Inspection on 08/12/05 for Cooper House

This inspection was carried out on 8th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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.

Other inspections for this house

Cooper House 02/08/06

Cooper House 19/07/05

Cooper House 12/01/05

Cooper House 12/10/04

Similar services:

Applegarth

Trevayler Residential Care Home

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Cooper House Pasley Road Eyres Monsell Estate Leicester Leicestershire LE2 9BT Lead Inspector Rajshree Mistry Unannounced Inspection 8th December 2005 10:00 X10015.doc Version 1.40 Page 1 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 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Cooper House DS0000037637.V271187.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Cooper House DS0000037637.V271187.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Cooper House Address Pasley Road Eyres Monsell Estate Leicester Leicestershire LE2 9BT 0116 2782341 0116 2782341 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Leicester City Council Miss Johanne Margaret O`Donovan Care Home 29 Category(ies) of Dementia - over 65 years of age (20), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (20), Old age, not falling within any other category (29), Physical disability over 65 years of age (5), Sensory Impairment over 65 years of age (10) Cooper House DS0000037637.V271187.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service User Numbers DE(E) & MD(E) No one falling within category DE(E) or MD(E) may be admitted into the home when 20 persons who fall within categories/combined categories DE(E) or MD(E) are already accommodated within the home Service User Numbers PD(E) No one falling within category PD(E) may be admitted into the home where there are 5 persons of category PD(E) already accommodated within the home Service User Numbers SI(E) No one falling within category SI(E) may be admitted into the home where there are 10 persons of category SI(E) already accommodated within the home 19th July 2005 2. 3. Date of last inspection Brief Description of the Service: Cooper House Residential Home is registered to provide accommodation for up to twenty-nine older people and is owned by Leicester City Council. The home is situated in a residential area, close to shops, GP surgery and other local amenities. The home is on the main road and on a bus route with the bus stop directly outside the home. Car parking is available to the front of the home. Cooper House is a large modern and purpose built property. Accommodation is offered on the ground and first floor level, which can be accessed by a passenger lift. Bath/shower and toilet facilities are located throughout the home. There is a landscaped garden to the front and a small patio to the side of the home, close to the lounge and dining room. A new conservatory has been built with a patio that overlooks the large garden to the rear of the home. All areas of the home are accessible to people using mobility support, aids and equipment. Cooper House DS0000037637.V271187.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the service, which took place on the morning of 8th December 2005 and lasted 4 hours. This is the second regulatory inspection of the service addressing the remaining core standards. The focus of inspections undertaken by the Commission of Social Care Inspection is upon the outcomes for the resident and their views of the service provided. The primary method of inspection used was ‘case tracking’. Three residents were identified for case tracking including a new admission and the quality of the care received was examined through reviewing their care records, discussion with the residents, their relative, the carers and observation of care practices. The Inspector spoke to a resident in their first language being Gujarati. The inspection included discussion and action plans following the changes in the senior staffing of the home. The inspection also addressed the notifications received by the Commission relating to events affecting the care and welfare of the residents. What the service does well: What has improved since the last inspection? Since the last inspection the following improvements have taken place including the recommendations made at the last inspection: • One new carer has been appointed and commenced employment and a second carer is awaiting pre-employment checks. Cooper House DS0000037637.V271187.R01.S.doc Version 5.0 Page 6 • • • • • A new Acting Manager has been appointed to the home in the absence of the Registered Manager. The home now has a small shop opened in place of the bar. The patio has been built outside the conservatory for the residents. Staff training matrix is being developed to demonstrate the skill mix of the staff and to identify training updates. There are new local addendums to the procedures, practices and monitoring, which have been implemented for the benefit of the residents relating to the management of medication. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Cooper House DS0000037637.V271187.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Cooper House DS0000037637.V271187.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3. The assessment process is robust to ensure residents’ tailored care needs are met safely. EVIDENCE: Residents spoken with and care records examined showed all resident have their care needs assessed by the placing social worker with the respective documentation available on their file. The admission procedure includes risk assessments being carried out with the new residents to ensure care needs can be safely met, respecting the residents’ preferences and lifestyle. Care records examined for a new resident showed assessment of needs and risks were undertaken prior to the admission in consultation with the resident and their family. Cooper House DS0000037637.V271187.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 9. Staff could meet the residents’ health and social care needs more appropriately by using more up to date care plans developed with the resident. EVIDENCE: Three care plans and risk assessments for residents tracked showed the needs have been identified, including cultural needs, diet, religion, leisure interests with instructions for staff detailing how these can be met. Residents spoken with were able to identify their key-worker and describe how the carers met their individual care needs. This differed from the care plans examined for the residents. This was discussed with the Acting Manager, who indicated that all residents care plans and risk assessments will be updated and reviewed monthly. The medication is stored in a locked room in locked cabinets. The management systems for ordering, storing, recording and returning medication have been improved with the implementation of additional procedures for staff to follow with closer monitoring, which includes: • Medication checks are included at handovers; • Two staff members to book-in the medication received; Cooper House DS0000037637.V271187.R01.S.doc Version 5.0 Page 10 • • Medication for residents admitted to hospital to be stored according to the set procedures; Staff to ensure instruction received from GP is recorded and actioned appropriately. Medication records, which include a photograph of the resident was examined against the medication for three residents and found in good order and accurate. The storage and management of controlled medication is good. Residents spoken with stated they receive their medication promptly by trained senior staff. The Inspector observed the Senior Carer administering medication at lunchtime, to each resident and recording accordingly. Cooper House DS0000037637.V271187.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 14. Residents experience a homely life style, with social and leisure activities to suit. EVIDENCE: There is a choice of large and small lounges and a designated smoking lounge, to suit the residents’. Residents can entertain their visitors in the privacy of a small lounge or their room. Residents may choose to participate in a range of social and leisure activities offered. The residents’ benefit from the active involvement of the local community in the home, who have donated raffle prizes and fund-raise for the residents’ comfort fund. The visiting hairdresser was busy with two residents in the salon having their hair done. Residents now have the use of the new conservatory and the small lounge, which most residents are looking forward to using in the summer. The residents Christmas Party takes place on 14th December 2005, with a buffet and entertainment. In conclusion the home provides a good range of social and leisure interests and support residents to continue to observe religious practices to suit. The new home’s shop provides a popular service where residents can purchase toiletries, cards, and confectionary including sugar free products. Cooper House DS0000037637.V271187.R01.S.doc Version 5.0 Page 12 Residents spoken with described how the staff to make choices about their care needs being met and choosing how they spend the day. Residents were observed receiving visitors. Staff were also observed supporting and encouraging the residents to make decisions. One resident said; “the staff are very good always are quick to respond when I press the bell and there’s always 2 girls to help me”. Cooper House DS0000037637.V271187.R01.S.doc Version 5.0 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16. Arrangements for receiving and responding to complaints are satisfactory, resulting in protection of residents’ rights. EVIDENCE: The ‘service users guide’, given to residents on or prior to admission sets out the complaints procedure and is also available in other formats. The contact details of the Advocacy Services are included and displayed on the notice board at the entrance to the home. Residents spoken with including the new resident indicated that they were aware of whom to contact in the home or would raise concerns with their family. All were confident that concerns and complaints made would be addressed promptly. Records showed no complaints had been received since the last inspection. Cooper House DS0000037637.V271187.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 25, 26. Residents live in a generally safe, homely and well-maintained environment that is kept clean and tidy. EVIDENCE: The Inspector viewed the communal and private areas in the home, which were clean and tidy. The home has designated domestic staff responsible for the cleanliness and laundry. Several residents’ bedrooms were viewed and found to be bright and personalised. One bedroom viewed on the ground floor where the door handle door adjacent to the bed was identified as posing a risk to the resident. This was shared with the Acting Manager who gave assurance that a risk assessment would be carried out and appropriate actions would be taken in consultation with the resident and/or their relative. The corridor with the sloping floor identified at the previous inspection continues to pose a potential risk to residents with poor sight or those with limited mobility. No additional safety aids or features have been considered since the last inspection. This was raised with the Acting Manager and assurance was given to address this with the anticipated visit by the Surveyor. Cooper House DS0000037637.V271187.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 29. Residents are protected by the home’s robust recruitment procedures. EVIDENCE: The recruitment procedure is robust, which is managed by the Human Resource Team. Staff personnel files containing the application forms and preemployment checks are held at the Human Resource Office who confirmed the receipt of satisfactory pre-employment checks. Since the last inspection one new carer has commenced employment after satisfactory pre-employment checks carried out with the second applicant to commence pending satisfactory checks. The Inspector spoke to a new carer who has now completed the Local Authority induction programme, which includes adult protection training, policies and procedures, moving and handling training. The carer indicated that the recruitment procedure was informative and well managed. Since the last inspection the Acting Manager has developed a staff-training matrix to be used to show the staff skill mix and plan updates and refresher training accordingly. Cooper House DS0000037637.V271187.R01.S.doc Version 5.0 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35. The residents’ finances are safeguarded with a robust system. EVIDENCE: Records of residents’ valuables are accurately recorded. All residents have a lockable drawer in their bedrooms and can choose to lock their bedrooms. Residents manage their own finances with either support from a relative or solicitors, as appropriate. Residents finance records examined were clearly showed good financial reconciliation and management of residents money, which is double signed and cross-checked against the sums of money kept on behalf of the resident. Residents indicated that their money was available to them when needed. Cooper House DS0000037637.V271187.R01.S.doc Version 5.0 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X X X X X X X 3 3 STAFFING Standard No Score 27 X 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X X Cooper House DS0000037637.V271187.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? N/A STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP7 Good Practice Recommendations The management team should ensure that care plans and risk assessments are regularly reviewed in consultation with the residents to ensure care needs are met appropriately. The bedroom identified during the inspection should be risk assessed and in consultation with the resident ensure the bedroom is made safe. The management team should consult the health and safety officer to look options of using special aid or equipment to alert residents and staff of the sloping floor in the corridor, to reduce the risk of fall by residents with mobility difficulties and poor sight, and staff whilst moving along the corridor with the slope. This recommendation remains from the previous inspection. 2. OP25 3. OP25OP38 Cooper House DS0000037637.V271187.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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