Inspection on 14/11/06 for Copperfields

This inspection was carried out on 14th November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Copperfields 14/11/05

Copperfields 04/07/05

Copperfields 13/02/05

Copperfields 07/10/04

Copperfields 12/03/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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 2006 08:00 Copperfields DS0000028897.V319175.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Copperfields DS0000028897.V319175.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Copperfields DS0000028897.V319175.R01.S.doc Version 5.2 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 Mrs Geraldine Adamthwaite Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Copperfields DS0000028897.V319175.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th November 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 centre opportunities provided by the Kent Autistic Trust. Copperfields DS0000028897.V319175.R01.S.doc Version 5.2 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. Positive feedback was received from service users about the quality of care within the home. The scale of charges for Copperfields range from £1,158.00 to £1,764.00 per week. What the service does well: What has improved since the last inspection? It was evident through the inspection process that the manager is taking appropriate steps to continually review and improve the standards of care Copperfields DS0000028897.V319175.R01.S.doc Version 5.2 Page 6 within the home. Since the last inspection the manager has successfully been appointed the registered manager by the Commission. 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. Copperfields DS0000028897.V319175.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Copperfields DS0000028897.V319175.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. 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 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: The home has a Statement of Purpose. The manager stated that it meets with the required standards, and includes all the information as required of Schedule 1 of the Care Home Regulations 2001. The home has prepared service users guide’s that are in a format that is appropriate for all the service users living within the home. Several care plans were viewed some contained pre assessments and appeared to 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. Copperfields DS0000028897.V319175.R01.S.doc Version 5.2 Page 9 The manager confirmed that the home encourages prospective service users to come to the home for the day and have a meal, they also invite for an overnight stay. All service users coming into the home do so on a trail 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 is happy then the placement can become permanent. Copperfields DS0000028897.V319175.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users benefit from having comprehensive care plans / reviews that identify their physical and medical needs, However care plans were found in some areas to be in need of updating and review. Service users can feel confident that they are fully supported to take risks within a risk assessed framework However risk assessments need to be individual to the service user. The service users can be confident that their rights to make decisions about their lives is respected and they are consulted on, participate in, all aspects of life within the home as they wish. EVIDENCE: The inspector viewed and discussed with the Manager the care records relating to several service users. In the care plans viewed there were clear guidelines Copperfields DS0000028897.V319175.R01.S.doc Version 5.2 Page 11 in respect to support needed with regard to strategies to manage and support service users with their challenging behaviour. Plans sampled demonstrated that the home used positive planned interventions to manage behaviour. The care plans need to draw all the information into one document to assist the care worker in delivering the care. It is suggested that it covers and included the following headings. Needs (What are the assessed needs?) Objectives (What do you want to achieve? Action (Agreed action and by whom?) Comments, Review Date It is evident through talking to members of staff that the emotional health of the service users is of a high priority to the home and that staff are pro-active in maintaining and supporting Service Users with their emotional needs in order to maintain their quality of life. The home and its staff are committed to supporting the service users in accordance with their needs. This was evidenced through the knowledge and experience of the staff seen by the inspector whilst supporting several service users. Risk assessments were discussed and viewed with the manager. Documentation recorded how to support service user’s to minimise risks for personal safety. However not all care plans viewed contained all necessary risk assessments and were not regularly updated or specific to the service user. The home has general risk assessments covering many areas of service users lives. However they need to be individual and specific to each service. The manager stated that she would ensure that risk assessments are specific to individuals and cover all areas of their lives where they could be at risk to themselves or others. Copperfields DS0000028897.V319175.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. 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. Copperfields DS0000028897.V319175.R01.S.doc Version 5.2 Page 13 EVIDENCE: Service users are enabled to participate and contribute to meeting their own self care needs and day to day chores around the house. Discussion with the Manager and staff confirmed that the level of activities were of a high level and good quality for all of the service users and that they enjoyed a good level of stimulation through leisure and recreational activities both inside and outside the home. The service users benefit from accessing a day service that has been set up and run by The Kent Autistic Trust. This service provides for many opportunities for service users to enhance their independent living skills and access the community. The inspector joined service users at 8:00am just after the had finished their breakfast. The inspector had the opportunity to speak to many of the service users who express their opinions of the home and the activities they participated in and enjoyed. They commented that 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 and enjoyed a wide range of leisure activities and felt part of the community. 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. None of the service users who were discussed about with staff had any spiritual needs which they actively addressed, however it was confirmed that where this was the case all appropriate support would be provided. One service user explained the menus to the inspector and how his choice and preferences influenced the menu. He also spoke of his interest in cooking and related to the occasions he had personally cooked a meal. 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 with staff support should they wish. Service users on evidence seen have had been involved in planning and choosing menus. Copperfields DS0000028897.V319175.R01.S.doc Version 5.2 Page 14 Copperfields DS0000028897.V319175.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Service users feel supported by the level of help given and that their healthcare needs are addressed. Service users are supported to self – administer their medication where possible and are protected by the home’s policies and procedures. EVIDENCE: Times of getting up / going to bed, having baths, eating meals and other activities are flexible to allow for different service users daily routines. Service users were able to make their own choice where possible with regards to what they wished to wear and their hairstyles and this was evident by their individual appearance. The inspector observed excellent interaction between staff and service user’s. The homes records fully documented all physical and emotional healthcare needs which is monitored on a daily basis. Records of health care provided by G.P, chiropodist, dentist, and opticians were evidenced. This system ensures Copperfields DS0000028897.V319175.R01.S.doc Version 5.2 Page 16 that all service user’s receive continuity of care and support and that potential complications and problems are recognised and dealt with at an early stage. Staff actively promote the service users right of access to the health and remedial services that they need, both within the home and in the community. Regular appointments are seen as important and there are systems in place to make sure residents are reminded and appointments are not missed. One service user administers his own medication and is supported to do so within a risk assessed framework. The medication storage arrangements and some records including Medication Administration Record (MAR) sheets, and the protocols for the administration of “PRN/As Required” Medication were viewed. The Home uses a Monitored Dosage System and it was evident the Home had sought advice and information from the supplying pharmacist. Only authorised staff members undertake the administration of medication following training. Copperfields DS0000028897.V319175.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users rights with regard to making a complaint are protected within the home and the complaints procedure is available in formats that are suitable for all service users. Service users can feel confident that they are protected from abuse within the home. EVIDENCE: A copy of the Home’s complaints procedures was inspected within the home and found to meet with the National Minimum Standards. It was available in different formats that meet with the service users needs. The home’s Policy for the Protection of service users and staff “Whistle blowing” procedure was discussed. These include procedures for the reporting of suspicion or evidence of abuse with a format for the recording of any allegations and action to be taken. Full training has been provided in adult abuse for all staff. The home did possess a copy of the Kent and Medway Adult Protection procedures / protocols. Copperfields DS0000028897.V319175.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users benefit from living in a clean comfortable home, which is suitable for their needs. EVIDENCE: The Inspector undertook a tour of the home bathroom/toilet facilities and communal areas. All areas viewed appeared to be clean. Fixtures and fittings and general decoration were seen to be of a good standard. The number of toilet and bathroom facilities provided by the Home meets current required standards. Toilets and bathrooms were lockable offering service users’ privacy, although staff are able to access toilets/bathrooms in an emergency if required. Copperfields DS0000028897.V319175.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 33,35,36 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Service Users can feel fully confident that they are supported by suitably trained, experienced and supervised staff who have the skills to meet their needs Staff are supervised on a regular basis in accordance with the standards. EVIDENCE: From discussions with the manager, observations and reviewing the staff rotas sufficient staff were on duty at the time of inspection to meet the service users needs. Staffing ratio’s are high and service users needs are additionally supported by day centre staff. The service has the needs of residents at its core. The recruitment of good quality carers is seen as integral to the delivery of an excellent service. The service is selective, with the recruitment of the right person for the job being more important than the filling of a vacancy. Copperfields DS0000028897.V319175.R01.S.doc Version 5.2 Page 20 A wide range of training has been identified for all staff over and above core skills courses. Many staff have been trained to NVQ Level III in Care or are currently studying. It was noted that all of the required training / updates to maintain qualifications had been undertaken for all staff and that this was seen as a ongoing process. The home was to evidence that all staff receive structured induction training (within six weeks of appointment) and foundation training (within six months of appointment) to Sector Skills Council specification (including training on the principles of care, safe working practices, the organisation and worker role, the experiences and particular needs of the service user group, and the influences and particular requirements of the service setting). On evidence provide by the manager it showed that staff are supervised on a regular basis in accordance with the standards. Copperfields DS0000028897.V319175.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,40,42 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Service users greatly benefit from living in a service which is managed to a high standard which results in an excellent standard of care. 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. Copperfields DS0000028897.V319175.R01.S.doc Version 5.2 Page 22 EVIDENCE: The registered manager is highly competent to run the home and meets its stated aims and objectives. She is able to demonstrate through the wiliness to complete formal qualifications, and her many years of management experience that she is highly competent in a range of areas. These can include servicespecific good practice areas, current legislation and proposed developments, the quality assurance systems, equal opportunity issues, development and implementation of the service’s policies and procedures, good people skills, strong leadership of staff, responds to need and provides an excellent role model. There is strong evidence that the ethos of the Home is open and transparent. The views of both residents and staff are listened to, and valued. The registered persons; Registered Provider and Registered Manager have extensive knowledge and are highly confident in both strategic/ financial planning and review and have developed a detailed business and financial plan which gives a clear indicator of the success and efficiency of the home. The home has very efficient systems to ensure effective safeguarding and management of individual’s money including records keeping. Service users have access to their records whenever they wish. Record keeping is of a consistently high standard. Records are kept securely and staff are aware of the requirements of the Data Protection Act. Service can get access to their records and contribute to them as their capacity dictates. All the working practices in the home are safe. The home has a full range of policies and procedures to promote and protect residents’ health and safety. Staff consistently follows these. There is full and clearly written recording of all safety checks and there is no evidence of a failure to comply with other legislation. The home proactively consults other experts and agencies about health and safety issues. There is a good understanding of risk assessment and this is taken into account in all aspects of the running of the home. The quality assurance system confirms that the findings from risk assessments have been actioned and the home continuously improves its systems for health and safety. The systems are regularly reviewed and updated and are developed on the basis of experience in the home and learning from external developments. The manager ensures that all staff is trained in health and safety matters and has regular planned updates. Copperfields DS0000028897.V319175.R01.S.doc Version 5.2 Page 23 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. Copperfields DS0000028897.V319175.R01.S.doc Version 5.2 Page 24 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 3 2 3 3 3 4 3 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 x 30 3 STAFFING Standard No Score 31 x 32 x 33 4 34 x 35 4 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 4 3 x LIFESTYLES Standard No Score 11 4 12 4 13 4 14 4 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 x 4 4 3 3 x 3 x Copperfields DS0000028897.V319175.R01.S.doc Version 5.2 Page 25 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 Copperfields DS0000028897.V319175.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Copperfields DS0000028897.V319175.R01.S.doc Version 5.2 Page 27 - 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!