Inspection on 31/07/06 for Copper Beeches

This inspection was carried out on 31st July 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 11/12/07

Copper Beeches 16/11/05

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 31st July 2006 13:00 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 Beeches DS0000028890.V306050.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 DS0000028890.V306050.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Copper Beeches Address Copper Beeches 90 Plymstock Road Plymstock Plymouth Devon PL9 7PJ 01752 403836 01752 408142 s.carthy@21stcenturycare.co.uk www.21stcenturycare.co.uk Steven Paul Shirley Tui Philomena Eliza Shirley Ms Susan Margaret Alexandra Carthy Care Home 20 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) 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.V306050.R01.S.doc Version 5.2 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 16/11/05 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. The weekly fees for the home range from £320 to £350. Copper Beeches DS0000028890.V306050.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place in the afternoon on 31st July 2006. The focus of the inspection was to consult with the residents and to review the care planning process. The inspector spoke to 9 residents and a visitor and made a tour of the building. Care plans and documentation relating to the management of the care home was examined. Following the visit to the home, the Commission sent surveys to all residents, relatives and staff as well as local GPs and the District Nurse. These surveys allow anonymous comment about the quality of the services provided at Copper Beeches. Twelve residents returned surveys. All commented favourably about the home and the care they receive, comments such as “it’s perfect” and “the staff are always very helpful and kind” were received. Nine relatives returned surveys: all commented favourably about the home. One relative expressed concern over the young age of some of the care staff and another that there may not always be sufficient care staff on duty: neither had found the need to make a complaint to the Registered Providers and were satisfied with the overall care provided. Ten care staff returned surveys. All commented favourably about their employment particularly the training and support provided. Comments such as “this is as excellent home”, and “the support from other staff, the manager and the owner is fantastic” were common. Staff did however state that the laundry facilities should be improved as the equipment was not robust enough to cope with the demand and this was causing extra work. The Registered Providers were already aware of these concerns and gave assurances that new equipment would be purchased. Six surveys were received in total from local GPs and the District Nurse: all commented positively about the home. The District Nurse described the staff as “willing and co-operative”. What the service does well: The home has a well-trained and motivated staff team who the residents described as being very kind and caring. The home’s external training provider has awarded “Best Student” to one member of staff and as such he was entered for the South West Regional finals where he was awarded 4th Place. All of staff have achieved NVQ qualifications: all senior staff are qualified to NVQ 4 in Care. Copper Beeches DS0000028890.V306050.R01.S.doc Version 5.2 Page 6 Residents described living at Copper Beeches as “very nice” and “lovely”. Staff work closely with other health care professionals to ensure the residents health care needs are fully met. The care plans are comprehensive and provide a clear description of residents’ care needs. 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.V306050.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 DS0000028890.V306050.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5 The quality in this outcome area is good. This judgement has been made using the available evidence including a visit to the service. The assessment process ensures residents 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 assessment for a newly admitted resident was available and provided a clear description of the resident’s care needs. Following the completion of this assessment a further review of the facilities and staff support was undertaken to ensure that the home was suitable to meet her needs. This demonstrates very good practice as the Registered Providers are able to ensure that following each admission, particularly for those residents with more complex needs, staff have the necessary skills and sufficient aids and equipment to continue to support all residents. Other health care professionals are consulted should health care needs be identified to ensure that specialist support is available from the day of admission. Copper Beeches DS0000028890.V306050.R01.S.doc Version 5.2 Page 9 Prospective residents are able to visit Copper Beeches and spend time with the staff and other residents prior to making a decision to move in. One recently admitted resident said prior to her admission she had visited for several days whilst her room was being redecorated and prepared for her. The home’s Service User Guide and website provides information about the services at Copper Beeches. The Registered Providers and Registered Manager have a very positive approach to staff training and see it as essential in providing high quality services. Comments received from staff reflect this and all 10 who returned a survey said how much they value this training and support. The training includes Dementia Care and Equality and Diversity ensuring that staff understand the principles of caring for people with complex needs and who may be at risk from discrimination. Copper Beeches DS0000028890.V306050.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10, 11 The quality in this outcome area is good. This judgement has been made using the available evidence including a visit to the service. Residents’ health, personal and social care needs are being met and residents are treated respectfully. The home’s practices relating to medication administration protect the residents from risk. EVIDENCE: Those residents consulted by the inspector said they were very well cared for by kind and caring staff and that nothing was too much trouble for them. Residents confirmed that the Registered Providers had provided them with guidance on keeping cool in the hot weather and had purchased air conditioning units to ensure their comfort. The inspector witnessed those residents with confusion being treated respectfully by the care staff. The care plans sampled provided a comprehensive description detailing the resident’s care needs, including personal care needs as well as physical and mental health needs, and the action required by staff to meet those needs ensuring residents are supported in a consistent manner. Copper Beeches DS0000028890.V306050.R01.S.doc Version 5.2 Page 11 Assessments relating to the risk falls; the effect of confusion upon the resident; assistance with bathing and the prevention of pressure sores are included in the care plans and provide staff with information about protecting the residents’ and their own safety. These care plans had been improved since the last inspection to make them easier to read by residents. These are now in much larger print and use colour to indicate any areas of risk. 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. Those residents who become terminally ill may remain at Copper Beeches if the care staff and the District Nursing Service can continue to meet their needs. Medication is stored safely and records were accurate, including those for controlled drugs. Copper Beeches DS0000028890.V306050.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 The quality in this outcome area is good. This judgement has been made using the available evidence including a visit to the service. Social activities are managed well and provide daily interest for the residents. Meals are nutritious and varied. EVIDENCE: Twice daily activities are organised by the care staff and external entertainers: these activities include both individual and group activities. Nine of the twelve surveys received from residents said that there is “always” or “usually” suitable activities provided. The remaining 3 residents said there are “sometimes” suitable activities. These results were discussed with the Registered Manager and she gave assurances that through the home’s Quality Assurance process she would consult with the residents to ascertain their views about the activities provided. The residents’ care plans include a questionnaire about the social activities a resident is interested in and explores how these can be supported at Copper Beeches. Those residents spoken to by the inspector and who were able to comment said 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 Copper Beeches DS0000028890.V306050.R01.S.doc Version 5.2 Page 13 programme of the month’s activities was on the notice board and a musician was entertaining the residents 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. Residents said that the Registered Providers had purchased an additional fridge for the dining room for cold drinks and ice creams to assist in keeping cool over the recent period of very hot weather. The cook and 4 care staff are undertaking Healthy Eating training though a local college to ensure the meals provided not only meet residents’ preferences but are also well balanced and nutritious. Copper Beeches DS0000028890.V306050.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17, 18 The quality in this outcome area is good. This judgement has been made using the available evidence including a visit to the service. Complaints and suggestions from residents, relatives or other visitors to the home, are treated seriously. Care and management practices protect residents from abuse. 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. 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. Seven care staff are undertaking Equality and Diversity training through a local college ensuring they have the skills to recognise and prevent discriminatory practices. Copper Beeches DS0000028890.V306050.R01.S.doc Version 5.2 Page 15 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, 21, 22, 23, 24, 25, 25 The quality in this outcome area is good. This judgement has been made using the available evidence including a visit to the service. 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. Bedrooms are pleasantly decorated and personalised. Both ground floor and first floor bathrooms have been improved since the last inspection. The ground floor bathroom has been converted into a walk-in shower room enabling easier use by residents with restricted mobility and independent use by others. One resident said that with the new shower room he was no longer dependent upon staff to assist him with his personal hygiene. The first floor bathroom has been made larger and has been fitted with a bath suitable for use by residents with physical disabilities. Copper Beeches DS0000028890.V306050.R01.S.doc Version 5.2 Page 16 The Registered Providers’ most recent monthly report to the Commission includes details of further refurbishment and redecoration of bedrooms and communal areas. Radiators are covered and hot water temperatures are controlled to protect residents from the risk of burns and scalds. An area of the grounds provides a pleasant and secure area for residents to sit out of doors. Copper Beeches DS0000028890.V306050.R01.S.doc Version 5.2 Page 17 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, 28, 29, 30 The quality in this outcome area is excellent. This judgement has been made using the available evidence including a visit to the service. Residents are cared for by well-trained and motivated staff in sufficient numbers to meet the needs of those currently living in the home. Recruitment practices protect residents from abuse. EVIDENCE: Residents described the staff as very kind and caring. All those residents who returned a survey form said that they receive the care and support they require, although one resident said that the staff are always busy. One resident said “I am very pleased”, another that the staff are “always prompt”. Eight out of the nine responses from relatives said there were sufficient care staff on duty: the Registered Manager said that through the use of the home’s Quality Assurance process she would consult with relatives to ascertain why one relative felt otherwise. One relative expressed concerns over the young age of some of the care staff: the Registered Manager confirmed that all care staff were over the age of 18 and no-one under the age of 21 was left in charge of the home. All care staff have NVQ qualifications, with all senior care staff qualified to NVQ level 4. Many staff are continuing with their NVQ training to gain further qualifications. Copper Beeches DS0000028890.V306050.R01.S.doc Version 5.2 Page 18 Ten care staff had successfully completed the distance learning Dementia Care course through a local college. Personnel files for 2 newly appointed staff were examined and these contained the required documentation including Criminal Record Bureau checks ensuring as far as possible that only suitable staff are employed. Copper Beeches DS0000028890.V306050.R01.S.doc Version 5.2 Page 19 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): 31, 32, 33, 34, 35, 36, 37, 38 The quality in this outcome area is good. This judgement has been made using the available evidence including a visit to the service. Residents live in a well managed home. The Registered Providers, Registered Manager and the staff team strive to provide a stimulating, safe environment that respects and protects service users’ rights. EVIDENCE: Residents said that they feel safe and secure in their home and that the home was well managed. The Registered Manager has NVQ 4 in Care, the Registered Manager’s Award and is an Internal Verifier to support the care staff with their NVQ training. Both she and the Registered Providers have an “open door” policy and residents, relatives and staff said that are friendly, approachable and very supportive. Care staff receive regular supervision that addresses their work performance and personal development needs. Copper Beeches DS0000028890.V306050.R01.S.doc Version 5.2 Page 20 An annual quality assurance survey is sent to residents and their families to ensure that the home continues to meet residents’ needs and allows comment upon any areas for improvement. The Registered Providers visit the home frequently and unannounced to monitor staff performance, to consult with residents and relatives, review the management of the home and the cleanliness and state of repair of the environment. The monthly reports sent to the Commission indicate a consistent high standard and include an action plan for the forthcoming months that include items such as new furniture, redecorating, staff performance reviews and training. The Registered Manager is responsible for managing health and safety issues in the home and those records examined indicate that the home is maintained in safe order. Copper Beeches DS0000028890.V306050.R01.S.doc Version 5.2 Page 21 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 4 3 3 N/A 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 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 3 3 3 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 3 3 3 3 3 3 3 3 Copper Beeches DS0000028890.V306050.R01.S.doc Version 5.2 Page 22 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Copper Beeches DS0000028890.V306050.R01.S.doc Version 5.2 Page 23 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.V306050.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!