Inspection on 27/11/07 for Coppelia House

This inspection was carried out on 27th November 2007.

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

Coppelia House 20/09/06

Coppelia House 01/11/05

Coppelia House 20/04/05

Coppelia House 14/09/04

Coppelia House 25/05/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Coppelia House Court Street Moretonhampstead Devon TQ13 8LZ Lead Inspector Graham Thomas Unannounced Inspection 27th November 2007 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 Coppelia House DS0000040423.V346271.R01.S.doc Version 5.2 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. Coppelia House DS0000040423.V346271.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Coppelia House Address Court Street Moretonhampstead Devon TQ13 8LZ 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) 01647 440729 01647 440884 www.peninsularcarehomes.co.uk Peninsula Care Homes Ltd Vacancy Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Coppelia House DS0000040423.V346271.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th September 2006 Brief Description of the Service: Coppelia House is situated in the rural town of Moretonhampstead, which is close to Dartmoor National Park. The home is situated close to the town and local amenities. These include a post office, coffee shop, shops, pubs, doctor’s surgery and a small cottage hospital. Personal care is provided for up to 30 older people. This is one of five homes owned by Peninsular Care Homes. Extensions and adaptations have been added over the years to meet the needs of the people living in the home. Some rooms have views of Dartmoor and the surrounding countryside. Accommodation is arranged over several floors. There are two passenger lifts, which access the main floors. There are additional rooms that are accessed by extra steps, but resident mobility is assessed prior to admission to these rooms. All rooms are meant for single occupancy, however the home does have some large rooms and flats that could be used for those who choose to share. There is a large dining area and separate lounge area, which overlooks the gardens. Coppelia House DS0000040423.V346271.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Before the inspection, the manager completed an “Annual Quality Assurance Assessment” (AQAA) and returned this to us. Questionnaires were sent to people living at Coppelia House, their relatives, staff and General Practitioners. Six people living in the home returned the questionnaires as well as one relative, two GPs and six staff. We visited the home and spend one and a half days there. During our visit we toured the premises and spoke with 11 people living there. Three visitors spoke with us. We also interviewed three staff and spoke with others during our tour of the premises. A meal was taken with people living in the home. Records were examined including four care plans, three staff files and other records about the running of the home. During the visit we held discussions with the “acting” manager of the home and an Operations Manager for Peninsula Care Homes who was present during our visit. What the service does well: What has improved since the last inspection? • • • • Activities for people living in the home have been improved. People’s life experiences, interests and hobbies are recorded in their plans Staff have received training in protecting vulnerable people from abuse New carpets have been laid in some areas and new laundry equipment has been installed • Staff training has improved Coppelia House DS0000040423.V346271.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Coppelia House DS0000040423.V346271.R01.S.doc Version 5.2 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 Coppelia House DS0000040423.V346271.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1, 2, 3, 5 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People considering moving into Coppelia House can feel confident that the home will be able to meet their needs EVIDENCE: Five of the six people living at the home felt that they had enough information to make the decision to live there. One commented that he had “…known the home personally for many years and was therefore confident that it would meet my needs in old age”. In the questionnaire stated by the manager, she described the process of obtaining a place in the home. In response to enquiries a comprehensive brochure is sent with the offer of a “statement of purpose”, on disc or hard copy or in large print if required. Prospective residents are invited to visit to the home, take lunch and join in activities if desired. An assessment of needs Coppelia House DS0000040423.V346271.R01.S.doc Version 5.2 Page 9 is made after which a letter sent informing the person that the home can meet their needs. Care plans are then drawn up and agreed prior to admission. Terms and conditions stating fees and the number of the room to be occupied are sent prior to the person moving in. Individuals can choose colour of décor, curtains and carpet in their own room. A “key worker” is allocated to each person. This is a person who has particular responsibilities regarding the care of that person. Our examination of individual files confirmed that people’s needs were assessed before moving in. The assessments were in the same format as care plans. This made it easy to follow how the plans had been based on the person’s needs. Copies of contracts were also seen which confirmed the manager’s statement. We also saw updated copies of the home’s “Statement of Purpose” and “Service Users Guide” which provide information to prospective residents. Discussion with people living in the home confirmed that they had the opportunity to visit before moving in and had received information about the home. The home does not provide accommodation for those who require only intermediate care. Coppelia House DS0000040423.V346271.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at Coppelia House can feel confident that their personal and health care needs will generally be well met. Some improvement in communication with General Practitioners is needed to ensure that a consistent standard is maintained. EVIDENCE: Of the six people living at the home who returned questionnaires, four felt that they always received the care and support they needed whilst two felt this was usually the case. One stated, “Although at present no need for personal care, I am confident that the support will be provided as and when necessary” During our visit one person said that they were “looked after very well” and another felt that the home was “excellent in all respects”. One person felt that staff did not have enough time to stop and talk. Coppelia House DS0000040423.V346271.R01.S.doc Version 5.2 Page 11 The relative who returned a questionnaire felt that, although the personal care was good, there was insufficient attention paid to social and psychological needs. Other visitors with whom we spoke during our visit were complimentary about the care their friend or relative received, one describing it as “superb”. This visitor was particularly pleased with the physical care her relative had received which included the attention of a General Practitioner and Physiotherapist. Contact with health professionals such as the District Nurse and Chiropodist was clearly recorded in individual records. One person living in the home commented, “I am able to see my GP or District Nurse whenever the need arises” and “General support from health centre etc is outstanding” However, feedback from General Practitioners indicated that there had been some difficulties in communication with the home over individual needs. Records concerning individual care consisted of day and night care plans and a daily personal care checklist for each person. The care plans were clearly set out and based on the individual’s assessed needs. Where possible, the person or their representative had signed the plan. Risk assessments for skin care, nutrition, continence, risk of falls and use of bed rails were seen in care plans and had been regularly reviewed. The Operations Manager stated that accident trends were analysed on a monthly basis within the group of homes. Care plans were regularly reviewed but updates were in the form of brief comments rather than a revision of the plan. This sometimes made the person’s current needs more difficult to identify. The home’s arrangements for the administration of medicines was inspected. Risk assessments were seen for those people administering their own medicines, who were provided with secure storage in their rooms for this purpose. Other medicines used in the home were securely stored, with additional security for controlled drugs. There was a separate refrigerator for medicines requiring cool storage. A “monitored dosage system” was in use. This means that most tablets are provided in blister packs arranged into individual doses by the supplying pharmacy. Some other medicines are supplied boxed or in liquid form. The system was being well managed at the time of our visit. All recording concerning medicines was up to date and in good order. Surveys received from General Practitioners suggested that there had been some difficulty over the collection of prescriptions. This was discussed with the manager and Operations Manager during our visit. Coppelia House DS0000040423.V346271.R01.S.doc Version 5.2 Page 12 The two General Practitioners who returned questionnaires felt that the care provided was less good for those with higher levels of need and those close to the end of their lives. People with whom we spoke during the visit felt that they were treated with respect and that their dignity was preserved. This was confirmed by observation of staff talking with people living in the home. Staff were observed knocking on doors before entering and ensuring doors were closed when personal care was being given. Coppelia House DS0000040423.V346271.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 11, 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is sufficient flexibility in the life of the home to allow people to pursue the lifestyle they choose. EVIDENCE: People living at Coppelia house enjoy varying degrees of independence. During our visit Some people were seen relaxing and occupying themselves in their own rooms while others had joined small groups in communal areas of the home. Discussion with staff and people living at the home confirmed that a range of activities was routinely available though some people chose not to participate in these. Activities recorded included Ti Chi, a sherry party, a clothes show, visiting entertainers and Holy Communion. At the time of our visit, preparations were being made for activities at Christmas. During our visit a hairdresser was visiting the home and this was the focus of much social interaction for those involved. In a survey returned to us one person stated, “At present I have no need to participate in the activities provided as I am self sufficient in my present lifestyle” Coppelia House DS0000040423.V346271.R01.S.doc Version 5.2 Page 14 In discussion, this person was very satisfied that his choice to maintain an independent lifestyle within the home was supported and respected. One person had opted to withdraw from all social contact. This had been the subject of concern and discussion with family and professionals. Throughout our time in the home visitors were seen coming and going and receiving a warm welcome. Discussion with visitors confirmed that this was always the case and that refreshments were routinely offered. Visiting arrangements were clearly set out in a notice in the home’s foyer. Visitors were able to take a meal in the home for a small charge. In a survey returned to us one relative stated, “I live only 4 miles away from my mother and visit her at least once a week. She also has a telephone in her room and we speak on the phone from time to time” People who returned survey stated that they always or usually liked the meals in the home. When we visited some people were taking breakfast in their rooms, which one person described as “excellent”. A visiting relative stated that “the food appears sufficient and well cooked”. Examination of the menus and discussion with staff confirmed that choice was available. On the first day of our visit this comprised of steak and kidney pie with vegetables or salad or omelette. Alternatives were available for the two vegetarians in living in the home. One person required food to be pureed. The cook confirmed that this would be arranged in separate identifiable portions to maintain the individual flavours and attractiveness of the meal. We joined residents for a lunch time meal taken in the home’s large dining room. This was a convivial occasion at which a choice of wine was served to celebrate one person’s birthday. During the meal, staff offered discreet assistance to those requiring it. Coppelia House DS0000040423.V346271.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People can feel confident that their concerns will be listened to and acted upon. There are sufficiently robust systems in the home to protect people from abuse. EVIDENCE: All the people living at Coppelia House who returned surveys stated that staff listened to and acted upon what they said. One stated. “They are most attentive to my needs and comply with any requests or suggestions I may offer” The home has a clear complaints procedure. A complaints and compliments book was available in the home’s foyer. The surveys returned by staff, relatives and people living in the home confirmed that all were clear as to how to make a complaint if required. This was confirmed in discussions during our visit. All complaints were clearly recorded along with the action taken. Since our last key inspection, one anonymous complaint was received by the Commission. However, our review of the matters concerned did not result in any further action. During our visit one visitor mentioned the loss of items of laundry. This had been drawn to the attention of the manager Coppelia House DS0000040423.V346271.R01.S.doc Version 5.2 Page 16 Examination of staff files and discussion with staff showed that there was ongoing training concerning the protection of vulnerable people from abuse. The home has clear policies and procedures concerning these matters. In the surveys returned by staff all were clear about what action they would take if abuse were to be witnessed or suspected. This was confirmed in discussion with staff during our visit. Other measures were in place to protect people living in the home. These included a robust recruitment procedure which included criminal records checks. All cash transactions for people living at Coppelia House are signed by two members of staff. Minutes of a Residents meeting showed that people had been reminded that no cash payments or gratuities to staff were permitted. Coppelia House DS0000040423.V346271.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19, 24 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Coppelia House provides a generally clean, comfortable and safe place to live. EVIDENCE: Coppelia House comprises large premises close to the centre of the Dartmoor town of Moretonhampstead. Parking space is available at the front of the building and there are large level gardens at the rear to which ramped access is provided. Accommodation is arranged on two floors with two levels on the upper floor. Access to the first floor is provided by shaft lift. Nine individual rooms are sited on the ground floor and the remaining twenty one on the two levels of the first floor. Some individual rooms are very large and have their own lounge areas. These rooms are variously provided with en-suite hand basins, toilets, showers and baths. There are additional communal toilets and assisted bathing Coppelia House DS0000040423.V346271.R01.S.doc Version 5.2 Page 18 facilities. Other communal facilities comprise spacious lounge and dining areas and an equipped hairdressing salon. The home was generally maintained and decorated to a high standard. Furnishing were comfortable and homely. People living in the home confirmed that they could bring their own furniture if they wished. All the people living in the home who returned surveys stated that the home was always fresh and clean. During our visit all areas were found to be clean and free from offensive odours. Carpets in the hallway and other areas had recently been replaced and redecoration was taking place on the first floor landing. During our visit carpet fitters attended to remedy some rucking in the newly fitted hallway carpet. Some individual rooms required some redecoration. In the Annual Quality Assurance Assessment returned to us by the manager it was stated that this occurred as rooms became vacant. During our tour we noted that some en-suite toilets and shower rooms were cluttered with frames and supplies of incontinence pads. All radiators seen were covered and all first floor windows checked had been fitted with restrictors. Pipework was covered to increase energy efficiency and protect residents from risk of scalding. Maintenance records showed that, for example, electrical systems and personal appliances had been tested. Environmental risk assessments had also been recently reviewed. Infection control measures were in place such as the use of antibacterial hand gel by staff. This was also available to visitors in the foyer. Staff were seen wearing aprons and gloves for cleaning and personal care tasks. Documents were seen concerning the collection and disposal of controlled waste. The home’s laundry had washing, drying and sluicing facilities. At the time of our visit the floor surface was beginning to deteriorate and needed attention in order to ensure it could be properly cleaned and free from possible infection. Coppelia House DS0000040423.V346271.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home can feel confident that staff are safely recruited and receive appropriate support and training to carry out their jobs. EVIDENCE: In our discussions with visitors and people living at Coppelia House, many positive comments were made about the staff such as: “Very kind and thoughtful staff.”, “The young carers are friendly and attentive. Many have a good sense of humour”, and “I only have to press the call bell when attention is provided as soon as possible according to availability of staff” Discussion with the manager and examination of the staffing rotas confirmed that the usual staffing levels were 5 staff in the morning, three in the afternoon and two staff at night who both remain awake. Three staff files were examined and three staff were interviewed. Others were spoken with during our tour of the premises. Examination of the staff files and questionnaires returned by staff demonstrated that robust recruitment Coppelia House DS0000040423.V346271.R01.S.doc Version 5.2 Page 20 procedures were in place. These include a formal application process, an interview and 2 references. Enhanced criminal records checks had been obtained for all the staff, including the visiting hairdresser. New staff had received a structured induction based on national standards. In a questionnaire returned to us, one new staff member commented, “Have been working here for 1 month, and I have had an induction, moving and handling training course, infection control course, and also medications course” A training matrix was seen which set out the training needs of all the home’s staff. This training includes training for National Vocational Qualifications at levels 2, 3, and 4. Certificates were also seen in staff files confirming training in topics such as food hygiene, first aid, moving and handling and safeguarding vulnerable adults from abuse. Peninsula Care Homes have won an Investors in People award in spite of an unsettled period in the management of the home. Coppelia House DS0000040423.V346271.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 33, 35, 36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Coppelia House is a home which is generally well managed for the benefit of people who live there. EVIDENCE: Coppelia House has been without a Registered Manager for some time. In discussion the Operations Manager described difficulties in recruitment. At the time of our visit the home was being managed by an “acting” Manager with the support of the Operations Manager. Documentary evidence was seen of an imminent application to the Commission for to be Registered. The “acting” Manager has a number of years experience of working at all levels and in different roles in the home. She is presently undertaking training at Coppelia House DS0000040423.V346271.R01.S.doc Version 5.2 Page 22 National Vocational Qualification level 4. Discussion with staff and people living in the home suggested that the “acting” manager was liked and respected. Despite this unsettled period in the home’s management, issues identified in previous inspections have been addressed and the home had won an Investors in People Award. At the time of our visit, a clear management structure was in place which was understood by staff and people living in the home. This included the “acting” manager and a team leader who were supported by the organisation’s Operations Manager. Evidence in the previous sections of this report suggests that the home is generally well managed for the benefit of the people who live there. Systems were in place to ensure that the home continues to improve its service. These included regular meetings for managers, staff and residents. Feedback is invited from visitors and people who live in the home. There was evidence that action is taken to address issues identified through these systems. For example, breakfast arrangements were changed following feedback from people living in the home. Auditing systems were also in place for accidents and pressure sores. Discussion with people living in the home confirmed that staff are not involved in their financial affairs. These are managed either by the individual, relatives or other professionals. Some petty cash is held on behalf of individuals. This is clearly recorded and transactions are signed for by two staff. Minutes of a Residents meeting showed that people had been reminded that no cash payments or gratuities to staff were permitted. Discussion with staff, questionnaires and examination of staffing records demonstrated that staff received regular supervision. Staff members commented, “… I have regular supervision from my manager and she gave me a lot of support when I was doing my NVQ.” “Since I have been here I have been given the opportunity to talk to Michelle on several occasions” Health and safety issues were discussed with the “acting” manager and a number of records were examined. Staff records showed that training was taking place in health and safety topics such as moving and handling and first aid. Environmental risk assessments had been updated in September 2007. Maintenance records showed that personal electrical appliances had been tested in June 2007. There were also records of water testing with regard to Legionella infection and action taken to remove asbestos from the building. The “acting” manager stated that individual fire evacuation plans were in place along with other measures to comply with the requirements of the Fire Authority. Coppelia House DS0000040423.V346271.R01.S.doc Version 5.2 Page 23 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 3 3 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X 2 X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Coppelia House DS0000040423.V346271.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No 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. 1 Standard OP26 Regulation 23(2) Requirement The laundry floor must be repaired to prevent the possible spread of infection. Timescale for action 28/02/08 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 Registered Person should repeat the assessments when they are reviewed to show any minor changes in conditions The Registered Person should ensure that there is clear communication with General Practitioners concerning individual’s medication. All unnecessary items should be removed from the ensuite facilities of individual rooms so that they can be easily accessed. 2 OP9 3 OP24 Coppelia House DS0000040423.V346271.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Devon Area Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: 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 © 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 Coppelia House DS0000040423.V346271.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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