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Inspection on 07/09/06 for Copperfields Residential Home

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

This inspection was carried out on 7th September 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

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

The home is kept clean and is comfortable for residents. They can bring their own belongings to put in their bedrooms. There is plenty of lounge and dining space. Residents said they enjoy the meals. There is plenty of choice and lots of tea and coffee available. Residents can choose to have something else if they prefer. The staff have completed most areas of training they need to do their jobs. There is a lot more training for staff planned. Residents can have visitors when they want. Residents birthdays are celebrated with a party if they wish to have this.

What has improved since the last inspection?

There are more staff on duty each day now. Two new care staff have started work. More training for staff has happened and all the staff are now being supervised by the Manager. The staff are now making sure that medication is stored and given safely to residents. The staff are trained to do this. The cleaner has continued to improve the standards of cleanliness in the home. The protective sheets on the beds have been replaced so that they are more comfortable for residents. The owner is now visiting the home every month to do an audit. This is to make sure the quality of the service is high. Some of the policies in the home have been reviewed to check they are working properly.

What the care home could do better:

All residents must have a proper assessment of their needs before they are offered a place at the home. The home should not take people into the home that are outside of their registration. The Manager must make sure that the resident with a possible diagnosis of dementia is diagnosed properly. It would be a good idea to ask an occupational therapist to come and look at the home. They may be able to give ideas for how the home could be made better for the people with dementia. Residents should all have a new care plan completed and this should tell staff exactly what support the person needs. The care plans should also help residents to maintain any skills they have. This helps people to feel more independent. Guidance should be given to staff about when medication should be given if it is prescribed as "when needed". Residents should be asked what activities they would like to have on the weekly planner. They should be supported to go out for activities if they want to. Some of the policies for the home need to be reviewed to check they are working properly. The Manager must make sure that staff know how to use the whistle blowing policy. The Manager and owner must make sure they know the correct procedures to follow if an allegation of abuse is made in the home. The Manager must make sure that all the proper checks are made before letting staff work at the home. Staff should have a least one day off a week. At least 50%of staff should have an NVQ qualification. The owner must make sure that a qualified Manager is appointed to the home. Staff should be trained to care for people with dementia. The two residents that are sharing a bedroom should be offered their own rooms so that they can have their privacy.

CARE HOMES FOR OLDER PEOPLE Copperfields Residential Home Copperfields Residential Home 42 Villa Road Higham Kent ME3 7BX Lead Inspector Jo Griffiths Key Unannounced Inspection 7th September 2006 09:20 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.V305783.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.V305783.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) Larchwood Court Limited 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.V305783.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. 24th May 2006 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 and has a range of single and double bedrooms and a number of communal lounges and dining areas. There is a garden to the rear of the property. The home is not ideal for wheelchair users. The fees charged for this service range from £301 - £485 per week. Copperfields Residential Home DS0000023919.V305783.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was unannounced. The inspector visited the home between 9.20am and 4.30pm on 7th September 2006. The registered Manager is not currently working at the home and the acting Manager was present. Some residents were spoken with and care plans were inspected. Other documents and records were seen as part of the inspection. There were 15 residents living at the home. There are still a number of areas that do not meet the required standards, however, it is noted that some improvements have been made to the home since the last inspection. What the service does well: What has improved since the last inspection? There are more staff on duty each day now. Two new care staff have started work. More training for staff has happened and all the staff are now being supervised by the Manager. The staff are now making sure that medication is stored and given safely to residents. The staff are trained to do this. The cleaner has continued to improve the standards of cleanliness in the home. The protective sheets on the beds have been replaced so that they are more comfortable for residents. The owner is now visiting the home every month to do an audit. This is to make sure the quality of the service is high. Some of the policies in the home have been reviewed to check they are working properly. Copperfields Residential Home DS0000023919.V305783.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Copperfields Residential Home DS0000023919.V305783.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Copperfields Residential Home DS0000023919.V305783.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 4 Residents are provided with the information they need about the home. Residents do not have their needs properly assessed before they move to the home. The needs of residents with dementia are not being fully met. The overall outcome in this area is poor. This judgement has been made from evidence gathered during the inspection, which included a site visit. EVIDENCE: The Statement of Purpose and Service User Guide have been reviewed and amended. The acting Manager said this is sent to prospective residents when they show an interest in moving to the home. The provider has introduced a new format for assessment. These have not been completed for the current residents yet. It is recommended that these be completed for current residents as they are more detailed than previous Copperfields Residential Home DS0000023919.V305783.R01.S.doc Version 5.2 Page 9 assessments and all residents should have their assessment reviewed regularly. It is intended that all new residents would have the new assessment completed. The home is registered for older people. There has been a variation to the registration to allow 2 residents who have dementia to be cared for at the home. This is because they developed dementia whilst at the home and did not wish to move on. This variation is specifically for those 2 people and no other person with dementia should be admitted to the home. However, it was noted at the last inspection that one other resident has a diagnosis of dementia on her care plan. The person has been placed at Copperfields, which is not registered to care for people with dementia. This evidences that a proper assessment had not been carried out by the home before they were offered a place. A requirement was made for the person to be properly assessed, as the acting Manager is unaware of the origin of this diagnosis. If a diagnosis of dementia is confirmed a variation to registration must be applied for immediately. The care plan must be reviewed to ensure all her needs can be met. If the person is not diagnosed with dementia the care plan must be amended to reflect this. It is recommended that an Occupational Therapist with specialist knowledge of dementia care be asked to assess the environment and make recommendations about how it can be improved for the people with dementia. All staff must complete training in dementia and be aware of the specialist needs of these residents. Copperfields Residential Home DS0000023919.V305783.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 9, 10 Each resident has a care plan, but these do not yet reflect all individual needs. Residents are protected by safe procedures for managing medication. Not all residents have their right to privacy upheld. The overall outcome in this area is poor. This judgement has been made from evidence gathered during the inspection, which included a site visit. EVIDENCE: A new format for care planning has been introduced and the acting Manager has begun work on these. The format is detailed and covers all areas of care. These are not complete yet and the acting Manager was advised that the plans must detail exactly what support the person needs with each area of their life. As well as the care plan detailing the areas of need it should also focus on the strengths of the person and how any skills can be maintained. The new care plan has a space for the resident or their relative to sign to agree the plan. Care plans are reviewed monthly. Copperfields Residential Home DS0000023919.V305783.R01.S.doc Version 5.2 Page 11 Where passive restraints are used, ie wheelchair straps, these must be agreed and signed by the resident or their representative. For one resident the restraint form gave different information to what was in the care plan. The acting Manager agreed to review this. Most of the required improvements for the management of medication have been made. All staff that administer medication have received training and have had an assessment of their competence. Medication is being stored and administered safely to residents. It remains a requirement that protocols for when “as required” medication should be given must be in place. This will ensure that staff know when a resident needs a medication that has been prescribed to be given as needed. The right to privacy is still being compromised for the two residents who share a bedroom. Both residents require assistance throughout the night and have high personal care needs. There is not appropriate screening in the room. The residents should be offered single bedrooms where their privacy can be properly maintained. This issue is discussed further under standard 23. Copperfields Residential Home DS0000023919.V305783.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 15 Residents have not been consulted on the activities they would like to do. Residents enjoy a varied diet and have lots of choice of meals. The overall outcome in this area is adequate. This judgement has been made from evidence gathered during the inspection, which included a site visit. EVIDENCE: There is a programme of activities for the home. It was required at the last inspection that this should be reviewed with the residents to ensure that they are properly consulted on the activities they would like to be available. The acting Manager was not sure that this had been done. It will remain a requirement. On the day of the inspection Bingo was the activity offered and some residents played this with staff in the lounge in the morning. In the afternoon an activity worker came to the home but also played Bingo with the residents. The acting Manager acknowledged this was poor communication between staff. Copperfields Residential Home DS0000023919.V305783.R01.S.doc Version 5.2 Page 13 Residents spoken with said they would like to be able to go out of the home for activities on occasion. Records showed this does not happen. This should be considered when the activity planner is reviewed. Staff should ensure that they record any activities that are done with residents on a 1:1 basis. For example, reading a newspaper with a resident, discussing a programme on the television, having a chat etc. Also residents should be offered the opportunity to maintain any skills they have to help them to feel valued within the home. Residents said they liked the meals. There are 3 choices of main meal and residents are supported to choose what they would like for the following day. Alternatives are always available. The acting Manager said that staff are monitoring whether residents at risk of dehydration are drinking the drinks offered. Copperfields Residential Home DS0000023919.V305783.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Residents know how to make a complaint. Residents are not protected from abuse. The overall outcome in this area is poor. This judgement has been made from evidence gathered during the inspection, which included a site visit. EVIDENCE: The complaints procedure has been made clear for residents to see in the entrance hall. The complaints book showed complaints from residents had been recorded by the acting Manager. There are two Adult protection alerts that are still being investigated under the Kent and Medway adult protection procedures. The Manager is waiting to hear the outcome of these. Since the last inspection there have been two more adult protection alerts raised in respect of the home. The Manager and the provider did not follow the correct procedures for reporting these. They must both ensure they know and understand the Kent and Medway policy. The acting Manager completed a Protection of Vulnerable Adults course in July 2005. It is recommended that an update be arranged. These concerns have now been reported properly and are being dealt with by KCC. Copperfields Residential Home DS0000023919.V305783.R01.S.doc Version 5.2 Page 15 Because of the allegations that have been made in respect of this home KCC are not admitting any new residents until the investigations have been completed. Copperfields Residential Home DS0000023919.V305783.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 26 Residents live in a well maintained environment. Residents have access to sufficient communal space. Residents have sufficient bathroom facilities that meet their needs. Residents have the specialist equipment they need. Most resident’s bedrooms meet their needs. Not all residents have a single bedroom. Residents have their own possessions around them. Residents live in a clean and hygienic home. The overall outcome in this area is good. This judgement has been made from evidence gathered during the inspection, which included a site visit. Copperfields Residential Home DS0000023919.V305783.R01.S.doc Version 5.2 Page 17 EVIDENCE: The home was clean, warm and comfortable for residents at the time of the inspection. Residents were enjoying breakfast in the dining room on my arrival. There is sufficient lounge and dining space for residents to use. There is a quiet lounge for those who wish to use it. The garden was well maintained to the rear but the garden furniture would benefit from replacement as it is starting to look worn. Most residents’ bedrooms have been personalised with their own belongings and were comfortable and appropriate for their needs. However, it is of concern that two residents in the home still have to share a bedroom. It was required at the last inspection that evidence be provided that the two residents had made a positive choice to share. This had not been done. The 2 residents both need high levels of support with their personal care and need support through the night. Therefore the two residents should be offered single rooms to maintain their privacy. If the residents are able to make a clear choice about sharing then suitable screening must be provided in the bedroom. This should be a fitted screen, i.e. a curtain on a rail, and not a free standing screen, as these can be tripped over. The cleaner at the home has made great improvements to the standard of cleanliness in the home over the last 12 months. She is working hard to ensure that each room is fully cleaned each day. Soiled laundry is now being hygienically managed by staff. Protective bedding has been renewed where needed. There are 2 hoists, one on each floor, and a shaft lift. It is recommended that an Occupational Therapist be asked to review home and make suggestions for how the environment could be improved for people with dementia. The home has sufficient bathroom facilities that meet the needs of the residents. Copperfields Residential Home DS0000023919.V305783.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Residents are supported by sufficient numbers of staff. Residents would benefit from all staff having an NVQ. Residents would benefit from tightening of recruitment procedures. Residents are trained to do their jobs. The overall outcome in this area is adequate. This judgement has been made from evidence gathered during the inspection, which included a site visit. EVIDENCE: There have been some new staff recruited to the home since the last inspection. These staff have undergone an induction and have completed or are booked to do mandatory training. Most staff are now working less hours, ensuring that residents are not put at risk by tired staff. One senior carer did not have a day off rostered for 9 days. The acting Manager said she would ensure that all staff have at least one day off per week. There are always 3 staff on duty now to support residents and one staff is allocated as the shift leader. The Manager was advised to highlight the responsible shift leader on the rota. Copperfields Residential Home DS0000023919.V305783.R01.S.doc Version 5.2 Page 19 Senior staff are trained to NVQ level 2. One support worker is working toward an NVQ 2. It is recommended that at least 50 of care staff are trained to NVQ level 2 as a minimum. Recruitment files were examined. Not all files had a written reference from the last employer. The Manager was advised that staff should not start work until the CRB disclosure and two written references are received. Only in exceptional circumstances should a POVA first check be used. For two members of staff the acting Manager must receive evidence of their visa to work in the UK and retain this on their file. Staff on student visas must only work 20 hours per week. Staff have completed more training since the last inspection. This includes medication and manual handling. The Manager and senior staff are completing a 12 week medication course with Bexley college. It is planned that once this is complete all staff will complete a 12 week dementia course. The training files were clear to follow and copies of certificates were available to evidence training. Copperfields Residential Home DS0000023919.V305783.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, 37, 38 Residents are not currently benefiting from a qualified and supervised Manager. Residents are asked for their views on the home. Residents finances are safeguarded. Staff are appropriately supervised. Service users best interests are safeguarded by the policies of the home, but not all polices have been reviewed. The health and safety of residents is promoted. The overall outcome in this area is adequate. This judgement has been made from evidence gathered during the inspection, which included a site visit. Copperfields Residential Home DS0000023919.V305783.R01.S.doc Version 5.2 Page 21 EVIDENCE: The registered Manager is now solely registered for Copperfields, however she is not currently working at the home whilst Adult Protection investigations are underway. There is an acting Manager in post until a new Manager can be recruited. The provider must ensure that the acting Manager receives the required support whilst in post. The acting Manager has not received any supervision since being in post. The last supervision was in July 2006 when she was a senior carer. Despite a lack of management experience the acting Manager is making every effort to meet the requirements set out in the last inspection report. The acting Manager has been working in a senior position for 1 year. She does not have any management qualifications, but has completed the NVQ 3 in care and is waiting for the certificate. The acting Manager has started supervision sessions with all staff. These are happening at least monthly. The provider is now completing monthly quality assurance audits of the home. The acting Manager was advised to ensure she sees all accident/incident reports and signs them before they go into residents’ files. Residents are asked their views on the home each month at their reviews and annual by questionnaire. The acting Manager must ensure they are consulted on activities available in the home. The records and storage of residents’ money was checked. This is kept safe and checked by two staff at each transaction. The policy and procedure manuals were seen. Some policies have been reviewed. Others still require review and should be dated once this is done. The policy for whistle blowing was inspected. The acting Manager was advised that this policy should refer the reader to the adult abuse policy so that they know the types of things that could be abuse and would need to be reported. The medication policy was reviewed on 15/05/06. The manual handling policy requires a review. The Fire officer has visited the home and confirmed that the toilet door that was blocking a bedroom at the last inspection does not present any fire safety risks. The Manager has retained a letter confirming this on file. There were no health and safety concerns identified at this inspection. Risk assessments have been reviewed within each residents care plan. Copperfields Residential Home DS0000023919.V305783.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 1 2 x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 9 2 10 1 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 x 14 x 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 1 3 3 3 3 2 3 x 3 STAFFING Standard No Score 27 2 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 x 3 x 3 3 2 3 Copperfields Residential Home DS0000023919.V305783.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes 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 OP4 Regulation 14(1)(a) Requirement The registered person shall not provide accommodation to a service user at the care home unless, so far as it shall have been practicable to do so, the needs of the service user have been assessed by a suitably qualified or suitably trained person. In that, service users must not be offered a place at the home where the home cannot meet their needs or where the home is not registered to provide care to a person with those needs. The diagnosis of dementia for the service user who has been placed out of category must be confirmed. An application for a variation to registration must be received. This requirement was not met by the previous timescale of 31/05/06 2. OP9 13(2) The registered person shall 09/10/06 make arrangements for the recording, handling, safekeeping, DS0000023919.V305783.R01.S.doc Version 5.2 Page 24 Timescale for action 09/10/06 Copperfields Residential Home safe administration and disposal of medicines received into the care home. In that, Clear guidance must be in place for when staff should administer as required medications. This requirement was not met by the previous timescale of 30/07/06 3. OP12 16(2n) The registered person shall 09/10/06 having regard to the size of the care home and the number and needs of service users consult service users about the programme of activities arranged by or on behalf of the care home, and provide facilities for recreation including, having regard to the needs of service users, activities in relation to recreation, fitness and training. In that, evidence of consultation and how service users social needs will be met should be included in the care plan. Clear records of all activities service users participate in should be kept. This requirement was not met by the previous timescale of 30/07/06 4. OP10 OP23 12(4a) The registered person shall make 30/09/06 suitable arrangements to ensure that the care home is conducted in a manner which respects the privacy and dignity of service users; In that, service users must be offered single bedrooms unless they can make a clear positive DS0000023919.V305783.R01.S.doc Version 5.2 Page 25 Copperfields Residential Home choice to share and this can be evidenced in their care plan. If the choice is evidenced then appropriate screening must be provided to preserve their dignity. This requirement was not met by the previous timescale of 30/06/06 5. OP30 OP4 18(1c)(iii) The registered person shall, having regard to the size of the care home, the statement of purpose and the number and needs of service users ensure that the persons employed by the registered person to work at the care home receive training appropriate to the work they are to perform including structured induction training; In that, all staff should complete training in Dementia. This requirement was not met by the previous timescale of 30/07/06. It is acknowledged that the provider has stated this training is planned. It is expected this will be underway by the timescale set. 6. OP3 14(2) The registered person shall ensure that the assessment of the service user’s needs is kept under review. In that, the new assessments should be completed for the existing residents of the home. 7. OP7 15(1) Unless it is impracticable to carry 31/10/06 out such consultation, the registered person shall, after DS0000023919.V305783.R01.S.doc Version 5.2 Page 26 31/12/06 09/10/06 Copperfields Residential Home consultation with the service user, or a representative of his, prepare a written plan (“the service user’s plan”) as to how the service user’s needs in respect of his health and welfare are to be met. In that, the new care plans should be completed for all residents. This should detail the exact support they need in each area of their life. This should also include how any existing skills can be maintained. 8. OP18 13(6) The registered person shall make 09/10/06 arrangements, by training staff or by other measures, to prevent service users being harmed or suffering abuse or being placed at risk of harm or abuse. In that, the acting Manager and the provider should renew their POVA training and ensure they are familiar with the Kent and Medway adult protection policy. 9. OP29 19(1b) The registered person shall not employ a person to work at the care home unless subject to paragraphs (6), (8) and (9), he has obtained in respect of that person the information and documents specified in paragraphs 1 to 9 of Schedule 2. In that, staff must not start work at the home until the CRB has been received and they have evidenced that they are eligible to work in the UK. 2 written references must be received and one of these must be from the last employer. Staff on student visas must only work 20 hours per week. Copperfields Residential Home DS0000023919.V305783.R01.S.doc Version 5.2 Page 27 30/09/06 10. OP31 9(2)(b)(i) A person is not fit to manage a care home unless, having regard to the size of the care home, the statement of purpose, and the number and needs of the service users, he has the qualifications, skills and experience necessary for managing the care home. In that, the provider must ensure a suitably qualified and experienced Manager is appointed. 31/10/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP22 Good Practice Recommendations It is recommended that professional advice be sought with regard to the suitability of the environment for the two people with Dementia. It is strongly recommended that at least 50 of staff have an NVQ level 2 or above. It is recommended that the garden furniture be replaced. It is recommended that the acting Manager ensures that all staff have a minimum of one day off per week. It is recommended that the acting Manager highlight the responsible shift leader on the rota. It is recommended that the acting Manager reviews the procedure for signing accident forms to ensure a signed copy is in the care plan file. It is recommended that all policies be reviewed. The whistle blowing policy should refer to the adult abuse policy to ensure staff know the types of abuse to look for and report if necessary. DS0000023919.V305783.R01.S.doc Version 5.2 Page 28 2. 3. 4. 5. 6. OP28 OP20 OP27 OP27 OP33 7. OP37 Copperfields Residential Home 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 Residential Home DS0000023919.V305783.R01.S.doc Version 5.2 Page 29 - 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. 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