Inspection on 10/11/06 for Copper Beeches

This inspection was carried out on 10th 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.

Other inspections for this house

Copper Beeches 29/05/07

Copper Beeches 08/11/05

Copper Beeches 10/05/05

Copper Beeches 09/12/04

Copper Beeches 21/06/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Copper Beeches Woodlands Way London Road Andover Hants SP10 2QU Lead Inspector Nick Morrison Unannounced Inspection 10th November 2006 09:30 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 Beeches DS0000037292.V319515.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 Beeches DS0000037292.V319515.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Copper Beeches Address Woodlands Way London Road Andover Hants SP10 2QU 01264 353703 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) brenda.hurst@hant.gov.uk Hampshire County Council Mrs Brenda Hurst Care Home 42 Category(ies) of Dementia - over 65 years of age (42), Old age, registration, with number not falling within any other category (42) of places Copper Beeches DS0000037292.V319515.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th November 2005 Brief Description of the Service: Copper Beeches is a local authority residential home, registered for forty two service users in the categories of old age, not falling within any other category, and dementia care for service users over the age of sixty five. The home is situated in a quiet residential area of Andover, within easy reach of local amenities. Accommodation is arranged on two floors, with passenger lift access. Ten of these beds are arranged as a separate unit to offer five beds as an interim facility for those waiting for long-term care, and five beds offering intermediate care. The registered manager, Mrs Brenda Hurst, also has management responsibility for a day centre, which is located alongside the residential facilities. Copper Beeches DS0000037292.V319515.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report represents a review of all the evidence and information gathered about the service since the previous inspection. This included a site visit which occurred on 10th November 2006 and lasted six hours. During this time the Inspector toured the premises, looked at a sample of six service users’ files and met with two of those people. All records and relevant documentation referred to in the report was seen on the day of inspection. The Inspector spoke with a sample of staff, one relative and other service users. The weekly charge in the home is £434. What the service does well: 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 Copper Beeches DS0000037292.V319515.R01.S.doc Version 5.2 Page 6 be made available in other formats on request. Copper Beeches DS0000037292.V319515.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 Beeches DS0000037292.V319515.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): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefited from having their needs assessed prior to admission. EVIDENCE: Service users’ files showed that assessments of need were completed with service users and their families prior to them moving into the home. A relative spoken with confirmed that she had been involved in the assessment process. The home does not provide intermediate care. Copper Beeches DS0000037292.V319515.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from having their healthcare needs met and are protected by the home’s medication policy and practices. Service users also benefit from being treated with respect, but would benefit further from having their care plans regularly reviewed. EVIDENCE: Care plans were in place for all service users. The care planning process was comprehensive and covered a full range of need areas. Care plans seen during the visit were well written and were clear about what each person’s needs were and what staff needed to do in order to meet them. The individual care plan format was clear and files were laid out so that they were easy for staff to use. Copper Beeches DS0000037292.V319515.R01.S.doc Version 5.2 Page 10 The files also contained ongoing assessments so that the needs of service users could be monitored and so that changing needs could be responded to appropriately. There were nutritional and activities profiles in each service user’s file, but most of these had not been completed. One section in the service user files was used to monitor and record the health needs of each person. These were up-to-date and demonstrated that healthcare needs were regularly monitored. Where concerns about healthcare needs had been identified, there were records of the follow up action that had been taken. Service users were supported to access relevant healthcare services as necessary and service users spoken with confirmed that staff arranged appointments and supported them to attend when necessary. The home had a clear medication policy in place to protect service users. Only senior staff administered medication and the Duty Officer each day was responsible for administering the medication. Records showed that all staff involved in administering medication had received appropriate training and staff spoken with confirmed that the training they received was in depth and of good quality. On the day of the inspection visit, the midday medication was administered during the lunchtime period and the person administering the medication demonstrated an understanding of the policy and an awareness of the need to administer medication in a safe and sensitive manner. Each service user was given their medication discreetly. The member of staff observed that it had been taken before signing it off. Observation was done from a distance so that there was no need to stand over each person while they took their medication. The medication was stored in a methodical and safe manner in the medication cupboard and a colour coding system was used to decrease the likelihood of mistakes being made. There were no recorded errors in the administering of medication and staff spoken with said they were not aware of any errors that had been made. The medication records were clear, up-to-date and accurate. Observation throughout the visit showed that staff were very good at demonstrating respect towards service users. Staff always appeared to knock on service users’ doors before entering their room and always spoke with service users in a respectful manner. Staff had received training in supporting service users in a respectful way and providing care in the way people preferred it. Staff spoken with were clear about the need to ensure the rights of service users were upheld and of the need to respect peoples individuality. Service users spoken with said that staff always treated them well and that they felt comfortable with the staff in the home. Copper Beeches DS0000037292.V319515.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. 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. Service users benefited from being able to take part in activities and from having a well-balanced diet. Service users were able to exercise control over their own lives and were supported to maintain contact with friends and relatives. EVIDENCE: There was a programme of activities within the home and service users had been consulted about the kind of activities they preferred. A range of entertainers were brought into the home and service users spoken with felt that the entertainment they had was suitable and stimulating. In addition there were regular activities planned within the home, which were posted around the building so that service users were aware of what activities were planned. The home employs a part-time activities coordinator. Activities in the home included gentle physical exercise, art/craft sessions and the use of the mobile library. There were some records kept of what involvement each service user Copper Beeches DS0000037292.V319515.R01.S.doc Version 5.2 Page 12 had in each activity and new activities were introduced for service users to try. Service users chose whether or not to take part in activities and those spoken with were happy with the amount and type of activities. Service users were able to contribute ideas to activities and other issues in the home through regular service users meetings. Minutes of these meetings showed that ideas highlighted by service users were taken forward and acted upon as far as possible. Some service users spoken with were not interested in the meetings, but some felt they were really useful and they said that the meetings made them feel involved in the home. Service users spoken with said that they felt that they were able to exercise control over their lives and were able to make decisions about what they wanted and did not want. Care plans highlighted the need to support service users to make their own decisions and to have the time and information to do so. The food in the home was of good quality. Staff went around to each service user individually during the morning to offer them choices about what they wanted to eat and their choices were written down. The lunchtime on the day of the inspection visit was a very sociable occasion. Service users chose who they sat with, or sat on their own if they preferred. The dining room was thoughtfully laid out so that people could be as sociable as they wanted to over lunch. Each table was decorated with fresh flowers. There was a lot of discussion throughout the lunchtime period and service users appeared to be enjoying the social aspect of the meal. All meals were served individually according to the preferences each service user had made earlier in the morning. Portions were adjusted according to individual requests and second helpings of food were available for anyone who wanted them. Individual dietary needs were catered for, including people who required a diabetic diet. Fresh fruit and vegetables were used as far as possible and high importance was placed in the appearance and quality of the food. Service users spoken with said the food was very good. They said it was cooked well and served in adequate portions. Service users were able to maintain contact with their friends and relatives. Care plans stated what support people needed in order to do this and staff spoken with were clear about how important it was to service users to maintain contact with people. There was a lounge available where service users could meet with their friends and relatives if they did not wish to do so in their own rooms. One of the small lounges upstairs had a telephone so that service users were able to talk to people in private if they wished. A relative spoken with said she always felt welcome in the home and knew she could visit at any time she wanted to. The name of each person’s Keyworker was on the door to their room and this helped visitors to know which member of staff to talk to if they needed to. Copper Beeches DS0000037292.V319515.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. 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. Service user benefited from knowing their concerns and complaints would be listened to and were protected by the home’s abuse policies and practices. EVIDENCE: The home has a clear complaints procedure in place and each service user and their family are given a copy on admission. A relative spoken with confirmed she and her mother had received a copy. Service users spoken with were clear about who they would speak to if they had a complaint of any kind and felt that the service would be responsive to any complaint they had. A relative spoken with shared this view. The home had a clear system for recording complaints and how they had been responded to, although there had been no recorded complaints since April 2003. The home has a copy of the local procedure for dealing with suspected abuse and this is complimented by in-house policies to protect service users. Staff spoken with were aware of these and understood them. Training in responding to issues of suspected abuse had been received by all staff. All service users spoken with said they felt safe with the staff who supported them. Copper Beeches DS0000037292.V319515.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. On the whole, service users benefited from living in a safe, well-maintained and clean home. EVIDENCE: A requirement from the previous inspection report asked the service to ensure that there were adequate toilet facilities for service users. There are fourteen toilets and six bathrooms throughout the building. All staff and service users spoken with felt there were sufficient toilets and nobody experienced any difficulty with the number or position of the toilets and bathrooms. This requirement has been met. Copper Beeches DS0000037292.V319515.R01.S.doc Version 5.2 Page 15 There was also a previous requirement regarding the call system needing to be upgraded. This has now occurred, but staff and service users spoken with expressed concerns that the new system is not easy to use as the buttons for calling staff are fixed in each room and cannot be moved so that they are accessible to service users in different parts of their rooms. This requirement is only partially met and there is a need for the call system to be more accessible for service users. The home had a written maintenance plan and maintenance was ongoing throughout the year. On the day of the inspection visit the fire alarm system was being replaced. Records were kept of all work that had been planned and all work that had been undertaken. Regular monitoring of the building was recorded and issues identified were followed up. The garden area had recently been updated and had been designed with the needs of service users in mind. There is a courtyard garden in the middle of the building which, as well as being attractive, was safe for service users to make use of on their own. The home was generally clean and hygienic throughout while still managing to appear comfortable and homely. The laundry was well managed and infection control procedures were in place. The home has two sluice rooms and these were also kept clean. Domestic staff were employed in sufficient numbers to keep the home clean and domestic staff seen on the day of the inspection visit also interacted very positively with service users while completing their work. Service users and a relative spoken with were happy about the standard of cleanliness in the home. Pull cords for the lights in the bathrooms and toilets around the home were old and dirty and need replacing. Copper Beeches DS0000037292.V319515.R01.S.doc Version 5.2 Page 16 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. Service users benefited from being supported sufficient, well-trained staff and were protected by the home’s recruitment policies and practices. EVIDENCE: A clear rota was in place that showed that staffing levels were maintained according to the needs of service users. Staff spoken with confirmed that staffing levels were maintained according to the rota. Cleaning and kitchen staff were separate from the care staff. Service users spoken with said there were always enough staff available. Staff files contained recruitment records that demonstrated the recruitment procedure had been followed and that all relevant checks were made on staff before they began working in the home. Service users spoken with felt that the staff in the home were competent and that they were supported safely and in a very caring manner. Good training records and plans were kept in the home. All staff had induction training, followed by health and safety training and then training specific to the needs of service users. All staff were encouraged and supported to undertake Copper Beeches DS0000037292.V319515.R01.S.doc Version 5.2 Page 17 NVQ training. Currently there are over fifty three per cent of staff with an NVQ2 or above. There had been training for staff on how to support people who have dementia and some training on dealing with people who displayed difficult behaviours. Staff spoken with said that this training was useful in helping them prevent the amount of difficult behaviour, but that they would like more training on dealing with difficult incidents if and when the preventative interventions had not been successful. Copper Beeches DS0000037292.V319515.R01.S.doc Version 5.2 Page 18 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, 33, 35 and 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users benefited from living in a well managed home run in their best interests and had their financial interests safeguarded. Service users would benefit further from risk assessments being kept under regular review. EVIDENCE: The manager of the home is registered and has demonstrated that she has the skills, experience and qualifications to manage the home. Copper Beeches DS0000037292.V319515.R01.S.doc Version 5.2 Page 19 The home does not manage the finances of service users. They are involved in looking after small amounts of money for some service users and their families oversee this. All money kept for service users was kept individually and was locked away safely and access was restricted. Records and receipts were kept of all expenditure and those seen on the day of the inspection visit matched exactly with the amount of money the home had for each service user. All staff had up-to-date training in Health and Safety issues and the Manager ensured that environment was safe for all staff, service users and visitors. All equipment was regularly serviced and good records were kept. All accidents were recorded appropriately. Service users spoken with felt that the service listened to their views and that they had opportunities to contribute to the development of the service. The Manager had begun to implement a system of regular consultation with service users and their families. Workplace risk assessments were in place where potential risks had been highlighted. The assessments were supposed to be monitored on a monthly basis, but this had not been done since January 2006 and a requirement has been made in respect of this. A window restrictor in one of the upstairs toilets was broken. The window opens out onto a flat part of the roof of the building. There was evidence in the maintenance records that other window restrictors had recently been repaired, but this one was missed. Copper Beeches DS0000037292.V319515.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X 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 2 X 3 X X X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Copper Beeches DS0000037292.V319515.R01.S.doc Version 5.2 Page 21 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. 2. 3. 4. 5. Standard OP19 OP26 OP30 OP38 OP38 Regulation 23 16 18 13 13 Requirement The call alarm system needs to be made accessible to service users. The light pull cords in the bathrooms must be replaced in order to maintain hygiene. Staff must receive training in dealing with incidents of difficult behaviour. The window restrictor in the upstairs bathroom must be repaired. Workplace risk assessments must be kept under regular review Timescale for action 31/01/07 31/01/07 31/03/07 31/01/07 31/07/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP7 Good Practice Recommendations The nutritional and activities profiles in service users’ care plans should be completed. Copper Beeches DS0000037292.V319515.R01.S.doc Version 5.2 Page 22 Copper Beeches DS0000037292.V319515.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Beeches DS0000037292.V319515.R01.S.doc Version 5.2 Page 24 - 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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