Inspection on 14/11/05 for Copperfields

This inspection was carried out on 14th November 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 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

Copperfields 14/11/06

Copperfields 04/07/05

Copperfields 13/02/05

Copperfields 07/10/04

Copperfields 12/03/04

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Southfields

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

CARE HOME ADULTS 18-65 Copperfields 52A River Drive Strood Rochester Kent ME2 3JR Lead Inspector Robert Pettiford Unannounced Inspection 14th November 2005 08:30 Copperfields DS0000028897.V262023.R01.S.doc Version 5.0 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 Copperfields DS0000028897.V262023.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 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. Copperfields DS0000028897.V262023.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Copperfields Address 52A River Drive Strood Rochester Kent ME2 3JR 01634 294444 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) The Kent Autistic Trust Vacant Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Copperfields DS0000028897.V262023.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th July 2005 Brief Description of the Service: Copperfields is a care home that is managed by the Kent Autistic Trust with the property being owned by Hyde Housing Association. The home provides accommodation and care to a maximum of six adults with learning disabilities.The home is situated in a residential area of Strood, Rochester and is approximately one mile from Strood town centre and railway station. Public transport, local shops, public houses and leisure facilities are within walking distance of the home.The home has its own transport for use by service users and staff. Service users have access to day opportunities provided by the Kent Autistic Trust. Copperfields DS0000028897.V262023.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced Inspection November 2005 at 8:15am. at Copperfields took place on 14th The Inspector agreed and explained the inspection process with the team leader on duty. Documentation and records were read, including risk assessments. Time was spent reading a sample of written policies and procedures and reviewing records kept within the home. A tour of premises was undertaken. The inspector spent time talking with staff and service users. The focus of the inspection was to assess Copperfields in accordance to the National Minimum Standards for Younger Adults. In some instances the judgement of compliance was based solely on verbal responses given by those spoken with. As this report was made following an unannounced visit and may not cover the standards in sufficient depth for the reader to make a judgment about the home, it is recommended that a copy of the last announced inspection report be also obtained dated 4th July 2005. Positive feedback was received from service users about the quality of care within the home. What the service does well: Many service users spoken with confirmed that the staff are very caring and kind to them at all times. The inspector noted that staff spoke to the residents in a respectful and courteous manner. Evidence gathered during the inspection process confirmed that service users have the benefit of living in a home which is suitable for their needs and provides a homely environment. The home provides many opportunities for the service users to express themselves and have freedom of choice and autonomy over their lives. Staff enable service users to have opportunities to maintain and develop social, emotional, communication and independent living skills. The service users take an active part in community based activities and feel part of it. Copperfields DS0000028897.V262023.R01.S.doc Version 5.0 Page 6 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. Copperfields DS0000028897.V262023.R01.S.doc Version 5.0 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 Copperfields DS0000028897.V262023.R01.S.doc Version 5.0 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): 1,2,3,4,5 Prospective service users have all the information they need to make an informed choice about whether they wish to live at the home. Service users’ rights are protected by a written contract / statement of terms and conditions. Service users can be confident that their needs will be suitably assessed and that they will have the benefit of a trial period at the home prior to moving in. EVIDENCE: Service users are provided with a Statement of Purpose. It was found to include all the information as required of Schedule 1 of the Care Home Regulations 2001. The service users guide meets with the standards and found to be in a format that service users could understand. The contracts/terms conditions of residency contained the information as required by the standards. The service users and or the family have also signed the contracts. The pre assessments seen contained all of the information needed to make an informed decision as whether the home would be able to meet the prospective service users needs. The home does encourage prospective service users to come to the home for the day and have a meal, they also invite for a overnight stay. All service users Copperfields DS0000028897.V262023.R01.S.doc Version 5.0 Page 9 coming into the home do so on a trial basis, during this time the assessment continues and the service user has the opportunity to see if they are happy at the home. If at the end of this period the home feels it can meet the service users needs and the service user/family are happy then the placement can become permanent. Copperfields DS0000028897.V262023.R01.S.doc Version 5.0 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): 7,8 The service users can be confident that their rights to make decisions about their lives is respected and that they are consulted on, and participate in, all aspects of daily life within the home. EVIDENCE: The inspector visited the home while the service users were getting ready to visit the day centre. It was evident that the service users make choices about their lives and are part of the decision process. A relaxed atmosphere was noted with one of the service users interacting with staff and having a laugh about the football team he supported. The inspector found that the home has a genuine commitment in evolving the service user in the day to day running of the home. Staff were responsive and receptive to the service user’s input. Examples of such included choosing activities and planning of the day ahead. Copperfields DS0000028897.V262023.R01.S.doc Version 5.0 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): 11,12,13,14,17 Service users can be confident that they are offered opportunities for personal development and to learn new skills and feel part of the wider community. Service users engage in a higher than average level of activities which are appropriate to their needs. Service users are supported to maintain contact with family and friends, which ensures they continue to receive stimulation and emotional support. The service users benefit from the appetising meals and balanced diet offered at the home. EVIDENCE: Service users are enabled to participate and contribute to meeting their own self care needs and day to day chores around the house. Thus providing them with opportunities to maintain and develop, communication and independent living skills. Copperfields DS0000028897.V262023.R01.S.doc Version 5.0 Page 12 Discussion with some of the service users at Copperfields confirmed that they were pleased with the levels of activities offered. Many spoken with enjoyed a range of activities including horse riding, shopping trips, theatre and cinema trips, bowling, and visits to pub and restaurants to name a few. Service users were seen to enjoy a good level of stimulation through leisure and recreational activities both inside and outside the home. The day centre provided by Kent Autistic Trust in Gillingham provides a wide range of support with regard to training and education. Service users have been enabled to and encouraged to participate in hobbies and activities which they had an interest in, such as maintaining and building on personal collections and specific recreational activities. One service user spoke of his interest in football and planned visits to see his team. It was confirmed that service users are enabled to maintain contact with relatives and friends where they wished to do so. Examples of such included provision for relatives and friends to visit the home and support being provided to enable services users to visit relatives or friends outside the home. Service users were consulted with regard to whom they saw and when and were under no compulsion to accept visitors should they not wish to do so. The home is to be commended with regard to promoting service users independent living skills, participation in the community and the levels of activities provided. The inspector visited the home whist the service users were getting ready to leave for the day centre. From observation, records viewed it was evident that service users were offered a choice of menus that meet their dietary needs and individual preferences. Meal times are flexible to suit the service users’ activities and schedules. Service users are able to choose where to eat, and also have facility to make drinks, meals and snacks for themselves and others. Service users on evidence seen have had been involved in planning and choosing menus. Copperfields DS0000028897.V262023.R01.S.doc Version 5.0 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): Not inspected on this occasion. EVIDENCE: Copperfields DS0000028897.V262023.R01.S.doc Version 5.0 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): Not inspected on this occasion. EVIDENCE: Copperfields DS0000028897.V262023.R01.S.doc Version 5.0 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): Not inspected on this occasion. EVIDENCE: Copperfields DS0000028897.V262023.R01.S.doc Version 5.0 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): Not inspected on this occasion. EVIDENCE: Copperfields DS0000028897.V262023.R01.S.doc Version 5.0 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): 37,39,40,42 Whilst the quality of care offered to service users is sound, it will be better promoted once a full-time Registered Manager is appointed to run the home. The service user can be confident that their views and opinions effect how the home is run and that their best interest are safeguarded by appropriate policies and procedures. The service users can feel confident that their health and safety/ welfare is protected by robust policies/ procedures and safety checks. EVIDENCE: The home currently does not have a Registered Manager. The management of the home is supported by a manager from another home within the Trust. The Kent Autistic Trust is currently recruiting a new manager who will seek registration to enable the home to meet with the standards. Copperfields DS0000028897.V262023.R01.S.doc Version 5.0 Page 18 The Registered Provider is supporting the staff within the home to ensure that standards are maintained. The home has sought to monitor the quality of service provided by collating feedback from the services users and relatives. Regular monitoring is also undertaken by senior management under Regulation 26. The home also benefits from staff meetings and one to one discussions with the service users. The organisation is accredited to the National Autistic Society who also monitor the service. Staff assisting with the inspection stated that the trust has policies and procedures that form the basis of ensuring the safety of the staff and service user. The inspector viewed records relating to staff training, Health and Safety Procedures, maintenance and servicing, and risk assessments. The inspector viewed the Fire Log book, which was up-to-date, reflecting that checks and servicing of fire safety equipment had been undertaken at the required frequency. Procedures are available for the reporting of accidents and incidents (Regulation 37) and records maintained of the same. Copperfields DS0000028897.V262023.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 4 3 3 3 3 Standard No 22 23 Score x x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score x 3 3 x x Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x LIFESTYLES Standard No Score 11 4 12 4 13 4 14 4 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Copperfields Score x x x x Standard No 37 38 39 40 41 42 43 Score 2 x 3 x x 3 x DS0000028897.V262023.R01.S.doc Version 5.0 Page 20 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. 7 Standard 37 Regulation YA37 Requirement 9.—(1) A person shall not manage a care home unless he is fit to do so. (2) A person is not fit to manage a care home unless— (b) having regard to the size of the care home, the statement of purpose, and the number and needs of the service users— (i) he has the qualifications, skills and experience necessary for managing the care home; Timescale for action 14/02/06 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 Copperfields DS0000028897.V262023.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Copperfields DS0000028897.V262023.R01.S.doc Version 5.0 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. 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