Inspection on 06/10/05 for Copperfield House

This inspection was carried out on 6th October 2005.

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 06/03/07

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 Deavanand Ramdas Announced Inspection 6th October 2005 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.V256322.R01.S.doc Version 5.0 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.V256322.R01.S.doc Version 5.0 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 Care Home 16 Category(ies) of Dementia - over 65 years of age (2), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (2), Old age, not falling within any other category (14) Copperfield House DS0000013609.V256322.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Up to two of the service users may be in the category DE(E) or MD(E) Date of last inspection 26th October 2004 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. Copperfield House DS0000013609.V256322.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection carried out by one inspector over a period of six hours. A full tour of the premises took place and staff, service users and relatives were spoken to. In addition, documents and care records were examined. The inspector would like to thank the managers, service users, staff and relatives for their contributions to the inspection. Comments cards, feedback forms and CSCI business cards were left at the home for information. What the service does well: What has improved since the last inspection? The home has met the previous requirements that have resulted in improvements in the environment. One service user had new carpet in her bedroom and the flooring in the toilet area has been replaced. A staff remarked the flooring in the toilet is easy to clean and makes it hygienic for service users. Documents have improved and the complaint policy has been reviewed and updated with a flowchart to make it easy for service users and relatives to understand the complaint process. The local mobile library service visits the home giving service users the opportunity to borrow books. A relative stated her mother has books of her choice and is able to occupy her mind. The manager stated the home had a summer garden party for service users to socialise with their peers. Copperfield House DS0000013609.V256322.R01.S.doc Version 5.0 Page 6 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 House DS0000013609.V256322.R01.S.doc Version 5.0 Page 7 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.V256322.R01.S.doc Version 5.0 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,4 &5. The homes Statement of Purpose and Service User Guide are good providing service users and prospective service users with details of the services the home provides enabling an informed choice to be made about admission to the home. The home has adequate arrangements for meeting the needs of service users. The home offers trial visits to give service users and relatives the opportunity to visit and assess the suitability of home. EVIDENCE: The home had a Statement of Purpose and Service User Guide. The inspector noted the Statement of Purpose was reviewed and amended in June 2005 and the complaint section updated. The manager stated service users were assessed before admission to identify their needs. The inspector sampled a pre-assessment and noted it was signed and dated by the manager and a relative. During a meeting staff stated they were able to meet the needs of service users based on their experience and training. The inspector noted some care staff had NVQ Level 2 in Care and others were working towards the qualification. A relative stated staff seemed to be well trained and are able to support her mother whose needs are changing. The manager stated the home Copperfield House DS0000013609.V256322.R01.S.doc Version 5.0 Page 9 offered trial visits that were reflected in the homes brochure. The manager stated service users and relatives were encouraged to visit the home and meet with staff and other service users before admission. The home did not offer intermediate care and this standard was not assessed. Copperfield House DS0000013609.V256322.R01.S.doc Version 5.0 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 9,10 & 11. The medication at this home is well managed promoting good health. Personal support in this home is offered in such a way as to promote service users’ privacy and dignity. The systems for handling service users at the time of dying and death are unsatisfactory and the home must improve policies and procedures. EVIDENCE: The home has a policy on the management of medications and a Care to Train information folder on medications. The home had a pharmacy audit carried out on the 22. 7. 05. Staff were trained in medications by Opus Training and certificates were on staff files. The inspector noted medications were stored in a locked metal cabinet secured to the wall in the staff office. Medication administration sheets were sampled that was signed and dated by staff. During the inspection staff were observed to address service users by their preferred names and to knock on doors before entering service users bedrooms. A service user remarked staff are helpful and understanding. The inspector reviewed policies and noted a procedure for action to be taken in the event of death of a service user was in need of updating, in addition the home did not have a policy on handling dying and death of a service user. This was Copperfield House DS0000013609.V256322.R01.S.doc Version 5.0 Page 11 discussed with the manager and action has been required in respect of this matter. Copperfield House DS0000013609.V256322.R01.S.doc Version 5.0 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 & 15. The arrangements for activities at the home are adequate ensuring service users interests and needs are satisfied however the home must ensure information on activities is more accessible and widely available in the home. The systems for supporting service users to maintain community contact are satisfactory. The arrangements at the home support service users to exercise choice over their lives. The meals in this home are good offering both variety and choice. EVIDENCE: The home had an activity schedule and an activity diary. The inspector noted staff recorded the daily activities of service users and activities included playing games, doing exercises, reading and shopping. The activity schedule was in the office and not accessible to service users. This was discussed with the manager and action has been required in respect of this matter. The manager stated the home had no restrictions on visiting times that was reflected in the homes brochure. A relative stated staff are welcoming and friendly and you can visit the home anytime. The manager stated the home had contact with volunteers from the local church who took service users shopping. A relative stated the mobile library service visits the home she remarked service users have books of their choice and can read and occupy their mind. The manager stated service users are encouraged to bring personal possessions to the home and remarked one service user had furniture Copperfield House DS0000013609.V256322.R01.S.doc Version 5.0 Page 13 made by her husband in her bedroom. On the day of the inspection it was noted service users had roast chicken with gravy, roast potatoes, carrots and sprouts for lunch. The dining tables were laid with knives, forks, spoons, napkins and condiments and staff were observed to use verbal prompts to support service users. The inspector sampled the menu plan and noted it offered variety and choice. A service user stated the meals were excellent and she had no complaints. Copperfield House DS0000013609.V256322.R01.S.doc Version 5.0 Page 14 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 The complaint process at the home is satisfactory with complaint information available to staff, service users and relatives. EVIDENCE: The home had a complaint policy. The inspector noted the policy was reviewed and updated in June 2005. The complaint policy had a flowchart attached to make it easy for service users and relatives to follow the complaint process. The manager stated no complaint had been made since the last inspection. A relative remarked my father has not expressed any concern and he is able to speak up. During a meeting staff stated they were aware of the complaint policy that was kept in a folder in the office. Copperfield House DS0000013609.V256322.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20 & 26 The standard of the environment within this home is good providing service users with an attractive and homely place to live. The communal areas are adequate ensuring service users have safe and comfortable facilities. The arrangements for hygiene are good ensuring the home is clean and hygienic for service users. EVIDENCE: On the day of the inspection the home was clean, well ventilated and free from mal odour. One service user who had been on respite care commented on how clean and beautifully decorated the home was. The garden was well maintained with the lawn cut and the hedge and border neat and tidy. Potted plants were on the patio. Communal areas were well presented with adequate seating and lighting. The inspector noted chairs and tables were available and a piano and television in the lounge. The home had a conservatory that provided additional space for reading and relaxation. The inspector noted a service user sitting quietly reading a book. The home had infection control measures with hand washing facilities and anti-bacterial hand wash widely available. Copperfield House DS0000013609.V256322.R01.S.doc Version 5.0 Page 16 Copperfield House DS0000013609.V256322.R01.S.doc Version 5.0 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28 & 30 The arrangements for staffing are satisfactory ensuring adequate numbers of staff on duty to meet service users’ needs. The systems for staff training are adequate ensuring staff have the skills to support service users. The arrangements for the induction of staff are good with staff demonstrating a clear understanding of their role. EVIDENCE: On the day of the inspection the registered managers, four care assistants and a cleaner was on duty. The inspector sampled the duty roster and noted it reflected the staff on duty. The manager stated the home did not use agency staff and permanent staff worked bank. During a meeting staff confirmed they worked bank that was reflected on the duty roster. A relative stated staffing level is good she remarked I see quite a few staff around when I visit the home. The manager stated one staff had enrolled on the NVQ programme, two staff had been working towards the qualification and three staff had NVQ Level 2 in Care. During a meeting staff confirmed the management was committed to training and development and one staff remarked she wanted to do NVQ Level 3 in Care. The inspector sampled a training file and noted an induction record incorporating TOPSS standards that was dated and signed by the employee and the trainer. A relative stated staff are caring and service users are carefully monitored at all times. Copperfield House DS0000013609.V256322.R01.S.doc Version 5.0 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,34,35,37 & 38. The manager provides clear leadership throughout the home with all staff demonstrating an awareness of their role and responsibilities. The home reviews aspects of its performance through consultations with staff, relatives and service users. The arrangements for safeguarding the financial interest of the home are satisfactory however the business plan must be made available for information. The arrangements for managing records are adequate ensuring service users rights and interests are protected. The systems for promoting health and safety are inadequate and the home must improve it policies and procedures to safeguard staff and service users. EVIDENCE: The home has two experienced registered managers with a background in nursing, teaching and management. Staff, services users and relatives have been positive about the management of the home. A relative stated we consider ourselves very lucky to have found a care home like Copperfield and a Copperfield House DS0000013609.V256322.R01.S.doc Version 5.0 Page 19 staff remarked the managers were very good. The manager stated the home sent questionnaires to staff, service users and relatives to obtain feedback on the home. The inspector noted the home had a quality assurance folder that had completed questionnaires date June 2005. The inspector noted the home had regular staff meetings and service user meetings. The last staff meeting was held on the 12.10.05 and attended by all staff. The home had a certificate of liability insurance dated June 2005 that was displayed in the office. The manager stated the home had a business plan that was with the accountant. This was discussed with the manager and action has been required in respect of this matter. The home provided a locked cash box for the safe keeping on service users money and valuables that was kept in the office. The inspector noted the home kept written records of all transactions. The inspector sampled the service users money sheet that was dated and signed by staff and service users and noted the records and balances were correct. The home has a locked cabinet in the office that is used to store confidential records. The inspector sampled care plans and noted they were accurate and up to date. The policy on health and safety was in need of review and updating. This was discussed with the manager and action has been required in respect of this matter. The inspector checked the fridge and freezer temperature records that were within normal limits and up to date. The manager stated the home had a legionella test and he was waiting for the results. The inspector noted the home had an invoice that indicated a legionella test was carried out. The home had an Environmental Health inspection on the 26.06.05 that was satisfactory. Copperfield House DS0000013609.V256322.R01.S.doc Version 5.0 Page 20 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 x x 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 3 10 3 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 x 3 3 X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 2 3 3 3 2 Copperfield House DS0000013609.V256322.R01.S.doc Version 5.0 Page 21 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 NMS-OP 11 Regulation 37(1)(a) Requirement The registered person must ensure the procedure on the death of service user is reviewed, amended and updated. The registered person must ensure a policy on the handling of dying and death of a service user is in place at the home The registered person must ensure the activity schedule is accessible and widely available to service users. The registered person must ensure a copy of the business plan is in the home for information and a copy sent to the commission without delay. The registered person must ensure the health and safety policy is reviewed, amended and updated to reflect current legislation. Timescale for action 01/11/05 2 NMS-OP 11 12(1)(a) 12(3)12 16(2)(m) (n) 23(3)(c) 01/02/06 3 NMS-OP 12 01/11/05 4 NMS-OP 24 01/11/05 5 NMS-OP 38 12(1)(a) 01/12/05 Copperfield House DS0000013609.V256322.R01.S.doc Version 5.0 Page 22 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 2 Refer to Standard NMS-OP NMS-OP Good Practice Recommendations The registered person shall ensure the home has a copy of the Care Home Regulations 2001(As Amended) for information. The registered person shall ensure the home has a copy of the National Minimum Standards (Older People) 3rd Edition for information. Copperfield House DS0000013609.V256322.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 House DS0000013609.V256322.R01.S.doc Version 5.0 Page 24 - 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. 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