Inspection on 14/06/05 for Copper Beech House Nursing Centre

This inspection was carried out on 14th June 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

Copper Beech House Nursing Centre 14/11/06

Copper Beech House Nursing Centre 15/11/05

Copper Beech House Nursing Centre 22/11/04

Copper Beech House Nursing Centre 04/05/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Copper Beech House Eastbourne Road Uckfield East Sussex TN22 5ST Lead Inspector Debbie Calveley Unannounced 14 June 2005 13:00 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 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. Copper Beech House H59-H10 S13975 Copper Beech V217877 170505 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Copper Beech House Address Eastbourne Road Uckfield East Sussex TN22 5ST 01825 769947 01825 769948 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) ANS Homes Limited Mrs Patricia High. Care Home with Nursing (N) 48 Category(ies) of Old age, not falling within any other category registration, with number (OP) 48 of places Terminally ill (TI) 3 Copper Beech House H59-H10 S13975 Copper Beech V217877 170505 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum number of service users to be accommodated is forty-eight (48). 2. The maximum number of service users to be accommodated with a terminal illness is three (3). 3. That service users must be aged sixty-five (65) years and over on admission. Date of last inspection 27 November 2004 Brief Description of the Service: Copper Beech House is a purpose built home that was opened in 1998, and is one of a large group of homes owned by A.N.S. PLC, which operates nationally. The home is registered to provide care with nursing for forty-eight service users in the older person category, a recent variation application has been accepted and the category now includes providing care for up to three service users with terminal illness. The accommodation is on two floors and comprises of forty-eight single rooms all with ensuite facilities. There is a small kitchenette, good sized dining room and seperate lounge on each floor. An adequate amount of communal bathrooms with either a shower or assisted bath are provided. On the day of the unannounced inspection there were forty-five service users living in the home and all older persons, three were in for respite care. The home is situated on the outskirts of Uckfield, and is on a regular bus route. A short journey by bus takes you in to Uckfield town centre and to all the local amenities and shops.The Home has a pleasant garden with a patio area, which is easily accessed by wheel chair bound service users. The garden furniture is of a rustic nature and attractive in its setting. Copper Beech House H59-H10 S13975 Copper Beech V217877 170505 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 14 June 2005. It commenced at 1 pm and was conducted over 5.5 hours by two inspectors. There were fortyfive residents living in the home on this day. The methodology of the inspection included a tour of the building, inspection of documentation and records, the delivery of care for ten residents and informal interviews with eighteen residents, six relatives and six members of staff. What the service does well: The comprehensive Statement of Purpose and Service Users Guide give prospective residents the information required to enable them to make an informed choice about where they live. The home continues to maintain comprehensive documentation and care planning, which enables staff to meet the needs of the residents. The health needs of the residents were met and the standard of care is of a high standard. The atmosphere of the home is pleasant with good interaction seen between residents and staff. The residents are enabled to exercise the choice and control of their every day life. The relatives and representatives are welcomed to the home and are kept informed of any changes and are complimentary about the service provided at Copper Beech House. There is a variety of good nutritious food offered and fresh fruit is readily available. Meals are taken in comfortable and homely surroundings. The home is clean, safe and well maintained, which is appreciated by the residents and their relatives. There is a stable work force of reliable and caring staff, which work well together as a team. Copper Beech House H59-H10 S13975 Copper Beech V217877 170505 Stage 4.doc Version 1.20 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Copper Beech House H59-H10 S13975 Copper Beech V217877 170505 Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection Copper Beech House H59-H10 S13975 Copper Beech V217877 170505 Stage 4.doc Version 1.20 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 standard(s) 1, 2, 3, 4 & 5. The comprehensive Statement of Purpose and Service Users Guide give prospective residents the information required to enable them to make an informed choice about where they live. A contract/statement of terms and conditions is given to all residents on admission, which confirms the facilities offered and care agreed. A pre-admission assessment is undertaken on all prospective residents before admission to ensure the home can offer them the care they require. EVIDENCE: The statement of purpose and service users guide were viewed, it was found to be up to date and contained information that prospective service users need to make an informed choice of where to live. There is a written contract/statement of terms and conditions that all residents receive on admission to the home. This contract is confirmation of the room Copper Beech House H59-H10 S13975 Copper Beech V217877 170505 Stage 4.doc Version 1.20 Page 9 booked, the type of admission, either respite or permanent and the fees to be paid. ANS have an assessment tool, which covers all the needs as defined in standard 3.3. Fourteen pre-admission assessments were viewed, which were found fully completed and informative. The assessment takes place at the prospective residents’ place of residence, and involve the relatives whenever and input from other relevant professionals is sought when required. Four residents spoken with, said they remembered someone from the home coming to see them before they left hospital and felt it was helpful to have met someone from the home before they arrived. One resident could not remember being involved, but said she had been very poorly at the time. As previously mentioned pre-admission assessment identifies any specific needs of the prospective resident and this informs the admission process. These can then be discussed with the resident and their representative to ensure that the home can meet their needs. The statement of purpose also gives information regarding the services they provide. Prospective residents can visit the home to meet residents, to look at rooms that are available and the facilities provided before they make any decision regarding accepting a place. Unplanned admissions are avoided whenever possible but should they occur, then an assessment is undertaken within forty eight hours and a GP is requested to visit as soon as possible. Copper Beech House H59-H10 S13975 Copper Beech V217877 170505 Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 & 10. All residents have an individual care plan, which meets their health, social and recreational needs. The medication systems in place are well managed promoting good health and the safety of the residents. The residents are treated with respect and courtesy in all aspects of their care. EVIDENCE: Fourteen care plans were viewed, and were found to be clear and informative. All were found to have a comprehensive plan of care, which is generated from the initial pre-admission assessment. The care plans clearly identify the specific health, personal and social care needs of the residents. The risk assessments were clear and were seen to have been updated on a regular basis. There is evidence of resident/representative consultation in individual plans. Three residents said they had been involved in the discussions regarding their care plan, one said that she had not been consulted, but her husband had, and that it had been her choice at the time. Copper Beech House H59-H10 S13975 Copper Beech V217877 170505 Stage 4.doc Version 1.20 Page 11 From the information gathered from the care plans and then meeting those residents, it was found that the health needs of the service users were met. Specialist equipment was found in place where required, e.g air mattresses, cushions and various hoists with different slings. One resident said “staff were very conscientious” and always made sure she had everything she needed” as she was unable to leave her bed. Another said that he felt he “was well looked after”. Another said, “ if you have to be in a place like this, then this is the place to be”. A relative of a former resident came forward to say that his wife had not been in Copper Beech long, but the staff had been wonderful and had looked after her so well, that he was now a volunteer at the home, “I could not have wished for any better care anywhere”. The clinical rooms were clean and tidy, the equipment well-maintained. There are policies and procedures in place for the storing, administrating, disposal and receipt of medication. The temperature of the fridge and room are recorded daily and of an acceptable temperature to maintain dressings and medications. The Medication Administration Charts were found correctly completed in the main, a few signatures were noted to be missing and had been replaced with ticks, this demonstrated that staff had identified these and followed through ensuring that the medication had been administered. A self administering policy is in place, but there were no residents at this time self-administering their medication. Throughout the inspection it was observed that residents were treated with dignity and respect. One relative said that “ the staff always show respect to residents and nothing was too much trouble”. A resident remarked that” she felt the staff respected her feelings and that she never felt she was a nuisance”. Copper Beech House H59-H10 S13975 Copper Beech V217877 170505 Stage 4.doc Version 1.20 Page 12 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 standard(s) 12, 13, 14 & 15. The residents are enabled to exercise the choice and control of their every day life. The activities in the home meet the individual preferences of the residents. The dietary needs of residents are well catered for and offer a balanced and varied selection of food that has been updated in line with the personal likes and choices of residents EVIDENCE: All residents spoken to, were aware of the activities offered and were complimentary regarding the range and all that attended thoroughly enjoyed them. Two residents mentioned that they always went out on the outings, but chose to not attend the group activities. An activity programme is in place and demonstrates a variety of events. One of the activity co-ordinators, visits individual residents on a one to one basis, and this enables the more isolated residents a chance to chat and share their news. Two residents were completing the daily crossword that had been left for them that morning. One resident proudly showed the ornaments she had made at an activity session. Another said she was really missing the activity lady because she was on holiday and was looking forward to seeing her again. Copper Beech House H59-H10 S13975 Copper Beech V217877 170505 Stage 4.doc Version 1.20 Page 13 Another resident had a jigsaw that she was completing and said that “everyone had a go when they come in to her room”. Two residents spoke of the religious interests and confirmed that they are supported to receive communion and visits from the church of their choice. It was confirmed by talking to residents that the routines of daily living have a degree of flexibility; residents can request meals at a different time if they are going out and in their preference for getting up and for going to bed. One area that was discussed as needing more autonomy and choice is that certain residents wanted to have more baths. The senior staff were surprised at this, as there is no restriction to bathing and agreed to ensure that this is included in their care plan. There is open visiting and two relatives said they were welcomed to the home, whenever they visited. One son said the “staff are all very good, always made him welcome and kept him informed of his mothers’ condition. Another relative said the staff were very hospitable and his wife’s care was good. Residents are able to handle their own finances if they wish to, and if they are able. In every bedroom there is a lockable facility to safeguard valuables. All residents are made aware of an advocacy service provided by Age Concern. Two residents were aware of this service. Furniture and other belongings are welcomed by the home if the resident wishes to bring them with them. Certain rooms have been personalised. The menus are distributed to all residents and are also on display in the dining rooms. They demonstrated choice and variety and were indicated a well balanced diet. The menus rotate on a four weekly basis and change according to the seasons. Fresh fruit was available in the dining areas. The residents were forthcoming in their views of the food, and the majority said the choice was good and the food was always edible. One resident remarked that she “reads the menu, but the food does not always meet her expectations”. Three residents said they “choose their meal, but don’t always remember what they chose”, but said “the food is okay”. The dining areas are pleasant and well furnished with natural light and the tables are positioned to create a congenial atmosphere. Copper Beech House H59-H10 S13975 Copper Beech V217877 170505 Stage 4.doc Version 1.20 Page 14 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 standard(s) 16 & 18. The complaint procedure is clearly detailed in the Statement of Purpose and Services Users guide and is available to residents and their families enabling them to share their concerns formally and confidentially. Staff interviewed had a good understanding and knowledge of Adult Protection policies and procedures, which protect the residents from harm and abuse. EVIDENCE: There are appropriate policies and procedures are in place and it was confirmed, that these are followed when investigating any concerns raised at the home. One complaint has been received internally within the home since the last inspection, which was not upheld. It was investigated by the Responsible Person and all the details of the investigation included in the file. The complaint book was viewed and this demonstrated that all complaints are recorded, along with the outcome and action taken by the home to resolve the complaint. The staff interviewed were knowledgeable of the ANS complaint procedure and of how to start the process if the manager is not available. Three of the residents referred to the service users guide when asked if they knew how to make a complaint, whilst one resident said she had given the brochure to her son and he would know how to if required. One resident said she would talk to the nurse in charge if she had a problem. There have been no complaints received by the CSCI. Copper Beech House H59-H10 S13975 Copper Beech V217877 170505 Stage 4.doc Version 1.20 Page 15 The Adult Protection policy in the home was found to be up to date and staff interviewed were knowledgeable about the systems in place to protect vulnerable service users. There is on-going training for all staff in adult Protection. Copper Beech House H59-H10 S13975 Copper Beech V217877 170505 Stage 4.doc Version 1.20 Page 16 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 standard(s) 19, 20, 21, 22, 23, 24, 25 & 26. The home provides a comfortable, clean and safe environment for those living there and visiting. Residents are enabled and encouraged to personalise their room, and rooms are homely and reflect the residents personalities and interests. There is specialist equipment in the home for residents’ use to maximise their independence. EVIDENCE: The nursing home was purpose built seven years ago following consultation with the Health Authority. The home presents as well furnished with good quality co-ordinated furniture. The residents are encouraged and enabled to personalise their rooms with furniture and pictures, and this was evident during the visit. All personal items are listed in the individual care plans. Copper Beech House H59-H10 S13975 Copper Beech V217877 170505 Stage 4.doc Version 1.20 Page 17 Residents are offered the choice of having a lock and key for their bedroom, risk assessments are in place for this. All rooms have a lockable facility for the storage of personal items and valuables. Two residents said they felt this increased their independence by keeping personal papers themselves rather than handing everything over to the home. There is an ongoing maintenance programme and the home was found well decorated and maintained. Several residents had chosen the colour scheme for their room and then co-ordinated their accessories. The home provides adequate attractive communal space. The communal rooms are well used and provide adequate communal space. The lounge area on the both floors have been decorated and were found warm, comfortable and homely. The dining areas were both clean and well-decorated, and the garden and patio areas have both wheelchair access and seating and a gazebo had just been erected to provide shade. Though one resident said “she didn’t like the gazebo, as it took away the reason she was outside”! During the course of the afternoon, residents and their families were observed enjoying the garden and their afternoon tea. There are toilet, washing and bathing facilities to meet the needs of the service users. Including showers and assisted baths. Specialised equipment to encourage independence is provided e.g handrails in bathrooms, hoists, wheelchairs and lifts to all areas of the home. The corridors are wide enough for the self propelling of wheelchairs. The lighting in the home is of domestic quality and there are above bed lights as well as the main ceiling lights. Beds and chairs were seen to be placed appropriately for maximum benefit of those wishing to read. Water temperatures are controlled and monitored monthly and a record kept. Random temperatures were taken and were of the recommended level. Four residents said they were encouraged to bring in items of furniture and pictures and also mentioned their families were always bringing in new photographs and pictures. Two residents proudly shared some photographed memories of the war and their families. Polices and procedures for infection control are in place and are updated regularly. The home was clean and free from offensive odours on the day of the inspection. One resident said,” everyone is very nice and the place is kept clean”. Good practice by staff was observed during the day and there were gloves and aprons freely available in the home. Appropriate action is taken by staff when dealing with a known infection and precautionary guidelines are in place with the necessary equipment provided in individual rooms. Sluice areas and equipment was clean and hygienic. Copper Beech House H59-H10 S13975 Copper Beech V217877 170505 Stage 4.doc Version 1.20 Page 18 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 & 30. Staffing levels were adequate to meet the assessed needs of the Residents. The arrangements for the induction of staff are good with the staff demonstrating a clear understanding of their designated roles. Staff are provided with training pertinent to meeting the needs of the residents and to do their jobs compentley. EVIDENCE: The staffing levels in the home are adequate to meet the assessed needs of the service users. The staff on duty for delivering care during the inspection were, eight carers, four on each floor, two registered nurses, one on each floor and the deputy manager and manager in supernummery roles. The staff spoken to said they felt the staffing levels were sufficient to ensure a good standard of care. They also said that if more staff were needed for a poorly resident it would be provided. One resident said that she never had” to wait long if she rang for assistance” and during the inspection there was a prompt response to all call bells. Two relatives said they had no concerns regarding the level of staff, they also mentioned that the staff seemed to stay and so they got to know them. Staff informally interviewed were able to discuss the training they had received whilst working in the home. One carer said she had had training in moving & handling, infection control, fire safety, and also study sessions on different illnesses that they care for in the home. She had had her induction training Copper Beech House H59-H10 S13975 Copper Beech V217877 170505 Stage 4.doc Version 1.20 Page 19 and she felt “well supported by the senior staff and that the training and supervision she had received had enabled her to give a good standard of care”. Another carer said she felt that the standard of care in the home is high and that the senior nurses were pro active in providing relevant training. Another carer said that the induction training she received was a good introduction to the home and the job. There is on-going enrolling on the NVQ programme and all staff receive encouragement and support to enrol. One carer said she was going to enrol shortly, and that she had been “hesitant at first, but feels with the support given she will be able to do it”. One resident said “ I like the attitude of the staff, nothing is too much trouble” another said “ staff are very helpful” and ”they know how to look after me”. Copper Beech House H59-H10 S13975 Copper Beech V217877 170505 Stage 4.doc Version 1.20 Page 20 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 36,37 & 38. All staff receive formal supervision at least six times a year and this promotes good practice and provides a support system for staff. There are policies and procedures in place that safeguard residents’ rights and best interests. The environment and working practices of the staff protect and promote the residents health, safety and welfare needs. EVIDENCE: The home runs a training programme that is suitable for the staff and for the needs of the residents. Training events are displayed on key notice boards in the home to ensure all staff are aware. Copper Beech House H59-H10 S13975 Copper Beech V217877 170505 Stage 4.doc Version 1.20 Page 21 Staff are supported by the manager and deputy manager on a daily basis and more formally through supervision. Staff spoken to confirmed they received supervision and annual appraisals. They are in a written format and copies are kept in the staff files. The manager confirmed and the staff training records show that all staff are kept updated on the Health and Safety policies, the manual is available to all and clearly defined. Staff were able to discuss the training they received and said that they were kept up to date with changes to policies in connection with fire safety and health and safety. The staff are issued with certificates yearly for Manual Handling, twice yearly for Fire Safety and Food and Hygiene. The home has a comprehensive set of policies and procedures, which govern the running of the home. All relevant legislation and procedures are in place in respect of Health and safety. Copper Beech House H59-H10 S13975 Copper Beech V217877 170505 Stage 4.doc Version 1.20 Page 22 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. Where there is no score against a standard it has not been looked at during this inspection. 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x x 3 3 3 Copper Beech House H59-H10 S13975 Copper Beech V217877 170505 Stage 4.doc Version 1.20 Page 23 Are there any outstanding requirements from the last inspection? 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 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 Good Practice Recommendations Copper Beech House H59-H10 S13975 Copper Beech V217877 170505 Stage 4.doc Version 1.20 Page 24 Commission for Social Care Inspection Ivy House, 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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. Extracts may not be used or reproduced without the express permission of CSCI Copper Beech House H59-H10 S13975 Copper Beech V217877 170505 Stage 4.doc Version 1.20 Page 25 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!