Inspection on 12/01/09 for Copperfield

This inspection was carried out on 12th January 2009.

CSCI found this care home to be providing an Good service.

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

Copperfield 06/09/06

Copperfield 09/02/06

Copperfield 01/09/05

Copperfield 10/03/05

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Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Copperfield 94 Liscard Road Liscard Wallasey Merseyside CH44 8AB     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Helen Carton     Date: 1 2 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: Copperfield 94 Liscard Road Liscard Wallasey Merseyside CH44 8AB 01516910438 F/P01516910438 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mannacom Ltd care home 14 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Additional conditions: 14 The registered person may provide the following category of service only: Care home only - Code PC. To service users of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Mental disorder, excluding learning disability or dementia - Code MD. The maximum number of service users who can be accommodated is: 14. Date of last inspection Brief description of the care home Copperfield is a large three storey detached house providing care for fourteen adults, with mental health needs. The home is near to local shops and is within walking distance of Wallasey town centre. It is on a main road which is well served by public transport. There are ten single bedrooms and one double all of which have en-suite facilities. There are two communal lounges, one of which is a conservatory where service users can smoke. The dining room is linked in open plan style to the main lounge. Car parking facilities are available at the front of the home. Copperfield also has a small garden and patio at the back of the house. Care Homes for Adults (18-65 years) Page 4 of 29 Brief description of the care home A copy of the most recent Commission for Social Care Inspection (CSCI) report is available from the manager of Copperfield. Currently service users pay 393 pounds per week to live at the home. Care Homes for Adults (18-65 years) Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. As part of the inspection process we sent Copperfield an Annual Quality Assurance Assessment (AQAA) document, which was completed prior to our visit to the home. This document was to provide information about the service at Copperfield and to tell us where they felt they had made improvements to the way they support service users and the staff team. As part of the inspection process surveys were sent to Five service users and ten members of the staff team, a total of eight responses were received. Care Homes for Adults (18-65 years) Page 6 of 29 The last inspection on this service was completed on 05/09/2006 We visited Copperfield to enable us to look at records and to discuss how the home supports service users in all aspects of their lives. Part of this process involved speaking with the manager, members of the staff team and spending time with service users to find out their views on living at Copperfield. We spent approximately 51/2 hours at Copperfield. What the care home does well: Before a person is offered a placement at Copperfield an assessment of their needs and personal expectations are made to make sure the home can meet them. Prospective service users are encouraged to visit Copperfield prior to moving in so they have the opportunity to test drive the home. The following comment was made by a service user spoken with during our visit to the home: I visited the home before I moved in here which helped me settle in better. Service users are involved in development of their care plans and risk assessments and are supported to play an active role in reviewing their care and support at regular intervals. The following comment was made by a service user during our visit to the home: I was involved making my care plan and risk assessment and feel Copperfield has hit the right balance, I feel safe and cared for but also feel I am living my own life. Copperfield offers service users a flexible service which provides structured activities regularly throughout the week. However they respect individuals rights to arrange their daily lives as they wish, the following comments were made by service users during our visit to the home: I dip in and out of taking part in activities which suits me and no one gives me a hard time. I love doing craft activities going out for a meal and a drink. Records show service users are supported to access health care services to maintain their physical and mental wellbeing. Records also show that guidance and support are sought from specialist services when specific care needs are identified. Service users spoken with told us they felt confident that if they were unhappy or concerned about the care and support being offered they would talk to a member of staff, the manager or the people who own the home. The following comments were made by service users and in returned service user surveys: Yes I know who to speak to if I am not happy. Yes I know how to make complaints. All the staff treat me well. Overall communal areas provide service users with a satisfactory level of comfort with bedrooms being furnished in a functional manner. The manager and the owners of Copperfield support the staff team to access training to enable them to provide appropriate care and support. Care Homes for Adults (18-65 years) Page 8 of 29 There are management systems in place which allows the running of Copperfield to be audited including quality assurance systems which seek out the views of other professionals supporting service users. What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 29 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The Pre- admission assessments identify the care and emotional needs of prospective service users resulting in a service that can support the lifestyle choices of the people who live there. Evidence: Before a person is made an offer to live at Copperfield the manager will carryout an assessment of their care needs. This assessment will include gaining information from the person wishing to move into the home, other health and social care professionals supporting them and where appropriate family members and friends. We looked at a selection of service users care files which showed assessments are carried out prior to them moving into the home, with this information then being transfered into care plans and risk assessments. Since the last visit to the home the manager has reviewed the assessment document to reflect diversity issues in a more detailed manner. Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: Service users spoken with confirmed the manager spoke with them about their care and emotional needs before they moved into Copperfield. Records show a formal review of care and emotional needs is undertaken approximately six weeks after the person moved in. This review involves all interested parties and focuses on the views and needs of the service user. The following comments were made during our visit to Copperfield and in returned service users surveys: Yes I was asked if I wanted to move into the home. I had enough information about the home before I moved in to decide if it was the right place for me. I visited the home before I moved in here which helped me settle in better. Care Homes for Adults (18-65 years) Page 12 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users preferred routines, lifestyle choices and mental wellbeing is supported by the services care planning and risk management strategies. Evidence: We looked at a sample of care plans which provide the staff team with information about the mental health, emotional and physical health needs of service users. Service users with the manager and the staff team are involved in the production of these documents and where possible are asked to sign them to show they agree with the support they are to be offered. We discussed with the manager the need to ensure where a diagnosis has been made this information is included in the service users care plans and risk assessments. The manager contacted us following the visit and stated the care plans and risk assessments had been amended to reflect this information. Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: We discussed with the manager the level of detail currently recorded in some risk assessments. Following the visit the manager confirmed risk assessments had been reviewed and where necessary greater detail had been provided. Service users told us the staff team were nice and kind to them and helped them when they needed it. The following comments were made during our visit and in returned service users surveys: I was involved making my care plan and risk assessment and feel Copperfield has hit the right balance, I feels safe and cared for but also feel I am living my own life. The staff and the manager are very nice and helpful I like the fact that if I want to spend time on my own the staff respect that. They pop in to my room to check if I want anything but other than that they respect my privacy. Records show monthly reviews of service users care needs are undertaken with formal reviews taking place every six months. Members of the staff team spoken with showed a good understanding of service users needs and were respectful of their right to live their lives as they wish. Care Homes for Adults (18-65 years) Page 14 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users lifestyle choices are supported and promoted by the manager and staff team resulting in a service that is service user focused and promotes independence and choice. Evidence: Service users spoken with told us routines were very flexible and the manager and staff team encourage and support them to make decisions about what activities they wish to take part in. Many said they arrange their own daily routines and spend their days as they wish including accessing community facilities on a daily basis. Service users are supported to remain as independent as possible and to maintain and in some instances develop daily living skills such as washing and ironing their clothes and being responsible for keeping their bedrooms tidy. Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: Planned activities are available for service users to take part in on a daily basis with the staffing rota indicating which member of staff team is to facilitate the activity. Activities information is displayed on the service users notice board in the hall way. During our visit we observed service users taking part in individual activities such as completing jigsaw puzzles, watching television and listening to music. For those service user who find it personally challenging to motivate themselves extra support is offered. Social and leisure activities promote a therapeutic environment which encourages service users to develop positive relationships with fellow service users and the staff team. The following comments were made by service users during our visit to the home. I love doing craft activities going out for a meal and a drink. I takes care of my own money and makes decisions on how to spend it myself. I dip in and out of taking part in activities which suits me and no one gives me a hard time. Service users are supported to maintain positive relationships in their lives. All cooking is undertaken by the support workers who have received training in basic food hygiene. We spoke with service users about the quality of the meals provided all were happy with the quality, quantity and variety of meals provided. Service uses also commented that if you they did not like a meal being offered an alternative would be provided. There are tea and coffee making facilities available in the dining area which service users have access to at all times. The manager told us regular service user meetings take place to discuss the running of the home and planned activities and changes to the menu. Discussions with service users and examination of minutes of meetings confirmed this information. There are currently no service users involved in paid or community work. Care Homes for Adults (18-65 years) Page 16 of 29 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users personal and healthcare needs are met by a supportive and flexible care service. Evidence: Information about the type and level of support service users need with their personal care needs are documented in care plans and where necessary risk assessment support plans. Service users told us the staff team are sensitive and respect their privacy. Records show service users are supported to access health care services to maintain their physical and mental wellbeing. Records also show that guidance and support are sought from specialist services when specific care needs are identified. For the majority of the service users the manager and care staff team administer their medications with consent forms signed by individual service users. We looked at a sample of service users medications and the accompanying Medication Administration Record (MAR) sheets, they were well maintained.The medication is securely stored Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: with a clear procedure for the staff team to follow whilst administering medication. Information sheets about all medication administered is available as reference material. The majority of the staff team have successfully completed medication training provided by an external trainer. Care Homes for Adults (18-65 years) Page 18 of 29 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users views and opinions are sought and acted upon. Resulting in a care service that proactively works to protect them from possible abuse and neglect. Evidence: Service users spoken with told us they felt confident that if they were unhappy or concerned about the care and support being offered they would talk to a member of staff, the manager or the people who own the home. The following comments were made by service users and in returned service user surveys: Yes I know who to speak to if I am not happy. Yes I know how to make complaints. All the staff treat me well. I would go to H (deputy manager) or Helen (manager) if I had a problem. There is no one in the staff team that I would not approach. The statement of purpose and service user guide provides information about the complaints procedure and the responsibility of the provider to provide a safe Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: environment. Members of the staff team spoken with demonstrated a good understanding about how to best support and safeguard service users whilst understanding and respecting their individual lifestyle choices. All members of the staff team including the manager have undertaken safeguarding adults training within the last 12 months. Policies and procedures are in place that give clear guidance and direction to the manager and the staff team on how to report allegations of abuse, neglect or poor care practises. There have been no formal complaints made about the service provided by Copperfield with any minor issues being dealt with effectively by the manager. Care Homes for Adults (18-65 years) Page 20 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Copperfield provides an satisfactory living environment for service users that meets their physical and social needs. Evidence: The AQAA data set and discussions with the manager indicates there is a continuing programme of maintenance and refurbishment. Overall communal areas provide service users with a satisfactory level of comfort. All bedrooms have en-suite toilet facilities, those rooms viewed were clean, tidy and functional with service users supported to personalise them as they wish. One room viewed was highly personalised and was reflective of the service users hobbies and interests. All bedroom doors have locks fitted to them to provide service users with privacy and security. Service users who smoke are encouraged to do so in the conservatory which is the designated smoking area. Some equipment has been provided to support those service users with restricted mobility to access bathing facilities. Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: Care Homes for Adults (18-65 years) Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users are supported by a skilled workforce resulting in positive outcomes with regard to them receiving individualised support and care. Evidence: Records show and discussions with the manager and members of the staff team confirm they are supported to undertake training to enable them to offer appropriate care and support to service users. Training sessions dealing with gaining awarenes of mental health issues and understanding the needs of people with a learning disability are planned for this year. This type of training will further enable the staff team to support service users effectively and sensitively. The recruitment and selection procedures in place provide safeguards to service users to ensure they are supported by suitably skilled and competent people. Members of the staff team spoken with demonstrated a good understanding of service users needs and expectations. Those spoken with said they enjoyed their work and felt supported by the manager. We observed members of the staff team spending time with service users in a respectful and friendly manner, service users appeared relaxed and were confident Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: talking to each other and the staff team. Service users told us they felt well supported and cared for by the manager and the staff team. Care Homes for Adults (18-65 years) Page 24 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management systems within Copperfield promote the health, safety and wellbeing of service users. Evidence: Ms Helen Rogers has been the registered manager of Copperfield for over four years and has nursing and management qualifications to support her in this role. There are management systems in place which allows the running of Copperfield to be audited including quality assurance systems which seek out the views of other professionals supporting service users. These systems provide evidence the manager and the registered owners are commited to promoting an ethos of being open and transparent in all areas of the running of the home. Service users spoken with felt the manager and the staff team listen to their opinions and views this was confirmed in surveys returned to us. Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: Members of the staff team spoken with felt supported by the manager they receive regular supervision and attend staff meetings with both giving them the opportunity to voice their opinions or concerns. This information was confirmed in surveys returned to us. Comprehensive records are kept about the health and safety checks made to maintain a safe environment for both service users and the staff team, including fire safety checks maintenance records, and utility services. Care Homes for Adults (18-65 years) Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 27 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 24 Maintenance work should continue to ensure service users live in a comfortable and safe environment that reflects their needs and aspirations. Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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