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Inspection on 22/08/08 for Copperfields Residential Home

Also see our care home review for Copperfields Residential Home for more information

This inspection was carried out on 22nd August 2008.

CSCI found this care home to be providing an Good service.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Comprehensive assessments of need are completed for all prospective residents. The levels of care in the home are good. A visiting health care professional said, "The care is very good". Visitors are made welcome and are involved in planning the care of their relative. Residents receive a good choice of nicely prepared food.There is a friendly and welcoming atmosphere in the home

What has improved since the last inspection?

The service user guide has been updated and a new copy has been issued to each resident. This document has now also been produced in Widget form for use when needed. Some improvements have been made to the care plans although further improvements would be beneficial. Resident`s wishes in the event of their death are now reviewed regularly Residents are now consulted on social activities and which activities they would like to take part in. A new form has been developed for recording the choice and amount of meals taken by each resident. Environmental improvements have included the addition of contrasting nosings to steps/stairs; improvement of the access ramp to the front door; and improved signage around the building. Regular staff meetings are now being held

What the care home could do better:

Contracts must be completed and signed by the resident or their representative. Mandatory training of staff must be kept up to date. Some further improvements to care plans are needed to give clear guidance to staff. Staffing levels should be kept under review to ensure that there are always sufficient staff on duty.

CARE HOMES FOR OLDER PEOPLE Copperfields Residential Home Copperfields Residential Home 42 Villa Road Higham Kent ME3 7BX Lead Inspector Chris Woolf Unannounced Inspection 22nd August 2008 09:45 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 Copperfields Residential Home DS0000023919.V370246.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Copperfields Residential Home DS0000023919.V370246.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Copperfields Residential Home Address Copperfields Residential Home 42 Villa Road Higham Kent ME3 7BX 01474 824122 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) larchwoodcourt@tiscali.co.uk Larchwood Court Ltd Miss Janet Irene Aldridge Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Copperfields Residential Home DS0000023919.V370246.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Care for older people with dementia is restricted to 2 older people whose dates of birth are 12/03/17 and 10/08/15. Care of one older person with a learning disability is restricted to one person whose date of birth is 17/03/37. 28th February 2007 Date of last inspection Brief Description of the Service: Copperfields is set in a residential area in the village of Higham near Gravesend. Shops and amenities are located within a short walking distance. The home is registered to provide residential care and support to 20 older people although the home is currently only taking a maximum of 17 people. The home has mainly single bedrooms although there is one double bedroom available if prospective residents wish to share. There is a garden to the rear of the property. The home is not ideal for wheelchair users and therefore does not accept any new wheelchair bound residents. The fees charged for this service range from £339 - £463 per week. Copperfields Residential Home DS0000023919.V370246.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. Key Lines of Regulatory Assessment (KLORA) have informed the judgements made based on records viewed, observations made and written and verbal responses received. KLORA are guidelines that enable The Commission for Social Care Inspection (CSCI) to make an informed decision about each outcome area. The information for this report was gained from an Annual Quality Assurance Assessment (AQAA) completed by the home; and a site visit to the home by two inspectors. The site visit lasted just over 7 hours and was unannounced. This means that neither the staff nor the residents knew that we were going to attend. During the site visit we (the Commission) talked with residents, staff, a visiting family member, 3 visiting health care professionals, and the manager. We observed day-to-day life in the home, including the service of a meal, the interactions between staff and residents, and the offer of activities to residents in the lounge. A variety of records were inspected including care plans, staff recruitment and training records, quality assurance, safety records, menus, and medication. We also had a tour of the building. What the service does well: Comprehensive assessments of need are completed for all prospective residents. The levels of care in the home are good. A visiting health care professional said, The care is very good. Visitors are made welcome and are involved in planning the care of their relative. Residents receive a good choice of nicely prepared food. Copperfields Residential Home DS0000023919.V370246.R01.S.doc Version 5.2 Page 6 There is a friendly and welcoming atmosphere in the home What has improved since the last inspection? What they could do better: Contracts must be completed and signed by the resident or their representative. Mandatory training of staff must be kept up to date. Some further improvements to care plans are needed to give clear guidance to staff. Staffing levels should be kept under review to ensure that there are always sufficient staff on duty. Copperfields Residential Home DS0000023919.V370246.R01.S.doc Version 5.2 Page 7 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 Residential Home DS0000023919.V370246.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Copperfields Residential Home DS0000023919.V370246.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, & 5. Standard 6 is not applicable in this home Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their representatives have the information needed to choose a home that will meet their needs. EVIDENCE: The home has updated its statement of purpose to reflect the fact that they will no longer accept residents who are wheelchair bound. The service user guide has also been updated and a copy of the new document has been issued to all residents. In addition the service user guide has been produced in Copperfields Residential Home DS0000023919.V370246.R01.S.doc Version 5.2 Page 10 widget form for use when needed and is also going to be produced in Audio format. An offer letter has been introduced so that people will be aware of what the home can offer and how they can meet their needs. However we saw that those on file were in the template format and had not been completed. There is a contract in place which states the terms and conditions of tenancy and we saw that in some cases these had also not been completed. In order to fully protect the people living in the home and in accordance with the National Minimum Standards and Regulations this needs to be addressed. A requirement has been made regarding this. A comprehensive and person centred assessment of needs of each prospective resident is completed by the manager prior to admission. A copy of the joint assessment is also obtained for prospective residents who are care managed. The information gained during assessment enables the home to assess whether they will be able to meet the holistic needs of the prospective resident. If the home is not confident of meeting needs, admission will not be arranged. Visiting relatives confirmed that the manager and senior care assistant visited their mother to do an assessment prior to her moving into the home. The home offers introductory visits to prospective residents. The AQAA says – If prospective clients are interested in coming into the home they are invited for tea, followed by an overnight stay. There can be as many introductory visits as needed to ensure easy transfer into the home. Detailed plan of care is in place prior to introductory visits. This home does not offer the facility of intermediate care. Intermediate care is a specialised service with dedicated accommodation, facilities, equipment and staff, aimed at maximising residents independence to allow them to return to their own homes Copperfields Residential Home DS0000023919.V370246.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10, & 11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care that residents receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: We looked at 5 care plans on the day of the site visit. All care plans seen were person centred and included a holistic profile of physical, psychological, social, cultural, religious and diversity needs. They identify preferences & what the resident can manage. Also included are a variety of assessments, risk assessments, and records of medical appointments. Risk assessments seen included, nutritional, medication, moving and handling, bed rails, and daily Copperfields Residential Home DS0000023919.V370246.R01.S.doc Version 5.2 Page 12 living choices. The information in the pre-assessments and risk assessments promoted continuity of care i.e. where an issue had been identified this was then fed into the care plan – in that the information was the same and did not conflict with each other. All care plans seen confirmed that relatives of the resident are actively involved in the care planning and contribute towards both the initial care plan and regular reviews. The last inspection report contained a requirement that care plans must direct staff on how to meet the assessed needs of residents, specifically those with dementia or a learning disability. This has now been addressed. The homes improvement plan noted, We have now added to the service users care plans with dementia a detailed plan of how to ensure that these clients are occupied and feel valued. However some areas of the care plan did not really expand how to assist a person in that the record was more like a daily note and did not give clear guidance for staff. Movement & handling assessments did not give real clear guidelines on how to assist people, – only that they needed an aid. A recommendation has been made about further improving the care plans to address these issues. Residents health care needs are being met by the home supported by multidisciplinary health care professionals. The care plan indicates where someone is reluctant to access medical assistance and informs staff to be aware and monitor this situation. Evidence was seen of contact with doctors, nurses, chiropodist, optician, consultants, and dentist. Tissue viability is assessed and body maps kept. Any problems with tissue viability are reported to the district nurses. A visiting health care professional said, We dont get high incidents of skin tears now. Nutritional screening is undertaken and weights of residents are monitored regularly, any significant variations are referred to the G.P. Residents said, We get fed and washed, and They get the doctor if I need him. Visiting health care professionals commented, No problems with the care, Residents are never in a mess and The care is very good. Relatives spoken to confirmed they were contacted if there were any concerns about their relative’s health and kept informed of any changes. We looked at medication and saw that there are policies and procedures in place. The Medication Administration Record (MAR) sheets were completed appropriately with no gaps. It was confirmed that only trained members of staff administered medication and there was always someone on duty who was trained. A senior member of staff has recently taken over the lead role for medication and is responsible for the checking and auditing of medication. We saw on individual personal files that there was a list of the most up to date medication and a reference of the medications purpose and any possible side effects. The home did not have a copy of the most up to date Royal Pharmaceutical Society guidance and we advised them at the time of our visit. The Registered Manager made arrangements to obtain this at the time of our visit. A resident commented, Medication is regular. Residents were observed being treated with respect. Staff were seen speaking with and acknowledging them. Health care professionals commented, Copperfields Residential Home DS0000023919.V370246.R01.S.doc Version 5.2 Page 13 Residents are quite happy, and Residents are always so nice and clean. A visitor said, Staff are very patient, and Clothes are always clean, we havent seen the wrong clothes returned. There was a requirement on the last inspection report that residents wishes in the event of death must be reviewed with them regularly to ensure they are still relevant. Evidence was seen that this is now being done. Copperfields Residential Home DS0000023919.V370246.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to make choices about their life style. Social, cultural and recreational activities meet residents individual expectations. EVIDENCE: The last inspection report included requirements about consulting residents about their social interests and recording these in the care plan. Evidence was seen in care plans that this is now being done. On the day of the site visit music was being played in the main lounge, and staff were observed asking residents what they would like to do. One resident was taken out for a walk in his wheelchair at his request. A variety of pictures made by the residents during their craft sessions were on display in the home. Activities arranged include Quizzes, Scrabble, Craft sessions, chair bound exercises, Sing-along, Massage, and weekly hairdresser. The homes AQAA says, We have a qualified Copperfields Residential Home DS0000023919.V370246.R01.S.doc Version 5.2 Page 15 fitness instructor for older persons who also provides a session on musical entertainment. A craft instructor, and qualified reflexologist /massage person attend on a weekly basis. A local vicar visits monthly for those who wish to attend a religious service. A staff member confirmed that some residents had recently been taken out to Sheerness. The home has its own vehicle for taking residents out and we were told that the handyman will take residents out for a ride if they want. A member of staff confirmed that staff do get to spend some time with people but that there is very little time for 1-1s. Parties are held for special occasions and the homes compliments file included a letter thanking the manager for arranging a party for one residents 100th birthday. The letter included, It was beyond all our expectations and was thoroughly enjoyed by everybody who attended, and The jazz band was fantastic. A visitor commented, Mother isnt very sociable but they will try to work with her, they are very patient and understanding. Residents are able to have visitors at any reasonable time. We spoke to relatives who were visiting on the day. They confirmed that they were happy with the home and found the staff to be ‘open and friendly’. We were also told that they could visit at any time and were always made to feel welcome. Residents have choices in all aspects of their daily life, e.g. time of getting up, what to wear, which activities to take part in, where to sit, where to have meals. Residents are able to bring a selection of their own personal possessions into the home with them. A visitor confirmed that his mother had been able to bring in her own furniture and said, There has been no problem with that. One resident has brought their dog into the home to live with them. The homes AQAA says, Residents care for their own money for as long as possible and the home is a member of Care Aware Advocacy Service which advises residents or relatives of their entitlements. There was a requirement on the last inspection report that an accurate record must be maintained of all meals offered to and taken by people in the home. This has now been addressed. Residents are offered a choice for their meals. Menus are well balanced. Liquidised meals are served in separate portions to look as normal as possible. A resident commented, There are three choices always, meat, fish and vegetarian. Residents can choose whether to eat in the dining room or their own bedrooms. On the day of the site visit the lunch was late being served and residents started to get restless. Meals were served to the people in their rooms prior to those in the dining room being served. Food was served one table at a time which took quite a long time as there was only one person serving. This person would give the meals out to one table, and then, on more than one occasion, would stop and cut up a meal. This meant that people waiting at other tables still did not have their meal. Some of this delay was due to the fact that the other member of staff was busy assisting a visiting health care professional. This was discussed with the Manager who agreed to keep the service of meals under review. The meal served was presented nicely on plates. Residents confirmed that they enjoyed Copperfields Residential Home DS0000023919.V370246.R01.S.doc Version 5.2 Page 16 their meal. One resident said, Now we are on a menu, before we just had what came up. A letter in the homes compliments file included a comment I must add a special thanks to the chefs who put on a beautiful buffet and also lunch which xxx never expected but really enjoyed. Copperfields Residential Home DS0000023919.V370246.R01.S.doc Version 5.2 Page 17 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their representatives are able to express their concerns, and have access to a robust and effective complaints procedure. Residents are protected from abuse. EVIDENCE: The home has an accessible complaints procedure and a copy is on display in the entrance hallway. There have been no complaints made to the home since the last inspection. As well as a complaint register the home also keep a compliments file. Extracts from letters seen on this file include, I would just like to say thank you, thank you, thank you for the wonderful 100th birthday party you organised for xxx, and Thank you very, very much for the care and patience given to granny whilst she was in your care. Residents said, Ive no complaints, and There have been some changes for the better. A visitor said, Everything is alright here. A visiting health care professional said, No problems. Copperfields Residential Home DS0000023919.V370246.R01.S.doc Version 5.2 Page 18 Residents are protected from abuse. The home has an up to date abuse policy in place. No new member of staff is employed until a satisfactory check of the Protection of Vulnerable Adults register has been obtained. The majority of staff have received training in the Protection of Vulnerable Adults. There was one safeguarding referrals made recently but the Safeguarding department decided not to raise an alert. Copperfields Residential Home DS0000023919.V370246.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 24, & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enables residents to live in a safe, well-maintained and comfortable environment. EVIDENCE: The home is comfortable and generally well maintained, although the garden area would benefit from some attention. The last report included requirements and recommendations about the environment. Improvements made since that date have included the addition of contrasting nosings to steps/stairs; Copperfields Residential Home DS0000023919.V370246.R01.S.doc Version 5.2 Page 20 improvement of the access ramp to the front door; and improved signage around the building. There is a lift to provide access to all three floors. Shared facilities in the home consist of main lounge, quiet lounge, and dining room on the ground floor, and a hairdressing salon in the basement. All shared facilities are furnished in a comfortable and homely way. The lounge area was due to be re-carpeted the week after the site visit. There is a clock on the wall in the main that was displaying the wrong time on the day of the site visit. This was discussed with the manager who agreed to address this issue. The majority of residents are accommodated in single rooms, although there is one room available to be shared if people express the wish to share. Many of the rooms are fitted with en-suite toilet facilities and some also have a bath, shower, or wet room. Furniture provided in bedrooms is a pine effect, and of a homely nature, all with rounded edges. The majority of rooms seen had been personalised to the choice of the individual resident. The home has effective policies and procedures for the control of infection. Liquid soap and paper hand towels are available in all necessary areas. Personal protective equipment is readily available. The laundry is fitted with a machine with appropriate programming ability to control the spread of infection. The home is kept clean and, apart from a slight odour in the quiet lounge, no other unpleasant odours were noticed. Copperfields Residential Home DS0000023919.V370246.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Some shortcomings in staff training could put residents at risk EVIDENCE: A recorded staff rota is maintained showing the staff on duty at any one time. When there are insufficient of the homes own staff available agency staff are used. The home only uses one agency and requests the same members of staff on each occasion to maintain consistency for the residents. A visiting health care professional said, Sometimes they are a bit short staffed. In view of this and of comments made in the outcome area of daily life and social activities regarding not much time for 1:1s and residents having to wait for their meal to be served, the manager is advised to keep the number of staff on duty under review. A recommendation is made regarding this. The homes AQAA indicates that a high percentage of staff have achieved National Vocational Training (NVQ) at level 2 or above. The AQAA states, All Copperfields Residential Home DS0000023919.V370246.R01.S.doc Version 5.2 Page 22 senior Principle Support Worker and Managers are trained in Administration of Medication, have NVQ 3 or are or are training towards NVQ 3. A member of staff spoken with on the day of the site visit confirmed that she had completed her NVQ level 3. We looked at staff recruitment files for four members of staff. Recruitment procedures are sound. No member of staff is employed until a minimum of 2 written references, and a satisfactory check of the Protection of Vulnerable Adults register are received. Where staff are employed prior to receipt of the full enhanced disclosure they work under supervision. All staff work in accordance with the code of conduct of the General Social Care Council. All staff are issued with a contract of terms and conditions of employment. We looked at the induction records for one new member of staff and saw that she was currently undertaking her induction and that this was in line with the Skills For Care Guidelines. New staff do not work on the shift whilst they are doing their induction. The training records for staff evidenced that although staff have taken a variety of training, some of the mandatory training was out of date. This included movement and handling, health and safety and fire awareness. A requirement is being made with regards to this. Staff had completed training in safeguarding vulnerable adults and also infection control. We spoke to a member of staff who confirmed that she had been trained in medication and had also done training in dementia care. The manager is currently trying to access someone to give training about alternative means of communication. A resident said, The staff are very nice, I cant grumble. We spoke to relatives who were visiting on the day. They confirmed that they were happy with the home and found the staff to be ‘open and friendly’. A member of staff stated that she, enjoyed working in the home. Copperfields Residential Home DS0000023919.V370246.R01.S.doc Version 5.2 Page 23 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management and administration of the home is based on openness and respect. There are effective quality assurance systems in place. The health, safety and welfare of service users and staff would be better protected if staff training were up to date. EVIDENCE: Copperfields Residential Home DS0000023919.V370246.R01.S.doc Version 5.2 Page 24 The Registered Manager holds a CQSW (diploma in social work) and a RMA (Registered Managers Award). She has 16 years of experience in home management. An Assistant Manager who also has an RMA and 8 years experience supports her. Both undertake regular training to update their skills. A staff member confirmed she enjoys working at the home, and has good support from the Registered Manager. A visiting health care professional said, The manager is approachable, when you tell her anything its done straight away. A letter on compliments file included the comment, Most of all our special thanks Janet, go to you. Without you this would not have been such a successful party. The home has developed its Quality Assurance strategies. Quality questionnaires are circulated to service users and their families and also to visiting health care professionals. An analysis of the results is to be produced and the manager confirmed a copy would be sent to us. Currently the home does not have a development plan but the AQAA says that plans for improvement in the next 12 months include, To write a development plan for the coming year following return of the quality control questionnaires. Improvements made since the last inspection include the introduction of regular staff meetings and supervisions. Regular audits carried out in the home include Medication, Health & Safety including kitchen and fire, and Care Plans. The home looks after small amounts of petty cash for some of the residents. These monies are securely stored in a locked cupboard. Records of transactions inspected were properly recorded, double signed, and monies checked balanced against the records. The health, safety and welfare of the residents and staff are generally protected by the home. However, as mentioned in the Outcome Area of Staffing, some mandatory training is currently out of date and a requirement has been made regarding this. All health and safety records viewed were up to date and relevant, these included records of fire safety, accidents, and safety certificates. Notices on display in the hallway include fire procedure, fire zones, and staff who are trained in First Aid. Copperfields Residential Home DS0000023919.V370246.R01.S.doc Version 5.2 Page 25 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 2 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X X 3 X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Copperfields Residential Home DS0000023919.V370246.R01.S.doc Version 5.2 Page 26 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 OP2 Regulation 5 (1) (c) Requirement A contract stating the terms and conditions of tenancy must be provided and completed for all residents. The registered manager must ensure that staff training in the mandatory subjects, particularly Moving and Handling and Fire is kept up to date, and that all staff who administer medication are trained. Timescale for action 30/11/08 2 OP30 18 (c) (i) 30/11/08 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 OP7 Good Practice Recommendations Residents care plans should be further developed to give clear guidance to staff on how to give assistance to meet the needs of the individual resident. The Registered Manager should keep staffing levels under review to ensure that there are sufficient numbers on duty DS0000023919.V370246.R01.S.doc Version 5.2 Page 27 OP27 Copperfields Residential Home at all times to meet the needs of the service users. Copperfields Residential Home DS0000023919.V370246.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Maidstone 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. 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