Inspection on 06/03/07 for Copperfield House

This inspection was carried out on 6th March 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Copperfield House 06/10/05

Copperfield House 12/05/05

Copperfield House 26/10/04

Copperfield House 12/05/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

1 Marten Road

St Joseph`s

Ridgemount

Wingham Court

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

CARE HOMES FOR OLDER PEOPLE Copperfield House Copperfield House 13 Worple Road Epsom Surrey KT18 5EP Lead Inspector Sandra Holland Unannounced Inspection 06th March 2007 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Copperfield House DS0000013609.V330601.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Copperfield House DS0000013609.V330601.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Copperfield House Address Copperfield House 13 Worple Road Epsom Surrey KT18 5EP 01372 726725 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 Haroon Chaumoo Mrs Seering Bibi Chaumoo Mr Haroon Chaumoo Mrs Seering Bibi Chaumoo Care Home 16 Category(ies) of Dementia - over 65 years of age (4), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (4), Old age, not falling within any other category (14) Copperfield House DS0000013609.V330601.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Up to four of the service users may be in the category DE(E) or MD(E) Date of last inspection 6th October 2005 Brief Description of the Service: Copperfield House is located in a residential area in Epsom, Surrey. It is close to the town centre and local amenities. The home provides accommodation for sixteen older people with a mental disorder. Accommodation is provided on two floors and can be accessed by stairs of lift. The home has single bedrooms some with en-suite facilities. There is a lounge, dining area, conservatory, kitchen, office and bathing, washing and laundering facilities. There is a large garden and private parking is available. The fees charged in this service range from £350 to £480 per week. Copperfield House DS0000013609.V330601.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first site visit of a key inspection and was unannounced. The inspection took place over five hours. Mary Williamson, Regulation Inspector, carried out the inspection. The registered Manager Mr Haroon Chaumoo who is also the Provider represented the establishment. A discussion was held between the inspector and the manager regarding the administration of the home, the activities since the last inspection and how the requirements from the last inspection were met. A tour of the premises was undertaken and a number of records relating to the care of the service users and the management of the home were examined. Discussions were held with several of the service users both individually and in a group. They made positive comments regarding the home and the care they receive, on several occasions during conversation. Staff were organising a sing along in the lounge mid morning and a soft ball game after lunch. Some service users were participating while others sat quietly reading newspapers and books. Lunch was observed and the food offered was appetising and wholesome. This was served in a relaxed and unhurried atmosphere. Several service users made comments about the food stating that the food is “good” and “we are spoilt for choice”. It was possible to talk with all the staff on duty. They were all aware of the service users needs and how to meet these needs. The manager completed a pre inspection questionnaire and several feedback forms were returned to the inspector prior to the inspection. The Commission for Social Care Inspection would like to thank service users, the providers, and the staff for their help and hospitality during the inspection. What the service does well: Copperfield House DS0000013609.V330601.R01.S.doc Version 5.2 Page 6 The home provides a good standard of care and all the service users appeared well cared for. One service user stated that she liked having her hair done. The staff provide a range of activities to meet both individual and collective needs of the service users in the home. One service user stated that he enjoyed company and liked to “join in”. The home is well managed by the providers who are both experienced managers and operate a “hands on” approach. Relative comment cards stated this was “an advantage to the home”. The catering arrangements are well organised and the food offered is fresh, wholesome and varied. The staff team are well established and have a good understanding of service users assessed needs. Their ongoing training and development was evidenced and provide them with the skills necessary to meet individual needs. The home is run in the best interest of the service users and promotes their health, safety, and welfare. What has improved since the last inspection? All the requirements from the last inspection have been met. The manager has revised the policy and procedures around death and dying and there is now an updated procedure in place. The activities programme is now in place and displayed in the dining room for all the service users to access. The manager has developed a business plan and a copy of this was sent to The Commission for Social Care Inspection following the requirement made. The health and safety policy has been amended and updated to reflect current legislation. Copperfield House DS0000013609.V330601.R01.S.doc Version 5.2 Page 7 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. The summary of this inspection report can be made available in other formats on request. Copperfield House DS0000013609.V330601.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Copperfield House DS0000013609.V330601.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The statement of purpose and service user guide provides service users with enough information to help them make an informed choice about living in the home. Individual contracts of occupancy and needs assessments are in place. EVIDENCE: The statement of purpose and service user guide in place is available to all prospective service users and their relatives in order to help them to make an informed decision about living in the home. Individual contracts of occupancy are in place and outline the care to be provided, the accommodation offered, and the fees payable and method of payment. These are signed by the service user or their designated representative and retained on file. Copperfield House DS0000013609.V330601.R01.S.doc Version 5.2 Page 10 All service users have a needs assessment in place, which is undertaken by the manager prior to admission to the home. Three needs assessments were randomly sampled and found to be comprehensive, informative, and well maintained. The home does not provide intermediate care. Copperfield House DS0000013609.V330601.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users health care needs are met as outlined in individual care plans. Medication in the home is generally well managed with the exception of one shortfall. EVIDENCE: Individual care plans are in place and three of these were seen. Care plans are well written on the basis of the needs assessment, with input from the service users and their relatives, and any other health care professional reports. Care plans are signed by the service users and are reviewed regularly or when needs change. The arrangements in place to meet service users health care needs are satisfactory. All service users are registered with a local GP and are visited regularly. The district nurse also visits the home and will advise on specific treatments, undertake blood tests, and administer flu vaccines. Chiropody is arranged every six weeks and is exclusive of fees. The optician provides a domiciliary service and dental care is also available. Physiotherapy can be arranged by request. Copperfield House DS0000013609.V330601.R01.S.doc Version 5.2 Page 12 The home has a medication administration policy in place. Boots the Chemist supplies the medication to the home in blister pack format. Training can also be accessed through Boots, who also undertake regular audits. The medication recording charts were sampled and are well maintained. There is a procedure for returning medicine to the chemist. There was one shortfall noted around the medication procedures in the home. One service user refused to take two tablets, which were then left on top of the medication trolley in a medicine pot for several hours, rather than following the homes policy for “refused medication”. A requirement has been made regarding the safe disposal of medication on page 23. During the inspection staff were observed to respect the privacy and dignity of service users. Staff were observed to address service users by their preferred names and to knock on doors before entering service users bedrooms. Several service users commented that the staff were kind and caring. Copperfield House DS0000013609.V330601.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The leisure activity arrangements meet the individual and collective needs of service users. The service users receive a well balanced diet. EVIDENCE: There is an activities programme in place, which is displayed in the dining room. The staff explained that they coordinate these activities which include, playing card and board games, music and movement, gentle exercise, reminiscence, manicure, pedicure, and sing along. The inspector observed a sing along taking place mid morning and a hand ball game taking place after lunch. Some service users chose to sit and read their newspaper. There is also a visiting library service available to the home. Service users are encouraged to participate in decision making and are encouraged to choose meals, what clothes they wear, and what time they go to bed and get up. Spiritual needs are supported and service users are assisted to attend church. Worship groups are also organised within the home. Copperfield House DS0000013609.V330601.R01.S.doc Version 5.2 Page 14 The manager stated that regular contact is maintained with relatives and that visitors are welcome in the home at any reasonable time. The manager also stated that relatives are also included in reviews of care. There were no relatives visiting during the inspection. The catering arrangements in the home are well organised. Menus are planned by the provider with the input of the service users. Meals are wholesome, fresh and appetising. Several service users commented on the food and stated that “the food is good” and” we are well looked after”. Lunch was served in the dining room, in and unhurried and pleasant atmosphere. Copperfield House DS0000013609.V330601.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users are protected by the complaints procedure and the abuse awareness policicy in the home. EVIDENCE: There is a complaints procedure in place, which has recently been updated. All service users and their relatives have access to a copy of the complaints procedure, which is included in the service user guide. There have been no complaints since the last inspection. The home has an abuse awareness policy in place. All staff have induction training in abuse awareness, which is updated every year. There is also a copy of Surreys Multi Agencies Policies and Procedures on Safeguarding Vulnerable Adults in place and the manager attended update training in these policies in April 2006. During discussion with staff they were aware of these procedures and felt confident about implementing these procedures if necessary. Copperfield House DS0000013609.V330601.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 23, and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a well maintained, clean and comfortable home, which meets both individual and collective needs of the service users. EVIDENCE: On the day of the inspection the home was clean, well ventilated and well maintained. Accommodation includes a large lounge and dining area, which is decorated to a good standard. There is a conservatory, which overlooks a well rear garden and patio area. Several services commented on the facilities in the home and one stated that he liked to sit and enjoy the company in the lounge. Service users bedrooms are single occupancy some of which are en-suite. These have been personalised to reflect individual personalities. A trace of Copperfield House DS0000013609.V330601.R01.S.doc Version 5.2 Page 17 malodour was detected in some bedrooms, which had been identified by the manager and a carpet shampoo machine purchased to address the problem. There is an infection control policy in place and the home provided several hand washing facilities and anti-bacterial hand washing outlets throughout the home. Arrangements are in place for the collection of clinical waste. The laundry facilities meet the requirements of the home. Copperfield House DS0000013609.V330601.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The number and skill mix of staff on duty meets service users needs. Recruitment procedures highlighted a shortfall in employment files. EVIDENCE: The staff duty rota was seen and the number and skill mix of staff on duty was satisfactory to meet the assessed needs of the service users. Both providers one of whom is also the registered manager, and three carers were on duty. The home does not employ agency staff, and the permanent staff also work bank duties when required. During discussion with staff they demonstrated a clear understanding of their roles and responsibilities. Staff training is ongoing and the manager gave an account of the training provided, which included induction training, mandatory training, and NVQ. During discussion with staff they stated that they all receive a handbook at induction, which they work through and then this is signed by the manager when assesses as competent. Staff also confirmed that most of them had undertaken NVQ level 2, one had NVQ level 3, and another is currently undertaking NVQ level 3. Staff training files confirmed all the training in place. Copperfield House DS0000013609.V330601.R01.S.doc Version 5.2 Page 19 The recruitment files were sampled during the inspection. These contained employment documentation to include a completed application form, written references, employment history, and CRB (Criminal Records Bureau) disclosure number. One file did not have any written references in place. A requirement has been made (Regulation19 (1)) with regard to the fitness of staff including obtaining the necessary documentation prior to employment. Copperfield House DS0000013609.V330601.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed in the best interest of the service users. The health safety and welfare of the service users is promoted. EVIDENCE: The home is well managed by the registered manager who is also the provider. His wife who is also the registered provider supports him. They are both qualified nurses with several years experience in the provision of care to older people. They also have experience in teaching and management. The staff spoken to all stated that they felt supported by the management structure within the home. Service users were also very satisfied with support they receive. This was also the view of relatives in the feedback forms returned to The Commission for Social Care Inspection prior to this inspection. Copperfield House DS0000013609.V330601.R01.S.doc Version 5.2 Page 21 Quality assurance is monitored through consultation with service users, relatives, and staff. Questionnaires are sent to relatives periodically and retained on file for reference. The arrangements for safeguarding service users finances are satisfactory. The home only keeps small amounts of personal monies on behalf of service users to pay for items such as hairdressing, chiropody and toiletries. There is a policy in place for all financial transactions and any money withdrawn is signed for. There is a wide range of health and safety policies and procedures available in the home and some of these were viewed during the inspection. All new staff are inducted in health and safety policies, manual handling, food hygiene, first aid, fire safety, and COSHH. Risk assessments are in place for all identified risks and for safe working practice. Fire safety records were sampled and evidenced that the fire alarms are checked weekly. There is a contract in place for the maintenance of the fire fighting equipment and emergency lighting. Copperfield House DS0000013609.V330601.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X 3 X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Copperfield House DS0000013609.V330601.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP9 Regulation 12 Requirement Timescale for action 30/03/07 2 OP29 19(1) The registered person must make arrangements for the medication procedure to be followed correctly. This is to include the immediate disposal of medication once a service user has refused to take this, and not to leave medication standing on the medication trolley for long periods of time. The registered person must not 30/03/07 employ staff to work in the home without all the required employment documentation being in place. This must include two written references. These must be obtained by 30/03/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Copperfield House DS0000013609.V330601.R01.S.doc Version 5.2 Page 24 Copperfield House DS0000013609.V330601.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN National Enquiry Line: 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 © 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 House DS0000013609.V330601.R01.S.doc Version 5.2 Page 26 - 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!