CARE HOME ADULTS 18-65
Copperfield 94 Liscard Road Liscard Wallasey Merseyside CH44 8AB Lead Inspector
Inger Moynihan Unannounced Inspection 9th February 2006 09:30 Copperfield DS0000062434.V282240.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 Copperfield DS0000062434.V282240.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. Copperfield DS0000062434.V282240.R01.S.doc Version 5.1 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.V282240.R01.S.doc Version 5.1 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 1st September 2005 Date of last inspection Brief Description of the Service: Copperfield is a large three storey detached house providing care for fourteen adults and one older person, 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.V282240.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection took place over 4. 5 hours and was one of the statutory unannounced inspections for 2005/2006. A tour of the premises took place, documentation was examined and staff and service users were spoken to. What the service does well:
Prospective service users have an opportunity to visit and test drive the home before they make a decision on whether to move in on a permanent basis. Service users are issued with a written contract outlining the terms and conditions of their stay. Service users are given an opportunity to participate in the development of the service to ensure their rights and views are respected. Information held about the service users is stored correctly and ensures their privacy and confidentiality. Service users are supported to participate in the local community through the use of healthcare and leisure facilities which ensures they are not segregated because of their mental health problems. The Registered Manager has developed the leisure activities to ensure an interesting and stimulating environment is provided. Service users spoken to during the inspection said they enjoyed the activities and enjoyed spending time with the other service users. Efficient medication administration systems are in place to ensure service users good health. The home has a comprehensive complaints procedure to ensure service users views are listened to and acted upon. The service users spoken to confirmed they were happy with the standard of care they received and had no complaints to make. Service users live in a homely, comfortable and safe environment.
Copperfield DS0000062434.V282240.R01.S.doc Version 5.1 Page 6 The premises are kept clean and systems are in place to prevent the spread of infection. Staff are clear on their role and responsibility with regard to the care and support of the service users. The home has and effective staff team with sufficient skills to ensure service users needs are always met. Staff receive the support and supervision they need to carry out their jobs which ensures the service users are cared for in accordance with their individual care requirements. The management approach in the home is open and inclusive of all staff members. Both staff and service users spoke highly of the Registered Manager and said she was always available for support and advice. The service users rights, health and best interests are safeguarded by robust policies and procedures. The health, safety and welfare of the service users is well promoted throughout the home. What has improved since the last inspection? What they could do better:
No requirements have resulted from this inspection. The registered manager and staff team continue to work very hard to ensure the development of the service and the ongoing improvement to the standard of care and support offered to the service users. Copperfield DS0000062434.V282240.R01.S.doc Version 5.1 Page 7 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.V282240.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 Copperfield DS0000062434.V282240.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): 4 and 5 Prospective service users have an opportunity to visit and test drive the home before they make a decision on whether to move in on a permanent basis. Service users are issued with a written contract outlining the terms and conditions of their stay. EVIDENCE: Since the last inspection in September 2005, two new service users have been admitted into the home. Prior to them moving in, they had an opportunity to visit the home in order to view the facilities and meet the staff and the other service users. A flexible admission procedure is in place. In this instance one service user had a weekend stay and both visited on a couple of occasions and stayed for an evening meal. A contract outlining the terms and conditions between the home and the service user has been issued. Copperfield DS0000062434.V282240.R01.S.doc Version 5.1 Page 10 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): 8 and 10 Service users are given an opportunity to participate in the development of the service to ensure their rights and views are respected. Information held about the service users is stored correctly and ensures their privacy and confidentiality. EVIDENCE: A service user meeting take place on a regular basis in order to obtain service users views and ideas on the different aspects of care they receive. Questionnaires have also been sent to the service users for this purpose. The information gathered through the questionnaires is collated by the Registered Manager and acted upon appropriately. Information held in relation to service users care is stored securely and staff respect service users confidentiality in relation to this aspect of care. Copperfield DS0000062434.V282240.R01.S.doc Version 5.1 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): 13 and 14 Service users are supported to participate in the local community through the use of healthcare and leisure facilities which ensures they are not segregated because of their mental health problems. A range of appropriate leisure activities are provided to ensure and stimulating environment is provided. EVIDENCE: Links with the community are maintained through the use of social and healthcare facilities. This ensures service users can participate in normal community life and they are not segregated because of their mental health problems. Service users are encouraged and supported to pursue their own interests and hobbies outside of the home and a range of activities are also provided within the home. Service users social care needs have been assessed and the Registered Manager has carried out a great deal of work to develop this side of the service. A programme of activities is in place which service users are free to participate in if they wish. These activities include bowling, group discussions, cookery and pub lunches etc. The Registered Manager and staff said they were very pleased with the way this aspect of care
Copperfield DS0000062434.V282240.R01.S.doc Version 5.1 Page 12 an interesting provision has developed and commented that service users confidence had developed as a result of joining in these activities. Developing this side of the service is a very positive aspect of the care provided at Copperfield and ensures a stimulating and interesting environment is provided and ensures service users personal development. Some service users said they did not wish to participate in these activities as they had their own routines which they preferred. All of the service users spoken to during inspection said they enjoyed the activities provided and enjoyed spending time with of the service users. The routines in the home are flexible which means service users can exercise choice and control in their daily lives. Copperfield DS0000062434.V282240.R01.S.doc Version 5.1 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 and 20 Service users spoken to confirmed the staff are always available for support and advice when necessary. Efficient medication administration systems are in place to ensure service users good health. EVIDENCE: The service users spoken to during the inspection confirmed the routines within the home are flexible which means they can go about their day as they wish. They confirmed the Registered Manager and staff are always available for support when needed. Efficient systems are in place for the safekeeping and handling of service users’ medication and only trained staff are allowed to administer medication. All of the service users spoken to during the inspection confirmed they received their medication as prescribed by their GP. This is a positive aspect of the home and ensures service users medical health care needs are met. Copperfield DS0000062434.V282240.R01.S.doc Version 5.1 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 home has a comprehensive complaints procedure to ensure service users views are listened to and acted upon. Staff are provided with training on the protection of vulnerable adults to ensure they are safeguarded from neglect and harm. EVIDENCE: The CSCI has not received any complaints about the standard of care provided at Copperfield. No complaints been made directly to the staff at the home. A documented complaints procedure is in place which staff and service users have access to. Arrangements have been made for staff to be provided with training on the protection of vulnerable adults on 23/2/06. Copperfield DS0000062434.V282240.R01.S.doc Version 5.1 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 Service users live in a homely, comfortable and safe environment. The premises are kept clean and systems are in place to prevent the spread of infection. EVIDENCE: A programme of refurbishment is in place and further improvements have been made to the en-suite facilities and bathrooms. All bedrooms have now been redecorated and new carpets have been fitted in some bedrooms. Plans are being made for a new carpets to be fitted on the landings and stairs. All of this contributes to the further improvement at the fabric of the building and ensures a much more comfortable and homely environment is provided for the service users to live. 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 staff stated she always had sufficient equipment to carry out her work and had completed a National Vocational Qualification in health and hygiene. Copperfield DS0000062434.V282240.R01.S.doc Version 5.1 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): 31, 33 and 36 Staff are clear on their role and responsibility with regard to the care and support of the service users. The home have an effective staff team with sufficient skills to ensure service users needs are met at all times. Staff receive the support and supervision they need to carry out their job. This ensures they are cared for in accordance with their individual care requirements. EVIDENCE: A number have staff have completed training to the National Vocational Qualification standards and other staff are still in the process of completing this training at level 2 and 3. Staff have undertaken a range of appropriate training to support them within their role as care providers. The staff spoken to had a positive attitude towards their work and said they felt well supported in their role. The staff turnover is low. This is a positive aspect of the home and ensures consistency in the care provided to service users. Staff spoken to confirmed they had been provided with a range of appropriate training and felt well supported within their role. Regular staff meetings take place and all staff are provided with formal supervision to enable them to develop within their role was care providers.
Copperfield DS0000062434.V282240.R01.S.doc Version 5.1 Page 17 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): 38, 40 and 42 The management approach in the home is open and inclusive of all staff members. The service users rights, health and best interests are safeguarded by robust policies and procedures. The health, safety and welfare of the service users is well promoted throughout the home. EVIDENCE: There are clear lines of management and accountability within the home which is run for service users best interest. The Registered Manager demonstrated a clear understanding of her role with regard to the care of the service users and the management of the staff team. Regular staff meetings take place to ensure staff are able to put forward their views on the way the service is provided. Copperfield DS0000062434.V282240.R01.S.doc Version 5.1 Page 18 Staff spoken to confirmed they had access to a range of policies and procedures relating to the management of the home and the care of the service users. This is in line with good practice and ensures staff have all of the information they need to fulfil their role and care for the service users in line with good practice. The health, safety and welfare of service users and care staff is promoted and protected through the homes policies and procedures. Staff are further supported in this area of care through regular training. Staff confirmed they are provided with all of the necessary equipment in order to carry out their work. Copperfield DS0000062434.V282240.R01.S.doc Version 5.1 Page 19 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 x 3 x 4 3 5 3 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 3 32 x 33 3 34 x 35 x 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score x x 3 x 3 LIFESTYLES Standard No Score 11 x 12 x 13 3 14 3 15 x 16 x 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 x 3 x x 3 x 3 x 3 x Copperfield DS0000062434.V282240.R01.S.doc Version 5.1 Page 20 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Copperfield DS0000062434.V282240.R01.S.doc Version 5.1 Page 21 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.V282240.R01.S.doc Version 5.1 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
