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Inspection on 14/11/06 for Copper Beech House Nursing Centre

Also see our care home review for Copper Beech House Nursing Centre for more information

This inspection was carried out on 14th November 2006.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

There is a comprehensive Statement of Purpose and Service Users Guide that gives prospective residents the information required to enable them to make an informed choice about where they live. The home continue to maintain comprehensive documentation and care planning, which enables staff to meet the needs of the residents admitted to the home. Recent audits performed for ` Investors in people`. The health needs of the residents were seen to be met and the standard of care is of a good standard. The medication practices within the home are safe and competent.Systems are in place to regularly consult with residents via service users meetings and surveys. There is an open-house policy, which welcomes visitors at all reasonable times. Satisfactory arrangements are in place to safeguard residents` finances. Staff provision is well maintained with a robust recruitment practice being followed and appropriate numbers of suitably qualified staff working in the home. The atmosphere of the home is pleasant with good interaction seen between residents and staff. `staff are friendly and caring` ` the staff are wonderful` The residents are enabled to exercise the choice and control of their every day life. The feedback from specialist health professionals and families of residents regarding the palliative care given to residents during their stay at Copper Beech House was very positive and complimentary. Evidence of staff partaking in further palliative care courses was an example of the commitment staff feel to this particular aspect of care. There is a variety of good nutritious food offered. Meals are taken in comfortable and homely surroundings. Feedback regarding the provision of food was positive and included ` excellent choice` ` fresh and well presented` `meals that are suited to my relatives age` Copper Beech House provides a clean, safe and well-maintained environment, which is appreciated by the residents and their relatives.

What has improved since the last inspection?

It was confirmed that supervision of staff has commenced, and annual appraisals are planned. Medication practices have improved and the medication records confirm that the ordering of medications is efficient, that staff are signing and dating verbal orders and hand written prescriptions.

What the care home could do better:

Some shortfalls in care planning documentation were discussed and action was immediately taken by the deputy manager. These shortfalls however did not impact on the outcomes of residents` health at this time due to the knowledge that staff have of their residents changing needs. However staff that had been on leave or not working for a while would not have had that knowledge.

CARE HOMES FOR OLDER PEOPLE Copper Beech House Nursing Centre Eastbourne Road Ridgewood Uckfield East Sussex TN22 5ST Lead Inspector Debbie Calveley Key Unannounced Inspection 14th November 2006 09:00 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 Copper Beech House Nursing Centre DS0000013975.V318880.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. Copper Beech House Nursing Centre DS0000013975.V318880.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Copper Beech House Nursing Centre Address Eastbourne Road Ridgewood Uckfield East Sussex TN22 5ST 01825-769947 01825 769259 highpat@bupa.com 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) ANS Homes Limited Mrs Patricia High Care Home 48 Category(ies) of Old age, not falling within any other category registration, with number (48) of places Copper Beech House Nursing Centre DS0000013975.V318880.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of service users to be accommodated is fortyeight (48). Service users must be older people aged sixty-five (65) years or over on admission. 15th November 2005 Date of last inspection 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 recently purchased by BUPA, which operates nationally. The home is registered to provide care with nursing for forty-eight residents in the older person category, which includes providing care for up to three residents 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 separate lounge on each floor. An adequate amount of communal bathrooms with either a shower or assisted bath are provided. 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 residents. The garden furniture is of a rustic nature and attractive in its setting. Copies of inspection reports and the homes Statement of Purpose are made available on request. Each service user has a service users guide in their room, and one is displayed in the reception area. Fees charged as from 1 April 2006 is £799, which does not include toiletries. Additional charges are made for hairdressing, chiropody, newspapers and outside activities such as visits to the theatre. Intermediate care is not provided. Copper Beech House Nursing Centre DS0000013975.V318880.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulation Act 2001 often use the term ‘service user’ to describe those living in care home settings. For the purpose of this report those living at Copper Beech House will be referred to as ‘residents’. This was a key inspection that included an unannounced visit to the home and follow up contact with resident’s representatives and visiting health and social care professionals. This unannounced inspection was carried out over 8 hours on the 15th and 16th of November 2006. There were forty-six residents in residence on the day, of which eight were case tracked and spoken with. During the tour of the premises ten other residents both male and female were also spoken with. The purpose of the inspection was to check that the requirements of previous inspections had been met and inspect all other key standards. A tour of the premises was undertaken and a range of documentation was viewed including the service users guide, statement of purpose, care plans, medication records and recruitment files. Four members of care staff, two trained nurses, the chef & activity co-ordinator were spoken with in addition to discussion with the deputy manager. The pre-inspection questionnaire was received back from the registered manager on the 9 November 2006 completed in full. Comment cards received from seven residents and four relatives were generally positive and indicated that both groups were satisfied with the services provided. Two comment cards were received from social and healthcare professionals, and two staff surveys were received from staff. The information contained in the returned surveys has been incorporated into this report. What the service does well: There is a comprehensive Statement of Purpose and Service Users Guide that gives prospective residents the information required to enable them to make an informed choice about where they live. The home continue to maintain comprehensive documentation and care planning, which enables staff to meet the needs of the residents admitted to the home. Recent audits performed for ‘ Investors in people’. The health needs of the residents were seen to be met and the standard of care is of a good standard. The medication practices within the home are safe and competent. Copper Beech House Nursing Centre DS0000013975.V318880.R01.S.doc Version 5.2 Page 6 Systems are in place to regularly consult with residents via service users meetings and surveys. There is an open-house policy, which welcomes visitors at all reasonable times. Satisfactory arrangements are in place to safeguard residents’ finances. Staff provision is well maintained with a robust recruitment practice being followed and appropriate numbers of suitably qualified staff working in the home. The atmosphere of the home is pleasant with good interaction seen between residents and staff. ‘staff are friendly and caring’ ‘ the staff are wonderful’ The residents are enabled to exercise the choice and control of their every day life. The feedback from specialist health professionals and families of residents regarding the palliative care given to residents during their stay at Copper Beech House was very positive and complimentary. Evidence of staff partaking in further palliative care courses was an example of the commitment staff feel to this particular aspect of care. There is a variety of good nutritious food offered. Meals are taken in comfortable and homely surroundings. Feedback regarding the provision of food was positive and included ‘ excellent choice’ ‘ fresh and well presented’ ‘meals that are suited to my relatives age’ Copper Beech House provides a clean, safe and well-maintained environment, which is appreciated by the residents and their relatives. 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 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. Copper Beech House Nursing Centre DS0000013975.V318880.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 Copper Beech House Nursing Centre DS0000013975.V318880.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): 1, 2, 3, 4 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their representatives are provided with information about the home in order to make an informed choice about whether to live at the home. The pre-admission assessment procedures ensure residents admitted can have their care needs met within the home by experienced staff. EVIDENCE: There is a range of information about the home and the services it provides. This includes a Statement of Purpose and Service User Guide. Copies of these are available in the front entrance area. A social care professional that had recently visited the home confirmed that relevant information was provided to a prospective resident. It was confirmed whilst talking to residents that the contract arrangements were clear and understood. A review of the care documentation confirmed that pre-admission assessments are completed, and are currently completed by the manager or a senior nurse. Copper Beech House Nursing Centre DS0000013975.V318880.R01.S.doc Version 5.2 Page 9 The information contained in these assessments is then used to provide the basis of the care documentation in the home. The prospective residents’ are seen either in their home or hospital before admission and the manager confirmed that wherever possible the family or representative is involved. Two relatives confirmed that they were consulted about the pre-admission visit and were given the opportunity to attend. During the inspection family members of a prospective resident visited the home and the staff were observed spending valuable time with them introducing them to the home and staff members. The deputy manager was able to verbally demonstrate her knowledge and awareness of the different specialities required in the home and ensures that the Registered Nurses employed have attended relevant courses to deal with the needs of the elderly and also specialised courses for certain diseases and palliative care. Trial visits/respite visits to the home can be arranged. The manager confirmed that self-funding residents are invited to a trial period to ensure suitability of the home; this is clearly stated in the Statement of Purpose and in the statement of terms and conditions. The home work closely with a local hospice and transfers from the hospice to the home follow the same procedures as any other admission. Copper Beech House Nursing Centre DS0000013975.V318880.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): 7, 8, 9, 10 and 11. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Generally care plans provide a good framework for the delivery of care, however these need to provide clear guidance to care staff on all the care needs of all the residents. The home was found to be meeting resident’s health and general needs with accessed additional specialist support when needed. Staff were seen treating residents with respect and dignity. EVIDENCE: The care documentation pertaining to eight residents were reviewed as part of the inspection process. These were found to include plans of care, nutritional assessment, personal histories and risk assessments. The care documentation was full and demonstrated that the care was reviewed and evaluated on a regular basis. Discussion took place with staff regarding the importance of ensuring that all changes to residents nutritional and behavioural status is updated on all the relating documents to ensure that the support and approach of staff is Copper Beech House Nursing Centre DS0000013975.V318880.R01.S.doc Version 5.2 Page 11 consistent. Some inconsistencies were discussed regarding the completion of the nutritional tools in use. The staff team is stable and the staff demonstrated an in depth knowledge of the residents they care for. Staff spoken to confirmed that they received a full report on each resident daily and read the care documentation that is kept in the locked nurses station on each floor. The staff spoken with felt that their views were taken into account when planning and implementing resident’s care. There is evidence of resident/representative consultation in some individual plans, and staff confirmed that they do try to encourage input from the families. Three residents said they had been involved in the discussions regarding their care plan, and felt that it had been beneficial in settling in to the home. From meeting residents and talking to them and then reviewing the individual care plans; it was found that the health, social and welfare needs of the residents were met. Comments from residents, visitors and surveys included; ‘The level of care is high and the carers/nurses treatment to be friendly, caring and effective’, ‘ Copper Beech House staff are efficient, kind and helpful’. There are two clinical rooms, one on each floor and both were clean, tidy and well organised. The equipment is well maintained and ready for use. There are policies and procedures in place for the storing, administrating, disposal and receipt of medication. The temperature of the fridge and rooms are recorded daily and of an acceptable temperature to maintain dressings and medications. The medicine administration procedures have been reviewed since the last inspection and were found to be satisfactory at the time of this visit. The medicine administration charts and the systems for recording and checking controlled drugs were found to be thorough. A self-administering policy is in place, but there were no residents at this time self-administering their medication. The staff were seen caring and offering support to residents with dignity and respect and the atmosphere was calm and inclusive. One relative said that ‘ the staff were always polite and cheerful to both residents and visitors and that they always felt welcome’. A resident remarked that, ‘ the staff were helpful and encouraged her to be as independent as possible’. The home also provide palliative care and there are in-depth polices and procedures in the home to guide staff in caring for those that are dying. The residents’ wishes are followed in where they stay for their last days and families and friends can stay either in the resident’s room or in the ‘snug’ area. Staff endeavour to ensure that the resident is as comfortable as possible and their wishes are observed. The home use a care pathway that enables the Copper Beech House Nursing Centre DS0000013975.V318880.R01.S.doc Version 5.2 Page 12 residents, their family and Doctor to be involved in a final plan of care that is based on their choices and focuses on the individual residents wishes. Bereavement counselling is offered to relatives, to other residents and to the staff. Staff in the home are also attending courses in bereavement so as to support families and fellow staff. One family spoke very highly of the support given to them, and said that it enabled them to focus on spending quality time with their loved one, without having to worry about anything else, ‘ I can not praise the home enough, they have not only looked after my relatives health needs and her mental health needs through this traumatic time, but have also been there for us’. Copper Beech House Nursing Centre DS0000013975.V318880.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): 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. Residents are encouraged to remain as independent as possible and maintain some control over their daily lives. There are suitable arrangements for occupation and stimulation. Links with families are valued and supported by the home. Residents spoke positively about the meals provided. EVIDENCE: Thirty hours of activities are provided a week by two co-ordinators and continue to provide an important part of life at Copper Beech House. The activity programme consists of group activities, outings and one to one sessions. The activity programme evidences that activities take place on four days a week. There has been some disruption to the activities due to mandatory courses for the co-ordinators and sick leave. It was confirmed that the programme is now back to full function. Comments regarding the activities provided and trips arranged remain positive, several residents mentioned Christmas shopping trips that are arranged for the coming weeks and how they are looking forward to it. Residents are encouraged and supported to be as independent as possible within a risk assessment framework. Copper Beech House Nursing Centre DS0000013975.V318880.R01.S.doc Version 5.2 Page 14 It was found from talking to the residents that they are able to choose the way they spend their time and are offered choice and flexibility on a daily basis. Copper Beech House promotes an “open door” policy during the day. Residents spoke of visitors they had received and the home maintains a record of the contact each resident with relatives and friends. The visitors spoken with said that they were always welcomed by staff whenever they visited and found the home staff warm and responsive. It was also mentioned that they were able to stay for lunch or tea and overnight if the circumstances indicated a need. 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. Residents are made aware of an advocacy service provided by Age Concern. The residents are consulted regarding décor in the communal areas and their bedrooms. The menus are distributed to all residents and are also on display in the dining rooms. A recent training development is that the head chef has completed a course and devised menus in accordance with the ‘menu manager’. These menus are due to be introduced in the home in the near future. The menus seen during the inspection process demonstrated choice and variety and indicated a well balanced diet. The menus rotate on a four weekly basis and change according to the seasons. The residents were open about the quality and choice of the food, and the feedback from surveys was also positive. Comments included ‘ the standard of food is very high’ ‘ The home are very good about giving you special things to eat’. Two relatives commented that the food always looks nice and there is a choice available. The dining areas are pleasant and well furnished with natural light and the tables are positioned to create a congenial atmosphere. The dining areas have recently been redecorated and the residents felt it was a lovely colour. Copper Beech House Nursing Centre DS0000013975.V318880.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): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a formal complaints system with evidence that residents feel that their views are listened to and acted upon. Staff receive training to protect residents from 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. 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 complaint procedure and of how to start the process if the manager is not available. Two residents said if they had a problem, they would go to the nurse in charge or the manager, one said she had nothing to complain about, whilst another was unsure, but felt her daughter would deal with it. Two surveys received said that they the necessary information to make a complaint if required, but would deal with it whilst visiting the home. The Organisational Adult Protection policy in the home was found to be up to date and it is at present being reviewed against the East Sussex multi- agency guidelines. Staff interviewed were knowledgeable about the systems in place to Copper Beech House Nursing Centre DS0000013975.V318880.R01.S.doc Version 5.2 Page 16 protect vulnerable service users. There is on-going training for all staff in adult Protection. Copper Beech House Nursing Centre DS0000013975.V318880.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): 19, 20, 21, 22, 23, 24, 25 and 26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. 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 resident’s personalities and interests. There is specialist equipment in the home for residents’ use to maximise their independence. EVIDENCE: Copper Beech House provides a well-maintained, safe and comfortable environment for its residents. A full time maintenance person is employed and there is a rolling plan of decoration and repair. The home was purpose built and all bedrooms have an ensuite facility. Bedrooms are situated on two floors of the home and each floor has its own lounge area, dining room and kitchenette. The standard of furniture, fixtures and fittings is good and appreciated by the residents and their families. Copper Beech House Nursing Centre DS0000013975.V318880.R01.S.doc Version 5.2 Page 18 There was evidence of residents being encouraged to personalise their rooms with their own belongings and bits of furniture. The bedrooms are clean, comfortably furnished and pleasantly decorated with soft colours; all residents are offered the choice of a door lock to maintain their independence and privacy. There are adequate bathing facilities with specialist equipment, which enables frail residents and those with a physical disability to enjoy the facilities available. Specialised equipment to encourage independence is provided e.g. handrails in bathrooms, hoists, wheelchairs and lifts to all areas of the home. Call bells are provided in all areas. The lighting in the home is of domestic quality. The central heating is under floor and each room is individually controlled by a thermostat, giving residents a choice of temperature. Water temperatures are controlled and monitored regularly and a record kept. Random temperatures were taken and were of the recommended level. The home was clean and free of offensive odours, the surveys received stated ‘spotless’ ‘ always a high standard’ ‘ the cleaning is excellent’ ‘ occasionally dusty in my relatives room’ The laundry is well organised and clean. The standard of the laundry was mentioned in surveys as ‘very good’ ‘ always looks clean and well presented, which is so important to her’. Copper Beech House Nursing Centre DS0000013975.V318880.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. Staffing arrangements are good and suitable and ensure the needs of the residents living in the home are met. Residents are protected by the home’s recruitment policy and practices. EVIDENCE: There is a dedicated team of staff working at the home, they have a range of skills and the deputy manager confirmed that there are sufficient numbers to meet the needs of residents. Staff who were spoken with said that they were able to provided the care and support residents need, ‘it is their home’ and we work with them to ensure ‘they live as independently as possible’ and make choices about what they do. The deputy manager explained that all new members of staff receive induction training in line with Skills for Care, and staff are also encouraged to work towards NVQ Level 2 and 3. There are currently at 20 with NVQ Level 2 or equivalent, and during discussion it was explained by the deputy manager that staff do their NVQ, and then decide to apply to nursing college, also some care staff that have worked at the home for some considerable time have chosen not to do the NVQ. It is something the management team are aware of and they are continuously working towards meeting the 50 target. Copper Beech House Nursing Centre DS0000013975.V318880.R01.S.doc Version 5.2 Page 20 The homes recruitment policies are followed and appropriate checks are completed prior to an offer of employment. The deputy manager discussed that POVA/CRB checks are completed prior to commencement of employment. Evidence was provided of the completed checks with the pre-inspection questionnaire. Staff interviewed confirmed a high satisfaction with the training provided and stated that recent training was interesting and informative. Staff surveys received stated that they were satisfied with the standard of training provided. Staff and records seen confirmed that they had undertaken compulsory training such as manual handling, adult protection and food hygiene and fire safety. In addition specialist training in understanding dementia, palliative care, continence care and stroke care updates are also provided. At present only for members of staff have attended a first aid course, however further training has been planned. Copper Beech House Nursing Centre DS0000013975.V318880.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): 31, 32, 33, 35, 36, 37 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The overall management of this home is good with effective systems in place to protect residents. EVIDENCE: The Registered Manager has the experience to run the home effectively with support from the Responsible Individual, the deputy manager and the staff team. The management structure of the home is strong, competent and has clear lines of accountability. The Registered Manager is a Registered General Nurse and is to commence her qualification in management in May 2007. Copper Beech House Nursing Centre DS0000013975.V318880.R01.S.doc Version 5.2 Page 22 The feedback from residents, relatives and staff indicated that they felt supported and were able to approach the management team at any time. The ethos of the home is to focus on the residents and the staff were observed doing this. Regular staff meetings and resident/relative meetings are held and records of the meetings are kept. The staff mentioned the staff meetings and how beneficial they were and the staff felt that areas of improvement they put forward were acted for the benefit of the residents. These form part of the quality assurance systems in the home. One resident mentioned that they attended the resident meetings and thought it gave them the opportunity to discuss the running of the home and areas that could be improved. Residents’ financial interests are safeguarded by the homes policies and procedures. The residents spoken with said they had no worries regarding their financial status, and felt they were supported in managing their affairs efficiently. The deputy 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 Moving and Handling, twice yearly for Fire Safety. The staff are completing long distance learning in basic food hygiene, infection control and health and safety. Further training in first aid is planned. 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. Evidence was seen of regular supervision sessions and all staff spoken with confirmed that the supervision sessions are beneficial. Throughout the inspection good practice was observed in regards to ensuring the safety and well being of the residents when being moved around the building. The accident forms were seen and had been correctly completed with appropriate referrals made as necessary. Copper Beech House Nursing Centre DS0000013975.V318880.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 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 4 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 4 3 3 3 3 3 3 3 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 3 3 X 3 3 3 3 Copper Beech House Nursing Centre DS0000013975.V318880.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 OP7 OP8 Regulation 15(1)(2) 12 Requirement That the care plans accurately reflect the needs of the service users in respect of their health, social and behavioural needs. Timescale for action 20/12/06 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 2 Refer to Standard OP8 OP28 Good Practice Recommendations That a consistent approach is used in the completion of nutritional tools. That the home continue to work towards meeting the 50 target of staff trained to NVQ level 2/3. Copper Beech House Nursing Centre DS0000013975.V318880.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Copper Beech House Nursing Centre DS0000013975.V318880.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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