the regularity of when medication should be prescribed so that the omission of administration is as prescribed by the residents doctor for example when required. When handwritten medication is on the medication records make sure that it is verified by a second member of staff to confirm that the entry has been copied from the prescription accurately. Care Homes for Older People Page 9 of 10 Reader Information
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