Inspection on 06/09/06 for Copperfield

This inspection was carried out on 6th September 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Copperfield 12/01/09

Copperfield 09/02/06

Copperfield 01/09/05

Copperfield 10/03/05

Similar services:

Sunny Bank (P.R.S.) Ltd

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Thornton Lodge

Alfred House Residential Care Home

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Fernhaven

Thames House

Creative Support

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

CARE HOME ADULTS 18-65 Copperfield 94 Liscard Road Liscard Wallasey Merseyside CH44 8AB Lead Inspector Inger Moynihan Unannounced Inspection 5th and 6th September 2006 14:00 Copperfield DS0000062434.V303792.R01.S.doc Version 5.2 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 Copperfield DS0000062434.V303792.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 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. Copperfield DS0000062434.V303792.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Copperfield Address 94 Liscard Road Liscard Wallasey Merseyside CH44 8AB 0151 639 1405 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) Mannacom Ltd Mrs Helen Elizabeth Rogers Care Home 14 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (14) of places Copperfield DS0000062434.V303792.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. One named service user over 65 years of age (MD/E) within the overall total of 14 MD One named male service user over 65 years of age (MD/E) within the overall total of 14 MD 9th February 2006 Date of last inspection Brief Description of the Service: Copperfield is a large three storey detached house providing care for fourteen adults, with mental health problems. 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. The service users live in three double and eight single bedrooms 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. Copperfield DS0000062434.V303792.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Information about Copperfield was obtained through a pre-inspection questionnaire, discussion with the Responsible Individual/ Registered Manager and members of the staff team and service users. Policies, procedures and supporting documentation were looked at and a tour of the building took place. What the service does well: There is a consistent assessment and care planning process to ensure service users emotional and physical health care needs are identified appropriately met. Service users are encouraged to make decisions and take responsible risks as part of living an independent lifestyle. Service users are encouraged to pursue their own interests and hobbies within the local community which gives them an opportunity for their own personal development and the development of personal relationships. The home has a complaint procedure to ensure service users views and concerns are listened to and acted upon. Systems are in place to ensure service users are protected from abuse, neglect and self harm. Appropriate recruitment procedures are in place and an ongoing staff training programme ensures suitably qualified and competent staff are employed to care for the service users. Copperfield is run for service users best interests with their health, safety and welfare being promoted. The quality assurance systems ensure the standard of the service is regularly monitored, reviewed and improved. A part of the quality assurance system includes sending questionnaires to a range of health care professionals and service users carers. A selection of these questionnaires were looked at and it was noted that only positive comments were made in relation to the way service users were being cared for. One Community Psychiatric Nurse noted the staff of Copperfield support my client with the utmost care and dignity and always respect professional involvement and advice. A great home. The relative of one service user Copperfield DS0000062434.V303792.R01.S.doc Version 5.2 Page 6 commented I have every confidence in the staff who have to deal with some difficult situations. They are doing a fine job. 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. Copperfield DS0000062434.V303792.R01.S.doc Version 5.2 Page 7 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 Copperfield DS0000062434.V303792.R01.S.doc Version 5.2 Page 8 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): 2 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. There is a clear and consistent assessment process to ensure service users care needs are clearly identified before a service is provided. EVIDENCE: Service users care needs are assessed before they move into the home. Service users and relevant health care professionals have the opportunity to contribute to the assessment process to ensure the staff team have the necessary information on how to look after the service user in accordance with their particular requirements. The staff spoken to during the visit confirmed they had access to this information to support them within their role. The service users spoken to during the visit confirmed the staff were aware of their care needs and they were happy with the care they received. Issue of equality and diversity are incorporated into the assessment process to ensure service users individual care needs are met. Copperfield DS0000062434.V303792.R01.S.doc Version 5.2 Page 9 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 and 9 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. There is a clear and consistent care planning system in place to ensure staff know how to look after the service users properly. Staff encourage service users to make decisions and take responsible risks as part of living an independent lifestyle. EVIDENCE: A plan of the support provided to each service user has been compiled and gives staff information on how to care for the service user in accordance with their particular needs. The staff spoken to confirmed they had access to this information and were clear on the level of support that needed to be offered to each service user. Service users are encouraged to make decisions about their lives and they confirmed there were minimal restrictions in place in relation to their daily routines. The staff spoken to demonstrated an understanding of how they encourage service users to make their own choices and maintain their independence. Although service users are encouraged to take responsible risks, a range of risk assessments had been carried out to ensure Copperfield DS0000062434.V303792.R01.S.doc Version 5.2 Page 10 they are protected from the risk of harm. Documentation was in place to indicate that all risk assessment were up to date and were an accurate reflection of service users current care needs. Issues of equality and diversity are incorporated into the care planning process to ensure staff know how to care for the service users in accordance with their particular requirements. Copperfield DS0000062434.V303792.R01.S.doc Version 5.2 Page 11 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 and 17 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Service users are encouraged to pursue their own interests and hobbies within the local community which gives them an opportunity for their own personal development and the development of personal relationships. EVIDENCE: None of the service users are currently in employment. They are encouraged and supported to use leisure facilities within the local community for the purpose of maintaining their own interests and hobbies and establishing personal relationships. A range of social activities are provided within the home for the purpose are of ensuring their mental stimulation and social interaction as a group. Day trips out and activities with Copperfields sister home Copperbeech also take place. The service users confirmed staff respect their decision if they did not wish to participate in the activities. The service users spoken to during the visit confirmed the routines in the home are flexible and they can come and go as they wish. The Registered Manager and Copperfield DS0000062434.V303792.R01.S.doc Version 5.2 Page 12 staff team demonstrated how they respect service users rights and privacy whilst living at home. Copperfield DS0000062434.V303792.R01.S.doc Version 5.2 Page 13 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 and 20 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Service users physical and emotional health care needs are met and they are provided with personal support in a caring and dignified manner. EVIDENCE: Service users receive the support and assistance they need with regard to any personal care. Service users physical and emotional health care needs are met with a record of any health care appointments being maintained. The Registered Manager is pro active in providing service users with information on how to keep themselves healthy and well. The staff spoken to during the visit were aware of service users health care needs and demonstrated how any specific health care issues are monitored and addressed. Efficient systems are in place for the safekeeping and handling of service users’ medication and only trained staff are allowed to administer medication. The medication policies and procedures were efficient and medication examined was in good order. Copperfield DS0000062434.V303792.R01.S.doc Version 5.2 Page 14 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 and 23 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home has a comprehensive complaint procedure to ensure service users views and concerns are listened to and acted upon. Systems are in place to ensure service users are protected from abuse, neglect and self harm. EVIDENCE: The CSCI has not received any complaints about the standard of care provided at Copperfield and no complaints had been made directly to the home. Discussion with staff confirmed they were aware of the action they should take in the event of a complaint being made and a documented complaint procedure was available for service users. The service users spoken to during the visit confirmed they had no complaints to make. The staff spoken to during the visit confirmed they had received training around the protection of vulnerable adults from abuse and knew what action to take in the event of them suspecting an incident of abuse had occurred. A copy of the Wirral adult protection procedures were in place to ensure any allegations of abuse are dealt with correctly. A sample of service users weekly financial records were inspected and were kept in good order. Copperfield DS0000062434.V303792.R01.S.doc Version 5.2 Page 15 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): 24 and 30 The quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. The service users live in a comfortable and safe environment. EVIDENCE: A programme of refurbishment is in place to ensure the home well maintained. The environment is comfortable although some areas appeared a little sparse and would benefit from being made more homely. Systems are in place to ensure the home is kept clean and tidy and to prevent the spread of infection. All staff have completed training in relation to health and safety. The domestic had sufficient equipment to carry out her work and had completed a National Vocational Qualification in health and hygiene. Copperfield DS0000062434.V303792.R01.S.doc Version 5.2 Page 16 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): 32, 34 and 35 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Appropriate recruitment procedures are in place and an ongoing staff training programme ensures suitably qualified and competent staff are employed to work at the home. EVIDENCE: The staff spoken to during the visit demonstrated they had the skills and knowledge to support the service users living at the home. They had a positive attitude to their work and confirmed they felt well supported in their role and enjoyed working with the service users. Thorough recruitment procedures are in place to ensure suitably qualified and competent staff are employed. Documentation was in place to demonstrate that appropriate security checks had been carried out. The most recently employed member of staff confirmed he had been provided with induction training and had been well supported when first employed. The pre inspection questionnaire indicated that staff had been provided with a range of appropriate training and that further training was planned for the forthcoming year. A discussion took place with the registered manager around the training provided to staff in relation to the mental health issues experienced by the service users. She agreed to look into this is a matter and report to the CSCI when this training will be provided. It was recommended that the Registered Person ensures the induction training Copperfield DS0000062434.V303792.R01.S.doc Version 5.2 Page 17 programme is in line with the standards laid down by Sills for Care which is the development body for the adult social care workforce in England. A system of formal supervision and appraisal has been introduced for the purpose of staff development and assessing staffs competence to work with the service users. Issues of equality and diversity such as recognising and respecting service users race, religion, sexuality, age, sex and disability are implicit in all aspects of the running of the home and supporting documentation is available for staff reference. This issue is incorporated in a the staff induction training although no specific training in relation to this issue has been provided. The Registered Manager agreed to incorporate this issue into the homes future training plan. Copperfield DS0000062434.V303792.R01.S.doc Version 5.2 Page 18 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, 39 and 42 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Copperfield is run for service users best interests with their health, safety and welfare being promoted. The quality assurance systems ensure the standard of the service is regularly monitored, reviewed and improved. EVIDENCE: The Registered Manager is qualified, competent and experienced to manage the service which is run the service users best interests. Systems are in place to ensure the effective and efficient running of the service which includes service users having an opportunity to voice their views on the standard of care they receive. A part of the quality assurance system includes sending questionnaires to a range of health care professionals and service users carers/family. A selection of these questionnaires were looked at and it was noted that only positive comments were made in relation to the way service users were being cared for. One Community Psychiatric Nurse noted the staff at Copperfield support my client with the utmost care and dignity and always Copperfield DS0000062434.V303792.R01.S.doc Version 5.2 Page 19 respect professional involvement and advice. A great home. The relative of one service user commented I have every confidence in the staff who have to deal with some difficult situations. They are doing a fine job. Systems are in place to ensure service users health, safety and welfare is promoted through staff training and supporting policies and procedures. Regular health and safety checks are carried out around the building to ensure both staff and service user safety and all accidents are recorded appropriately. Copperfield DS0000062434.V303792.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 x 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 2 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 3 12 x 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x Copperfield DS0000062434.V303792.R01.S.doc Version 5.2 Page 21 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 YA35 Regulation 18 Requirement The Registered Person is required to ensure staff are provided with training in relation to mental health issues and issues of equality and diversity. In this instance the Registered Person must write to the CSCI and inform it of when this will be provided. Timescale for action 31/03/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA35 Good Practice Recommendations It is recommended that the Registered Person ensures the staff induction training is in line with the guidelines laid down by Skill for Care which is the development body for the adult social care workforce in England. Copperfield DS0000062434.V303792.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 Copperfield DS0000062434.V303792.R01.S.doc Version 5.2 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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