CARE HOME ADULTS 18-65
Copper Beeches Lodge Care Home 52 Truro Road St Austell Cornwall PL25 5JJ Lead Inspector
Lynda Kirtland Unannounced Inspection 9th February 2006 12:00 Copper Beeches Lodge Care Home DS0000065158.V273129.R01.S.doc Version 5.1 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 Lodge Care Home DS0000065158.V273129.R01.S.doc Version 5.1 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 Adults 18-65. 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 Lodge Care Home DS0000065158.V273129.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Copper Beeches Lodge Care Home Address 52 Truro Road St Austell Cornwall PL25 5JJ 01726 74024 01726 74024 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) Mr Steven Jon Tarrant Mrs Maureen Joy Tarrant Mrs Christine Marie Tarrant Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Copper Beeches Lodge Care Home DS0000065158.V273129.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection First inspection Brief Description of the Service: Copper Beeches Lodge was registered to provide care and accommodation for up to a maximum of 12 service users who have personal care needs by reason of a learning disability in October 2005. The registered providers, Mr Stephen Tarrant and Mrs Maureen Tarrant own another care home in Cornwall, which is registered to provide care and accommodation for 7 service users. Therefore they have many years experience in managing care homes in this field. The registered manager Mrs Christine Tarrant has been employed as a registered manager previously and also has relevant experience in managing this service provision. Copper Beeches Lodge is located near the town centre, and therefore within easy access to local amenities of St Austell town. As this is a newly registered property the spatial sizes of all the rooms in the property meet the national minimum standards guidance. The home provides single en-suite accommodation for all its residents, and they share communal access to lounge, dining, kitchen and garden facilities. The furnishings in the home are to a high standard and create a ‘homely atmosphere’. Copper Beeches Lodge is a two storey dwelling, which has had an extension. The older part of the home consists of the main living areas plus 9 en suite bedrooms upstairs. The extension consists of 3 en suite ground floor bedrooms and office space. There are sufficient bathroom facilities throughout the home. There is a steep ramp leading to the front of the property and due to the majority of bedrooms being on the first floor, residents need to be mobile to access these parts of the home. There is sufficient car parking to the front of the property. Copper Beeches Lodge Care Home DS0000065158.V273129.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspector visited Copper Beeches Lodge Residential Home on the 9 February 2006 and spent 5 hours at the home. This was an unannounced visit. As Copper Beeches Lodge were registered with CSCI in October 2005 this is the first statutory inspection. As this is the first statutory inspection, the inspector focused on the following key standards of care: choice of home, care planning, lifestyle, health care, leisure, complaints, staffing and some management areas. On the day of inspection seven service users were resident in the home. There are five vacancies, however in discussion with the registered manager and registered provider it was evident that this is planned as the management team have made a decision to gradually introduce more residents into the home to minimise disruption and anxiety to those who already live there and for the residents and staff team to get to know each other. The methods used to undertake the inspection are to meet with a number of residents, staff, the registered manager and registered provider to gain their views on the services that Copper Beeches Lodge offer. Copper Beeches Lodge records, policies and procedures were examined and the inspector toured the building. This report summarises the findings of this inspection. What the service does well:
Mrs Tarrant has experience of being in post as a registered manager since January 2004 and the registered provider have many years experience of managing care homes. Due to this previous experience this has assisted them in the setting up of this care home and the registered manager has brought across many of the policies, systems and procedures that she introduced from the other care home to Copper Beeches Lodge. The registered provider and registered manager employed a staff team and ensured that a full induction and training course was completed prior to the opening of Copper Beeches Lodge. This has meant that the staff team have all had an intensive induction in the philosophy of the home and all attended mandatory courses. The staff team were positive regarding the training they received and also saw this as a ‘team building’ exercise. The majority of staff has achieved the NVQ level 2 certificates, and the remaining staff are currently in the process of gaining this qualification. The registered manager has made enquiries for all the staff team to undertake the LDAF course. The registered manager has gained the NVQ level 4 Registered Managers Award. Copper Beeches Lodge Care Home DS0000065158.V273129.R01.S.doc Version 5.1 Page 6 The recruitment process was robust and all relevant employment checks have been completed. There are sufficient numbers of staff on duty at all times, and the residents and staff members echoed this. As the homes resident numbers increase the registered manager will review staffing levels. From observations of residents throughout the inspection it was evident that Copper beeches Lodge provides a relaxed atmosphere. Staff interacted with residents in a patient, friendly and professional manner. The homes pre admission and care planning system evidenced the involvement of residents, their representatives and any professionals involved in their care. All residents have a care plan, which identified their care needs accurately and plans how to address them. Access to a variety of health professional occurs. All residents have a weekly programme of activities that can be based in the home, at college or work placement. It was observed during the inspection that residents participate in a number of activities provided by the home and local community. Residents or staff raised no issues or concerns during this inspection. Staff stated if they had any worries or anxieties they felt able to approach the manager at the home. The registered manager has ensured that she consults with residents, their representatives, staff and external agencies that use Copper Beeches Lodge facilities to gain their views on the service that the home provides. Ideas for areas of improvement or developing services are readily accepted and considered by the management team as they wish to continue to improve on the service that Copper Beeches Lodge provides. The registered provider undertakes monthly visits as per Regulation 26 to ensure that the service provision is continually monitored. The registered manager has ensured that relevant policies and procedures are in place and that staff have knowledge of them. Copper Beeches Lodge is decorated and furnished to a high standard. Residents stated they were ‘happy’ and ‘liked’ their rooms which they had personalised. All communal areas are kept to a high standard. What has improved since the last inspection? What they could do better:
Two requirements and one recommendation were identified at this inspection. One is in relation to developing further risk assessments in respect of falls. In addition a review of the moving and handling equipment in the home must be
Copper Beeches Lodge Care Home DS0000065158.V273129.R01.S.doc Version 5.1 Page 7 undertaken to evidence how the home will be able to meet the needs of any service users who experiences falls. This will then need to be incorporated in the homes moving and handling policy. The second requirement is to install paper towels in the communal downstairs toilet to promote infection control in the home. A recommendation has been identified to ensure that two staff members should witness any transcribing of medication. Residents and staff could not think of any further ways that the home could improve the services that it currently offers. The inspector would comment that as this is the first inspection of a newly opened care home that the preparation, planning and adopting policies and procedures from their other care home has assisted greatly in the registered providers and registered manager meeting the guidelines of the national minimum standards. The inspector would like to thank residents, staff and the management team for their kind assistance during this inspection process. 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 Lodge Care Home DS0000065158.V273129.R01.S.doc Version 5.1 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Copper Beeches Lodge Care Home DS0000065158.V273129.R01.S.doc Version 5.1 Page 9 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2,4, Copper Beeches Lodge have informative documents that explain the services that the home provides, admission processes and expectations of the placement so that service users and their representatives can make a informed choice about living at the home. EVIDENCE: Copper Beeches Lodge have an informative statement of purpose / service users guide which accurately details the services that the home provides. This is presented in pictorial and written manner so that a wider audience can understand it. From inspection of two service users files, and in discussion with residents, this evidenced that a pre admission assessment occurred with the participation of the resident, their representative and the registered manager prior to admission. In addition the registered manager gained information from referring professionals to assist in the assessment process. The pre admission assessment covered all individual care needs, which were then transferred to the residents care plan. As Copper Beeches Lodge is a new care home the registered manager had ‘open days’ so that prospective residents and their representatives could visit the home to make an informed choice as to if they wanted to live at the home. After a months trail stay there has been a review with the resident, representative and any professional parties concerned, to clarify if the
Copper Beeches Lodge Care Home DS0000065158.V273129.R01.S.doc Version 5.1 Page 10 placement is appropriate for the resident or the home before a decision is made as to if the placement will be permanent. From discussions with residents they commented that the introduction to the home was positive, they felt ‘welcomed’ and could not see how this area could be improved. Copper Beeches Lodge Care Home DS0000065158.V273129.R01.S.doc Version 5.1 Page 11 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 Each resident has a care plan that outlines their care needs and aspirations. Resident’s health needs are identified and liaison with appropriate health professionals is undertaken. Resident’s views on the service are continuously sought. EVIDENCE: There were individual care plans for each resident covering all health and social care needs. The care plans evidenced that residents and in some instances their relatives had participated in their formation and were involved in the reviews of their care needs. Individual decision making and choice was evident from documentation and from discussion with residents and the registered manager. The home also attend reviews at residents colleges and work placements so that all are working toward promoting independence for the resident. Residents are encouraged to paricipate in the day to day running of the home and undertake some domestic and cooking tasks which promotes self caring skills. A weekly housemeeting for residrents and astaff allow the opportunity for all to comment on the facilities, future plans and any current concerns that may arise.
Copper Beeches Lodge Care Home DS0000065158.V273129.R01.S.doc Version 5.1 Page 12 The registered manager has developed risk assessments to ensure that appropriate decisions regarding care whilst ensuring that risk is minimised are taken. The home has an appropriate policy if a resident becomes absent from the home. Copper Beeches Lodge Care Home DS0000065158.V273129.R01.S.doc Version 5.1 Page 13 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Links with the local community are good and support and enrich resident’s social, educational and leisure opportunities. The systems for resident’s consultations are good with a variety of evidence that indicate that resident’s views are both sought and acted upon. EVIDENCE: It was evident from discussion with residents, the registerd manager and staff, plus documentation, that Copper Beeches Lodge actively encourage residents to maintain links with the community, family, education and work placements and support residents to develop personal friendships and partake in their interests/ hobbies in the community. During the inspection some residentsa had returned form work, college palacements whilst others had chosen to remain at the home but were involved in activities such as needlework and art and crafts. All commented that there was ‘enough to do’ and explained their full weeks programme to the inspecto which included day and evening activites. Copper Beeches Lodge Care Home DS0000065158.V273129.R01.S.doc Version 5.1 Page 14 Residents are involved in making decisions in the planning of their day and assist in some household tasks which encourages development of independent living skills. From the inspectors observation it was evident that that the staff team ensure that the principles of privacy and dignity are adhered too. Residents are involved in the development of menus within the home and were observed to help themselves to food from the cupbards and make drinks during the inspection. Residents were positive about the quanitity and quality of the food. Some are currently on a weight controlled diet and told the inspector how well this was working and were able to explian what foods helped them achieve this. From discussion with the cook and care staff they were aware of any special dietary needs and said they would consult specialist if a specific diet was needed to ensure that the home catered for this correctly.The staff with assitance from residents prepare breakfast and lunch and the night time meal is cooked by the chef. Menus are on display. Copper Beeches Lodge Care Home DS0000065158.V273129.R01.S.doc Version 5.1 Page 15 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 The staff team have a good understanding of the residents support needs. This is evident from positive relationship that has been formed between the staff team and residents. Medication is administered safely. Risk assessments in relations to falls, and strategies to move and handle resident’s needs to be developed further. EVIDENCE: From discussions with residents and the registered manager plus documentation inspected it was evident that health needs are identified accurately and appropriate medical advice sought. Access to local health and specialist services was evident as was obtaining residents wishes and views when seeing these professionals. Health notes showed that access to health services is not a difficulty. From inspection of the accident book it was evident that a number of falls has occurred pertaining to a particular resident. The inspector requires that a more in-depth risk assessment occur for this individual. In addition the home needs to review if it can cater for any individual who experiences falls if they have no moving and handling equipment in the home. The registered provider and registered manager agreed to address this. Copper Beeches Lodge Care Home DS0000065158.V273129.R01.S.doc Version 5.1 Page 16 From inspection of the medication cupboard and records it was noted that the home has stored medication appropriately and completed medication records accurately. From a tablet count this cross referenced with medication stored in the cupboard. The home does not have any prescribed controlled drugs, or drugs that need to be kept in a fridge. The home has a returns book for medication to the pharmacist. All staff has attended training in the administration of medicines. The inspector recommended that when medication is transcribed on to the MAR sheet that two members of staff witness it. The medication policy was not inspected on this occasion. . Copper Beeches Lodge Care Home DS0000065158.V273129.R01.S.doc Version 5.1 Page 17 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 The home has a satisfactory complaints system with evidence that residents feel that their views are listened to and acted upon. Staff have good knowledge of adult protection issues. EVIDENCE: Copper Beeches Lodge has a complaints policy, which explains how the home will investigate any concerns raised. From observations during the inspection it was evident that residents had a positive relationship with staff. All residents said they could share their worries with staff. The registered manager is keen to encourage residents and their representatives to raise any concerns so that she can then look into them and take appropriate action. Quality assurance surveys and house meetings are venues were views could be expressed on Copper Beeches Lodge as well as on an individual bases. CSCI have not received any expressions of concerns about Copper Beeches Lodge. The registered manager received one concern that she looked into, which was not upheld. The records of this were kept in an A4 notebook and due to the issue of confidentiality the inspector advised that the recording of this must adhere to Data Protection Act. The other home that the registered provider owns has a complaints form, which Mrs Christine Tarrant devised, that does adhere to confidentiality and so the registered manager agreed to introduce this to Copper Beeches Lodge. Due to the inspectors previous knowledge of this form devised by the registered manager at the other care home, this has not affected the scoring of this standard on this occasion. Copper Beeches Lodge is currently reviewing its adult protection policy, as it is using the same policy as that at the other home it owns. Therefore this was not inspected on this occasion as it is currently being amended. It is noted that
Copper Beeches Lodge Care Home DS0000065158.V273129.R01.S.doc Version 5.1 Page 18 all staff has attended an in house adult protection-training course. The registered manager has applied for her staff to attend the Cornwall Multi disciplinary Adult Protection training course. Due to ongoing work in this standard and therefore not inspected fully this standard has not been scored. Copper Beeches Lodge Care Home DS0000065158.V273129.R01.S.doc Version 5.1 Page 19 Environment
The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not inspected EVIDENCE: Whilst this section was not inspected in detail it was evident from a tour of the home plus discussion with residents that Copper Beeches lodge provides accommodation to a high, safe and clean standard. Residents stated they were ‘very happy’ with their accommodation. The inspector did note that the visitor’s toilet must have paper towels installed to promote infection control procedures. Copper Beeches Lodge Care Home DS0000065158.V273129.R01.S.doc Version 5.1 Page 20 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,34,35 Copper Beeches Lodge ensure that suitable trained staffs are employed in sufficient numbers at all times EVIDENCE: Due to Copper Beeches Lodge opening recently all staff job descriptions and person specifications were reviewed. These were inspected and were viewed as satisfactory. From inspection of staff rotas it was noted that at all times there is a minimum of three carers on duty during waking hours for seven residents, this will increase as the numbers of residents rise. At night there are two members of staff who sleep in. A manager is on call at all times. In addition the home employs a cook for 3 hours a day to prepare the main meal. Staff alongside residents undertakes domestic tasks, this will again be reviewed as numbers of residents in the home increases. Maintenance work is contracted out as the need arises. From discussion with staff they commented that they felt that there is sufficient staff on duty. From observations it was evident that staff have formed positive relationships with the residents and that they were competent in their work. From inspection of staff files this evidence that staff are recruited appropriately and satisfactory checks are made prior to commencing work at the home. All staff has a copy of the GSCS.
Copper Beeches Lodge Care Home DS0000065158.V273129.R01.S.doc Version 5.1 Page 21 The majority of staff has completed a minimum of NVQ level 2; the remaining staff is currently in the process of achieving this. The registered manager is making enquiries for all staff to attend the LDAF course. Due to the comprehensive induction/ training programme that occurred prior to the opening of the home all staff have received training in the following areas: safe handling of medication, infection control, adult protection (in house), health and safety, fire, basic food hygiene, epilepsy, challenging behaviour, COSHH, moving and handling and first aid course. Staff were positive about the amount of training they have received and saw this as a ‘team building’ exercise. Copper Beeches Lodge Care Home DS0000065158.V273129.R01.S.doc Version 5.1 Page 22 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,42 The registered manager provides a structure, which creates an open, positive and inclusive atmosphere. The Registered Manager is competent to manager the home. Continuous review of the homes policies is ongoing to ensure that it reflects work practices within the homes to promote residents’ safety and rights. EVIDENCE: Mrs Tarrant has experience of being in post as a registered manager since January 2004. She has the Registered Managers Award NVQ 4 and has many years experience in the social care field. She attends training to ensure that her skills are up to date and shares her knowledge with her staff team. Her previous experience has assisted her in the setting up of this care home and she has brought across many of the policies, systems and procedures that she introduced form her other care home to Copper beeches Lodge. Staff spoke positively about her skills and management style. Copper Beeches Lodge Care Home DS0000065158.V273129.R01.S.doc Version 5.1 Page 23 It is evident that the registered manager ensures that residents, relatives and staff are consulted about how they view the service that Copper Beeches Lodge provides via a variety of consultation meetings with residents and staff. As the home is newly opened the quality assurance process is commencing and therefore this was not inspected. From discussion with staff they confirmed that they had been a positive induction to the home and that supervision and appraisal processes are in place. Copper beeches Lodge undertakes regular health and safety checks in the home i.e. fire drills, Legionella, emergency lighting, training of staff in the areas of COSHH, moving and handling and first aid. In addition inspections from other authorities occur and no issues have arisen from these inspections. Copper Beeches Lodge Care Home DS0000065158.V273129.R01.S.doc Version 5.1 Page 24 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 3 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 3 32 X 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 3 X 3 3 X X X 3 X Copper Beeches Lodge Care Home DS0000065158.V273129.R01.S.doc Version 5.1 Page 25 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 YA19 Regulation 13 Requirement Risk assessments in respect of falls must be developed further. In addition a review of the moving and handling equipment in the home must be undertaken to evidence how the home will be able to meet the needs of any service users who experiences falls. This will then need to be incorporated in the homes moving and handling policy. Paper towels must be installed in the communal downstairs toilet to promote infection control in the home. Timescale for action 30/04/06 2 YA30 13 30/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA20 Good Practice Recommendations Two staff members should witness transcribing of medication. Copper Beeches Lodge Care Home DS0000065158.V273129.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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