Inspection on 04/07/05 for Copperfields

This inspection was carried out on 4th July 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

Copperfields 14/11/06

Copperfields 14/11/05

Copperfields 13/02/05

Copperfields 07/10/04

Copperfields 12/03/04

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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 ME2 3JR Lead Inspector Robert Pettiford Announced 4 July 2005 9.30am 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 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 Stationary 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 H56-H06 S28897 Copperfields V231610 040705 Stage 4.doc Version 1.30 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 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 Ruth Bray Care Home 6 Category(ies) of Learning Disability (6) registration, with number of places Copperfields H56-H06 S28897 Copperfields V231610 040705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 11 February 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 H56-H06 S28897 Copperfields V231610 040705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Announced Inspection July 2005 at 9:00am. at Copperfields took place on 4th The Inspector agreed and explained the inspection process with the Manager. Documentation and records were read, including care plans. Time was spent reading a sample of written policies and procedures, reviewing care plans and records kept within the home. A tour of premises was also undertaken. 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. What the service does well: What has improved since the last inspection? What they could do better: All standards inspected were either met or exceeded. Copperfields H56-H06 S28897 Copperfields V231610 040705 Stage 4.doc Version 1.30 Page 6 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 H56-H06 S28897 Copperfields V231610 040705 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Copperfields H56-H06 S28897 Copperfields V231610 040705 Stage 4.doc Version 1.30 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 standard(s) Not inspected on this occasion. To be inspected at the next inspection. EVIDENCE: Copperfields H56-H06 S28897 Copperfields V231610 040705 Stage 4.doc Version 1.30 Page 9 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 standard(s) 6,9 Individual plans are comprehensive identifying needs and personal goals and are specific to the individual service user. Care plans showed that service users are enabled to make decisions and choices. However a new care planning system is being developed to further enhance the existing systems clarity. Service users are enabled to take responsible risks through a thorough risk assessment process. EVIDENCE: The home is committed to supporting the service users in accordance with their needs and goals. This was evidenced through the care plans which detailed the areas of support that the service user needed and how this support is provided by the staff. There were guidelines in respect to routines and behaviour. The manager confirmed that these are reviewed with the service users on a regular basis and the families are supported to be involved. All care plans viewed had short and long-term goals, which had been agreed with the individual. Copperfields H56-H06 S28897 Copperfields V231610 040705 Stage 4.doc Version 1.30 Page 10 Service Users rights to make decisions are respected and the care plans reflected their ability to make an informed judgement. Care plans included in depth information concerning the preferred lifestyle and choices. Plans sampled demonstrated that the home used positive planned interventions to manage service users behaviour. Risk assessments were discussed and viewed and detailed documentation recorded how to support Service Users in their daily living activities and identified how to minimise risks for personal safety. Copperfields H56-H06 S28897 Copperfields V231610 040705 Stage 4.doc Version 1.30 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 standard(s) Not inspected on this occasion. To be inspected at the next inspection. EVIDENCE: Copperfields H56-H06 S28897 Copperfields V231610 040705 Stage 4.doc Version 1.30 Page 12 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 standard(s) 18,19,20 Service users feel supported by the level of help given and that their healthcare needs are addressed. Service users are protected from harm by the home’s policy and procedures with regard to the administration and dispensing of medication EVIDENCE: The care plans fully documented the personal support required for individual Service Users. They reflected their choices and preferences and staff were observed offering guidance where needed. Times of getting up / going to bed, having baths, eating meals and other activities are flexible to allow for different Service Users daily routines. All Service Users were able to make their own choice with regards to what they wished to wear and their hairstyles and this was evident by their individual appearance. All Service Users are allocated a key worker and the inspector observed excellent interaction between staff and Service Users. The care plans also fully documented all physical and emotional healthcare needs and where able Service Users filled in or were supported to fill in appropriate forms. Within the care plans records of health care provided by G.P, chiropodist, dentist, and opticians was evident. Visits to the hospital were Copperfields H56-H06 S28897 Copperfields V231610 040705 Stage 4.doc Version 1.30 Page 13 documented and there was also evidence of other outside services including psychology input. Service Users physical and emotional health is monitored on a daily basis. Through their daily records and these correspond with support assessments held in the care plans. This system ensures that all Service Users receive continuity of care and support and that potential complications and problems are recognised and dealt with at an early stage. It is evident through records that the emotional health support is of a high priority to this home and the staff are pro-active in maintaining and supporting Service Users with their emotional needs in order to maintain their quality of life. 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 H56-H06 S28897 Copperfields V231610 040705 Stage 4.doc Version 1.30 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 standard(s) 22,23 Service users know that their concerns and complaints are taken seriously and are protected from the risks of abuse. EVIDENCE: A copy of the Home’s complaints procedures was reviewed along with the manager. The procedure included details of how to complain, timescales for response and information for referring a complaint to the Commission for Social Care Inspection. The complaints procedure has been provided and explained to service users where possible. 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 is provided in abuse. More courses are planned to ensure all staff receive the training required to protect service users from abuse. Criminal Record Bureau Checks (CRB) have been obtained for all staff. The Manager is aware of her obligations with regard to ensuring the safety of Service users and protecting them from abuse. Copperfields H56-H06 S28897 Copperfields V231610 040705 Stage 4.doc Version 1.30 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 standard(s) 24,25,26,27,30 Service users live in a clean comfortable home, which is suitable for their needs. EVIDENCE: The Inspector undertook a tour of the home including some service users rooms, with their permission, bathroom/toilet facilities and communal areas. All areas viewed appeared bright, cheerful, and airy. Fixtures and fittings and general decoration were seen to be of a good standard. Bedrooms were seen to be personal in nature with each service users expressing their own identity. 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 H56-H06 S28897 Copperfields V231610 040705 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35,36 Service users’ care, social and emotional needs are promoted by the employment of caring and suitably trained staff. Service users are protected from potential abuse by the home’s robust staff recruitment procedures. 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 basic needs. The home provides one member of staff to two service users. The staff training records indicated planned and undertaken training. The manager evidenced that individual and group staff training needs had been identified. A wide range of training has been identified for all staff over and above core skills courses. First Aid, Food Hygiene, Health and Safety and other core courses are undertaken to maintain current qualifications and for protection of service users. Courses also include training in managing Challenging Behaviour From evidence seen the training and development of staff is central to achieving the aims and objectives of Copperfields. Copperfields H56-H06 S28897 Copperfields V231610 040705 Stage 4.doc Version 1.30 Page 17 The inspector viewed details of the Home’s recruitment procedure and a number of records relating to staff members recruited. The Home undertakes a recruitment practice including submission of an application form detailing all previous work history, requests proof of I.D and copies of qualification certificates, seeks written references. All staff appointments are subject to a probation period, which is subject to review. The Registered Manager reported all staff had received statements of terms and conditions of employment, evidence of which was seen in the file. All staff have a contract of employment and job description. Members of staff receive regular supervision. Evidence of which was noted. Copperfields H56-H06 S28897 Copperfields V231610 040705 Stage 4.doc Version 1.30 Page 18 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) Not inspected on this occasion. To be inspected at the next inspection. EVIDENCE: Copperfields H56-H06 S28897 Copperfields V231610 040705 Stage 4.doc Version 1.30 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 x x x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 x x 3 Standard No 11 12 13 14 15 16 17 x x x x x x x Standard No 31 32 33 34 35 36 Score 3 3 3 3 4 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Copperfields Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x x x H56-H06 S28897 Copperfields V231610 040705 Stage 4.doc Version 1.30 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. 1. 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. 1. Refer to Standard Good Practice Recommendations Copperfields H56-H06 S28897 Copperfields V231610 040705 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection The Oast Hermitage Court Hermitage Lane Maidstone Kent. 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. 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