Inspection on 10/05/05 for Copper Beeches

This inspection was carried out on 10th May 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 Beeches 11/12/07

Copper Beeches 31/07/06

Copper Beeches 16/11/05

Copper Beeches 16/12/04

Copper Beeches 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 Copper Beeches 90 Plymstock Road Plymstock Plymouth PL9 7PJ Lead Inspector Jane Gurnell Announced 10/05/05 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 Beeches D52-D04 S28890 Copper Beeches V214562 100505 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Copper Beeches Address 90 Plymstock Road, Plymstock, Plymouth, Devon, PL9 7PJ 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) 01752 403836 s.carthy@21stcenturycare.co.uk Steven Paul Shirley and Tui Philomena Eliza Shirley Ms Susan Margaret Alexandra Carthy Care Home 20 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (20), of places Physical disability over 65 years of age (20) Copper Beeches D52-D04 S28890 Copper Beeches V214562 100505 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1. 10 only diagnosed with Category DE to be admitted. 2. One room to be used as Respite only. 3. One named service user under the age of 65 Date of last inspection 16.12.05 Brief Description of the Service: Copper Beeches is located in the Oreston area of Plymouth. It is registered to provide accommodation with personal care for 20 service users over the age of 65 within the categories of old age (OP), physical disability (PDE), and Dementia (DEE). Up to a maximum of ten persons in the DEE category at any one time. One of the 20 bedrooms is restricted to respite purposes only. Accommodation is provided over two floors in the detached original building, with a single floor extension to the rear of this building. Most of the bedrooms are on the ground floor. A stair lift is provided. However there are a small number of steps beyond the stair lift to reach the bedrooms on the first floor. All accommodation is in single bedrooms, 6 of which have en-suite toilet facilities. On the ground floor there are 2 lounge rooms, and a dining room. There is a call bell system throughout the home. The home has a large, attractive garden to the front of the building and an enclosed garden to the side of the main house. Service users are enabled to access any health or social care services they require and various social activities are arranged by the home. Copper Beeches D52-D04 S28890 Copper Beeches V214562 100505 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced and took place on 10th May 2005 over a period of 6hours. The focus of the inspection was to consult with the service users and to review the care planning process. Mrs Susan Carthy, the Registered Manager, was present and she and her staff team assisted the inspector throughout the inspection. The inspector spoke to 17 service users and three visitors: a representative from the NVQ training organisation, a hairdresser and a social worker. A tour of the building was made and the care plans and documentation relating to the management of the care home reviewed. What the service does well: What has improved since the last inspection? What they could do better: The bath and sink in the first floor bathroom must be fitted with temperature control valves to prevent scalding as the water was very hot: those already fitted to sinks and the bath on the ground floor must be checked to ensure they are maintaining the hot water at the correct temperature. The kitchen must be refurbished as many of the cupboards need replacing. Three bedrooms had an unpleasant odour and two bedrooms doors did not fully close since the fitting of the new hallway carpet. Please contact the provider for advice of actions taken in response to this Copper Beeches D52-D04 S28890 Copper Beeches V214562 100505 Stage 4.doc Version 1.20 Page 6 inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Copper Beeches D52-D04 S28890 Copper Beeches V214562 100505 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 Beeches D52-D04 S28890 Copper Beeches V214562 100505 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) 3 and 5 The assessment process ensures that service users can be confident that care staff are aware of their needs prior to their admission and are able to meet those needs. EVIDENCE: The pre-admission assessments for two newly admitted service users were available and these service users confirmed that they had been able to visit the home and spend time with the staff and other service users prior to making a decision to move in. Copper Beeches D52-D04 S28890 Copper Beeches V214562 100505 Stage 4.doc Version 1.20 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9, 10 and 11 Service users health, personal and social care needs are being met and service users are treated respectfully. The home’s practices relating to medication administration protect the service users from risk. EVIDENCE: Service users described that they were very well looked after and one service user specifically commented upon her improved heath and mobility due to the care and support she had received since she had moved into the home. Comprehensive care plans are developed for each service user detailing care needs and the action required by staff to meet those needs. Specialist advice is sought when necessary from Community Psychiatric Nurse, District Nurses and continence advisor. The Registered Manager confirmed that service users with terminal illnesses could remain at Copper Beeches if the District Nurses and the care staff were able to continue to meet their needs. A visiting social worker confirmed that he found the Registered Manager and her staff team very professional and he was confident in the service provided particularly to those service users with dementia. A visiting hairdresser also confirmed that she found the staff very caring and that the atmosphere was very friendly and homely. Copper Beeches D52-D04 S28890 Copper Beeches V214562 100505 Stage 4.doc Version 1.20 Page 10 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 and 15 Social activities are managed well and provide daily interest for the service users. Meals are nutritious and varied. EVIDENCE: Twice daily activities are organised by the care staff. Service users commented that they can chose which activities they wish to participate in, how much they enjoy these and that their relatives and friends are invited as well. A programme of the month’s activities was on the notice board and a musician was entertaining the service users at the time of the inspection. Service users said that the food was plentiful and very good. Drinks and snacks were available at all times. Copper Beeches D52-D04 S28890 Copper Beeches V214562 100505 Stage 4.doc Version 1.20 Page 11 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, 17 and 18 Complaints and suggestions from service users, relatives or other visitors to the home, are treated seriously. Service users are listened to and issues resolved promptly. EVIDENCE: Service users said that Mrs Carthy, the Registered Manager, was very approachable and they were confident that any issues of concern would be listened to and dealt with. One complaint had been received since the last inspection and this had been resolved satisfactorily. Service users confirmed that they had been able to vote in the recent election. Staff had received training relating to the protection of vulnerable adults through their NVQ training and a number had attended training at an external training event: certificates were available. Copper Beeches D52-D04 S28890 Copper Beeches V214562 100505 Stage 4.doc Version 1.20 Page 12 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, 23, 24, 25 and 26 The service users live in a pleasant home that is comfortable and warm and which provides sufficient facilities to meet their needs. EVIDENCE: Service users said that they found the home warm, spacious and comfortable. The home had been in a poor state of repair when purchased by the current owners and through sustained investment the redecoration and refurbishment of the building is being undertaken. The kitchen requires refurbishment as many of the cupboards need replacing: a requirement was made by the Environmental Health Department in August 2004. Three bedrooms were found to have an unpleasant odour and two bedroom doors did not fully close since the fitting of the new hallway carpet. The bath and sink in the first floor bathroom were not fitted with temperature control valves and the water was very hot: a number of other valves fitted to sinks were not maintaining the hot water at the correct temperature. Radiator covers had been fitted to radiators assessed as posing a risk to service users. Copper Beeches D52-D04 S28890 Copper Beeches V214562 100505 Stage 4.doc Version 1.20 Page 13 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, 28, 29 and 30 Service users are cared for by well-trained and motivated staff in sufficient numbers to meet the needs of those currently living in the home. EVIDENCE: Service users described the staff as very kind and caring and confirmed they responded promptly to requests for assistance. Care staff are supported by trainee staff who undertake catering, laundry and domestic duties as they are not yet permitted to assist service users with their personal care as they are under 18years of age. Trainee staff do not work night duties. The NVQ external verifier was visiting at the time of the inspection and confirmed that there was a very positive approach to training amongst the staff team: 63 of staff had gained a NVQ qualification and 8 staff were currently undertaking NVQ training to various levels including 2, 3 and 4. A dementia care training course has been arranged for 10 staff to commence in June 2005. Copper Beeches D52-D04 S28890 Copper Beeches V214562 100505 Stage 4.doc Version 1.20 Page 14 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) 31, 32, 33, 34, 35, 36, 37 and 38 Service users live in a well managed home. The owners, manager and the staff team strive to provide a stimulating, safe environment that respects and protects service users’ rights. EVIDENCE: Service users said that they feel safe and secure in their home and that the home was well managed. Care staff receive regular supervision that addresses their work performance and personal development needs. An annual quality assurance survey is sent to service users and their families to ensure that the home continues to meet service users needs and allows comment upon any areas for improvement. The registered provider is using the unannounced regulation 26 visits to monitor performance on a monthly basis and the statistical outcomes of this are consistently high demonstrating the quality of the service provided. Copper Beeches D52-D04 S28890 Copper Beeches V214562 100505 Stage 4.doc Version 1.20 Page 15 Inspection of the fire logbook indicated that the required weekly and monthly testing of the fire alarm system was being undertaken. Staff had received fire safety training. The kitchen was found to be clean and tidy and records of fridge and freezer temperatures were recorded daily indicating that regular cleaning and monitoring were being undertaken. Copper Beeches D52-D04 S28890 Copper Beeches V214562 100505 Stage 4.doc Version 1.20 Page 16 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 x x 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION 2 4 3 3 3 3 2 2 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 4 3 3 3 3 3 3 3 3 4 3 Copper Beeches D52-D04 S28890 Copper Beeches V214562 100505 Stage 4.doc Version 1.20 Page 17 No 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 19 Regulation 16 & 23 Requirement The kitchen must be repaired/refitted to a standard acceptable to the Plymouth City Councils Environmental Health Department All fire doors must be fully self closing The bath and sink in the first floor bathroom must be fitted with controls to ensure the hot water is delivered at a temperature of approximately 43 degrees centigade. Those controls already fitted to hot water outlets must be monitored monthly and adjusted as necessary to ensure that the correct temperature is maintained. the home must be free from offensive odours. Timescale for action 31.8.05 2. 3. 19 25 23 13 14.6.05 30.6.05 4. 26 16 31.5.05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations D52-D04 S28890 Copper Beeches V214562 100505 Stage 4.doc Version 1.20 Page 18 Copper Beeches 1. Copper Beeches D52-D04 S28890 Copper Beeches V214562 100505 Stage 4.doc Version 1.20 Page 19 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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