Inspection on 16/11/05 for Copper Beeches

This inspection was carried out on 16th November 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Copper Beeches 11/12/07

Copper Beeches 31/07/06

Copper Beeches 10/05/05

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 Copper Beeches 90 Plymstock Road Plymstock Plymouth Devon PL9 7PJ Lead Inspector Jane Gurnell Unannounced Inspection 16th November 2005 4:30 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 DS0000028890.V252994.R01.S.doc Version 5.0 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 DS0000028890.V252994.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Copper Beeches Address Copper Beeches 90 Plymstock Road Plymstock Plymouth Devon PL9 7PJ 01752 403836 01752 408142 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) Steven Paul Shirley 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 DS0000028890.V252994.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 10 only diagnosed with Category DE to be admitted One room to be used as Respite only One named service user under the age of 65 One additional named person under the age of 65 years. Date of last inspection 10.5.05 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 DS0000028890.V252994.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place in the late afternoon and early evening on 16th November 2005. The focus of the inspection was to consult with the residents and to review the care planning process. The inspector spoke to 11 residents and made a tour of the building, and reviewed the care plans and documentation relating to the management of the care home. For those key standards not assessed on this occasion, please refer to the inspection report dated 10th May 2005. 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. Copper Beeches DS0000028890.V252994.R01.S.doc Version 5.0 Page 6 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 DS0000028890.V252994.R01.S.doc Version 5.0 Page 7 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 the following standard(s): EVIDENCE: These standards were not assessed on this occasion. Copper Beeches DS0000028890.V252994.R01.S.doc Version 5.0 Page 8 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 the following standard(s): 7, 8, 10 Residents health, personal and social care needs are being met and residents are treated respectfully. EVIDENCE: Those residents consulted by the inspector said they were very well cared for. The inspector witnessed those residents with confusion being treated respectfully by the care staff. The care plans sampled provided a comprehensive description detailing care needs and the action required by staff to meet those needs. Specialist advice is sought when necessary from Community Mental Health Nurse, District Nurses and continence advisor and this was evident in the care plans examined. Copper Beeches DS0000028890.V252994.R01.S.doc Version 5.0 Page 9 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 the following standard(s): 15 Meals are home cooked and nutritious. EVIDENCE: Residents said that they enjoyed the meals. Two menus were displayed on the notice board outside the dining room: one for each of the weeks commencing 7th and 14th November. The lunches and evening meals on these menus were identical during this 2-week period. The residents said that this was not the case and that they had a varied choice of meals. It appeared that the same menu had been mistakenly placed on the notice board. Kettles and milk are available in the dining room to allow care staff and residents to make hot drinks at any time. A discussion was held with the senior care staff regarding the risk posed to those residents with confusion: she confirmed that the use of the kettles had been risk assessed and that none of the current residents had been identified as being at risk. Copper Beeches DS0000028890.V252994.R01.S.doc Version 5.0 Page 10 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 the following standard(s): 16 Complaints and suggestions from residents, relatives or other visitors to the home, are treated seriously. EVIDENCE: Residents said that the staff were very approachable and they were confident that any issues of concern would be listened to and dealt with. There have been no complaints received since the last inspection. “Spot checks” by the Registered Providers and the Registered Manager form part of the quality monitoring processes of the home to ensure that services provided and staff performance remains of a high quality. Copper Beeches DS0000028890.V252994.R01.S.doc Version 5.0 Page 11 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 the following standard(s): 19, 20, 24, 25, 26 The residents live in a pleasant home that is comfortable and warm and which provides sufficient facilities to meet their needs. EVIDENCE: The home was found to be warm, clean and tidy and free from offensive odours. Two bedroom doors in the ground floor extension did not fully close since the fitting of the new hallway carpet which negated their fire safety property. The bath and sink in the first floor bathroom were not fitted with temperature control valves and the water was very hot: the Registered Providers identified in their action plan for the previous inspection that the control valves would be fitted when the bathroom is refurbished in the New Year. In the meantime, care staff ensure residents do not use this bathroom unsupervised. Radiator covers had been fitted to radiators assessed as posing a risk to residents. Copper Beeches DS0000028890.V252994.R01.S.doc Version 5.0 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 Residents are cared for by well-trained and motivated staff in sufficient numbers to meet the needs of those currently living in the home. EVIDENCE: Residents described the staff as very kind and caring. At the time of the inspection there were 3 care staff on duty. One of these care staff was from overseas and had a little difficulty understanding the questions put to her by the inspector although she was seen to be very caring and patient towards the residents: the Registered Providers should consider providing care staff from overseas with additional support to improve their understanding of English. The senior care staff confirmed that 10 care staff had successfully completed the distance learning Dementia Care course through a local college. Copper Beeches DS0000028890.V252994.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 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. 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 had been replaced since the last inspection to a high standard. It 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 DS0000028890.V252994.R01.S.doc Version 5.0 Page 14 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 X 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 2 3 X X X 3 2 3 STAFFING Standard No Score 27 2 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X 3 Copper Beeches DS0000028890.V252994.R01.S.doc Version 5.0 Page 15 Are there any outstanding requirements from the last inspection? Yes 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 Standard OP19 OP25 Regulation 23 13 Requirement 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. Timescale for action 30/11/05 31/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Copper Beeches DS0000028890.V252994.R01.S.doc Version 5.0 Page 16 Commission for Social Care Inspection Ashburton Office 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. Extracts may not be used or reproduced without the express permission of CSCI Copper Beeches DS0000028890.V252994.R01.S.doc Version 5.0 Page 17 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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