Inspection on 16/01/07 for Coppice Nursing Home

This inspection was carried out on 16th January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Coppice Nursing Home 01/11/05

Coppice Nursing Home 07/06/05

Coppice Nursing Home 13/10/04

Coppice Nursing Home 17/04/04

Coppice Nursing Home 26/11/03

Coppice Nursing Home 24/06/03

Coppice Nursing Home 16/10/02

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

CARE HOMES FOR OLDER PEOPLE Coppice Nursing Home 84 Windsor Road Oldham Lancashire OL8 1RQ Lead Inspector Mrs Fiona Bryan Unannounced Inspection 16th January 2007 10:00 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 Coppice Nursing Home DS0000025431.V325469.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. Coppice Nursing Home DS0000025431.V325469.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Coppice Nursing Home Address 84 Windsor Road Oldham Lancashire OL8 1RQ 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) 0161 626 8522 0161 627 4358 Riseway Care Homes Limited Mrs Kathleen Knox Care Home 44 Category(ies) of Dementia (4), Dementia - over 65 years of age registration, with number (15), Old age, not falling within any other of places category (19), Physical disability (24), Physical disability over 65 years of age (24), Sensory impairment (1) Coppice Nursing Home DS0000025431.V325469.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. No more than 25 service users to be admitted for nursing care. No service user under 55 years to be admitted to the home. One registered general nurse to be on duty 24 hours a day. The home manager shall be a first level registered nurse and be supernumerary for a minimum of 35 hours a week. Number of persons accommodated - 44. Date of last inspection 1st November 2005 Brief Description of the Service: The Coppice is a large detached home set within a walled garden, which has been extended and extensively modernised to provide nursing care and personal care for up to 43 service users. The home is owned by Riseway Care Homes Limited, which is a privately owned company. The Coppice is under the day-to-day control of a general manager who is also a qualified nurse. Accommodation is provided over two floors. Thirty-nine of the rooms are single en-suite whilst two bedrooms and one double room without en-suite facilities are provided with hand washbasins. Two bathrooms and a shower room are provided on the ground floor and a further two bathrooms are provided on the first floor. One dining room is situated on each floor. The first floor has one lounge area whilst the ground floor has one large lounge incorporating a bar area and two further small lounges. The home is located close to the town centre and is accessible to local transport services. There is ample car parking space for those travelling to the home by car. Fees for accommodation and care at the home range from £323.88 to £525 per week. Additional charges are also made for hairdressing, newspapers and personal toiletries. A service user guide is on display in the reception area of the home and a copy is provided in all residents’ rooms. Coppice Nursing Home DS0000025431.V325469.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection, which included a site visit, took place on Tuesday 16th January 2007. Time was spent talking to residents and staff and observing the home’s routine and staff interaction with residents. Three residents were looked at in detail, looking at their experience of the home from their admission to the present day. A partial tour of the building was conducted and a selection of staff and residents’ records was examined including records of care, medication records, employment and training records and staff duty rotas. What the service does well: The Coppice is a friendly, homely place and residents seemed happy and relaxed. The manager and staff know the residents well and treat them as individuals with different preferences and needs. Residents are encouraged to carry on with or resume activities and hobbies that they enjoy or have enjoyed in the past and staff try to look at what the residents can do rather than what they can’t. The care resident’s need is well planned. The internal and external appearance of the home provides a clean, pleasant, comfortable environment for residents to live in. Residents liked their rooms and one resident said the home was “lovely and warm”. The home offers a varied menu and the residents were mainly positive about the food provided. Everyone ate and enjoyed the lunch provided for them during the site visit. Well over 50 of care staff are trained to at least NVQ level 2, which means that staff have the skills and knowledge to deliver a high standard of care. Staff all felt they worked well as a team and this had a good effect on the overall atmosphere of the home. The manager is approachable and leads the way in ensuring the residents are cared for to a high standard. Staff feel supported and the manager is very keen to provide them with enough training to do their job well. One resident said she “fell in love with it (the home)” when she came to look round before she decided to move in. Comments from other residents included Coppice Nursing Home DS0000025431.V325469.R01.S.doc Version 5.2 Page 6 “(staff) are very good and willing to help whenever you ask”, “we get a wonderful service”, “it (the home) is a truly wonderful place”, “ the quality of care given to us all is quite exceptional”, “I don’t recall one harsh word having been exchanged, just gentle humouring and coaxing” and “ We are thoroughly spoilt”. One resident wrote to the inspector and concluded by writing “We are very lucky to be living here and I for one wouldn’t want to live anywhere else”. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Coppice Nursing Home DS0000025431.V325469.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 Coppice Nursing Home DS0000025431.V325469.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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. Detailed assessments are undertaken of residents before their admission to the home; therefore residents can feel confident that their needs can be met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three residents were case tracked. Assessments had been obtained from Oldham MBC for all of the residents before they were admitted to the home. In addition the manager had undertaken her own assessments, which included all the information specified to meet the standard. As well as risk assessments each resident had also been assessed to determine what their strengths were in relation to a range of areas such as their values and beliefs, thinking and communication, contact and activities, Coppice Nursing Home DS0000025431.V325469.R01.S.doc Version 5.2 Page 9 maintaining independence, environmental factors and physical health. The inspector found this a very positive way to gain more understanding about the needs of the residents as it focussed on the things they were still able to do for themselves and did not identify only areas that were problematic for them. Staff were very knowledgeable about the residents and were able to describe their daily routines and preferences. Residents said they felt that the staff understood their needs. This included one resident who was quite new to the home but felt she had settled quickly saying, “They have asked me what I normally do when I’m at home”. Coppice Nursing Home DS0000025431.V325469.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is excellent. A clear and consistent care planning system is in place that adequately provides staff with the information they need to meet the residents’ needs. The health needs of residents are well met with evidence of good multi disciplinary working taking place on a regular basis. Personal support in this home is offered in such a way as to promote and protect residents’ privacy and dignity. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three residents were case tracked. All the residents had care plans that had been developed in relation to their assessment of needs. Coppice Nursing Home DS0000025431.V325469.R01.S.doc Version 5.2 Page 11 Care plans were person-centred and detailed and had been reviewed at least monthly to ensure that the information remained up to date. Risk assessments had been undertaken for all residents in relation to pressure areas, moving and handling and nutrition. Since the last inspection the home has started to use the Malnutrition Universal Screening Tool (MUST) as part of the assessment of each resident’s nutritional status. Screening such as this is recommended by the National Institute for Clinical Excellence (NICE) and as such is a sign of good practice. One resident was being fed enterally as they were unable to take diet or fluids orally. Records had been kept of the feeds administered to the resident and also records were kept to show that the feed tube was properly cleaned and maintained and the resident received oral hygiene to keep their mouth fresh as they were unable to drink. The home has developed a core care plan for the prevention of pressure ulcers that meets current best practice guidelines. However, the type of mattress and the pump setting needed for one resident was not recorded. This information should be written down so staff can check that the equipment is set and working correctly. One resident needed frequent positional changes throughout the day and night and a record was kept of this when the resident was in bed. However, during the day, when the resident was sat out of bed it was not recorded if the resident was assisted to change position. If a resident needs help to change position and this is in their care plan then a record should be kept of all positional changes not just those that are carried out when the resident is in bed. Residents said that their doctor was called out if they were ill and that people such as opticians, podiatrists and dentists were accessed for them. One resident said “we get a wonderful service”. Records in their care files provided evidence of this. Examination of a number of medicine administration charts showed that the correct policies were being followed to ensure that medicines were stored, administered and recorded properly. The treatment room was quite warm so the manager was advised to get a room thermometer and monitor the temperature so that action could be taken to keep the room cooler if necessary. Interaction between staff and residents was seen to be friendly, caring and helpful. Residents said the staff were kind to them and treated them with respect. One resident said “they are very good and willing to help whenever you ask”. One resident wrote to the inspector saying that she had received “unceasing kindness, love and understanding” and felt that the quality of care given to all was “quite exceptional” Coppice Nursing Home DS0000025431.V325469.R01.S.doc Version 5.2 Page 12 A new member of staff said the importance of respecting residents’ privacy and dignity had been discussed with her and she was able to give examples of ways in which she could do this, such as making sure that curtains and doors were closed when delivering personal care to a resident. Coppice Nursing Home DS0000025431.V325469.R01.S.doc Version 5.2 Page 13 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 and 15 Quality in this outcome area is good. The home shows a strong commitment to providing opportunities for residents for social stimulation and interaction. Visitors are encouraged and welcomed into the home and routines are flexible to provide residents with some choice about their daily routines. Dietary needs of residents are well catered for with a balanced and varied selection of food available that meets residents’ tastes and choices. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home employs a support worker/ activities co-ordinator who works full time covering five days on a rotational basis. This means that activities sometimes take place at weekends as well as during the week. The activities co-ordinator was not on duty on the day of the site visit but all the residents knew who she was and said they enjoyed the events and activities that she organised. Coppice Nursing Home DS0000025431.V325469.R01.S.doc Version 5.2 Page 14 Residents said that group activities were held such as games of cards and dominoes whilst other residents were seen to be engaged in individual pursuits, for example one resident was sitting in a quiet area at the end of the hallway making book marks. The resident explained that she liked to sit there to watch the birds from the window and she had a book to help her identify the different species. One resident who wrote to the inspector said that since she had been at the home she had been encouraged to revive her old handicrafts that she hadn’t done for 10 years – such as tapestry and pressed flower pictures. She felt that since she has been at the home she has gone from “merely existing to living a full to overflowing life”. The manager said that Age Concern had been contacted and was working with 2 residents to produce their life histories in the form of a booklet. The manager said that when they were finished the home would have a party for the residents to present and celebrate their life histories. The home tries to consider the social preferences and capabilities of each resident. One new resident said she had been encouraged to sit with other ladies that she was able to talk to at mealtimes and she was enjoying making new friends. Residents more diverse needs were understood and met, for example one resident whose family lived abroad was assisted to keep in contact by telephone each week when they were able to speak in their native language. Although staff were aware of this and assisted automatically the arrangements were not recorded in the resident’s care plan. Recording residents’ diverse needs is useful for new staff and helps to ensure that arrangements are reviewed and still meet the resident’s needs. Residents said that their visitors were made welcome. One resident was still visited by the relatives of a previous resident who was no longer at the home but the relatives continued to enjoy coming to the home. Routines appeared to be fairly flexible although one resident was under the impression that they had to get up at a specific time for breakfast, unless they were ill. The manager said she would talk to the resident and explain that they could get up when they wanted. As the inspector was walking round the home several residents were still in bed and the manager said this was their choice. Several residents said they felt they were able to maintain a degree of independence; one resident said she was allowed more independence than she had thought she would be on entering a nursing home as she had a picture of the old style workhouses and had had a poor opinion of what life would be like in the home, which she had found to be inaccurate. Coppice Nursing Home DS0000025431.V325469.R01.S.doc Version 5.2 Page 15 The majority of residents spoken to said that they enjoyed the food provided by the home. Menus were displayed outside the dining rooms, which offered choices at all mealtimes. One resident said that she was a “faddy eater” and had a small appetite but said, “ I have been eating more and more as the days go on”. One resident who wrote to the inspector said the food was “nutritious and varied”. Lunch on the day of the site visit was Ocean pie with salmon, tuna, coley and smoked haddock. This was served with peas. The meal looked and smelled appetising and the residents all ate well, with little waste noted. Several residents said the meal was very nice. A sample of the pie was tasty and flavoursome. Carers were assisting residents discreetly and the atmosphere in both dining rooms was peaceful and relaxed. Equipment such as plate guards was available to help some residents to manage independently. Coppice Nursing Home DS0000025431.V325469.R01.S.doc Version 5.2 Page 16 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 and 18 Quality in this outcome area is good. The home has a satisfactory complaints system with evidence that residents and their representatives’ views are listened to and considered. An ongoing staff training programme in topics such as safe guarding adults and dealing with challenging behaviour ensures staff have the skills and knowledge to provide a safe environment to protect residents from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home’s complaints procedure is displayed in the reception area and gives residents and their representatives all the information they need to make a complaint if they wish to. A record of complaints is maintained but there had been no complaints since the last inspection. Residents could identify either the manager or another member of staff that they would talk to if they had any concerns. One resident said she was “happy and contented” in the home and had a feeling of security. All the residents spoken to had a feeling of confidence in the manager to address any issues that concerned them. Staff were clear about the procedures to follow if a complaint was made to them. Coppice Nursing Home DS0000025431.V325469.R01.S.doc Version 5.2 Page 17 Staff had received training in safeguarding adults and were aware of the procedures to follow. New staff receive this training as part of their induction training to meet the Skills for Care common induction standards. Guidelines for dementia care were available in the home as a resource for staff and are referred to in the dementia care training that staff have received as part of a rolling programme of training. Coppice Nursing Home DS0000025431.V325469.R01.S.doc Version 5.2 Page 18 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, 25 and 26 Quality in this outcome area is good. The standard of the environment within the home is good, providing residents with a safe, attractive and homely place to live in. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A partial tour of the home was undertaken. The manager said that some building work was planned, which would probably start in February 2007, as part of the building needed damp proofing. An environmental health inspection was conducted on 6/10/06. The report of the inspection showed that one requirement was made to repair the floor covering in the dry store in the kitchen and this had been done. Coppice Nursing Home DS0000025431.V325469.R01.S.doc Version 5.2 Page 19 A number of rooms had been refurbished since the last inspection and were fresh and appealing as a result. The manager said that new carpets were being laid in 2 rooms later in the week. A programme was almost completed to replace all the flooring in the en-suite toilets with non-slip flooring. The first floor bathroom had been refurbished and a new Parker bath Installed. Since the last inspection 2 adjustable beds for residents with nursing needs and a further 8 divan beds have been purchased. Many of the residents’ rooms were personalised and homely. One resident had small pieces of furniture that she had brought from home and care had been taken to hang a number of paintings on the wall that had been painted by her husband. Another resident’s room was very personalised and contained items related to their interests and hobbies. It was noted that the lighting was quite dim in the home especially along the hallways and in the residents’ rooms. Energy saving bulbs were being used. The manager said that if a resident needed more light, for example to read, then extra lighting was put in their room. The inspector suggested that the home’s admission policy reflected this to ensure that all residents were specifically asked if the lighting was suitable for them. One resident said “it’s lovely and warm here” and several residents said they liked their rooms and that staff helped them to keep them clean and tidy. Staff confirmed that there was enough equipment for them to be able to carry out their jobs and there were plenty of aids and adaptations such as grab rails to enable residents to maintain independence where possible. Coppice Nursing Home DS0000025431.V325469.R01.S.doc Version 5.2 Page 20 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 and 30 Quality in this outcome area is good. Staffing levels are satisfactory the majority of the time. The home meets the standard for the percentage of care staff who have completed NVQ training. Recruitment procedures were generally satisfactory and protect the residents. An ongoing training programme is in place, which ensures staff have the skills and knowledge to care for the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: At the time of the site visit there were enough staff on duty to meet the needs of the residents and the inspector was satisfied that the manager considered the dependency of the residents when determining how many staff were needed on duty. Staff and residents confirmed that staffing levels were suitable. One resident said, “Staff are kind and come quickly if you need help”. Coppice Nursing Home DS0000025431.V325469.R01.S.doc Version 5.2 Page 21 Since the last inspection the use of agency staff has reduced and staff felt that this had helped them to provide a better continuity of care to residents. At the time of the site visit the administrator was working in the kitchen and the manager was working in the laundry. It was explained that this was due to long term sickness and staff vacancies for kitchen workers and domestic staff. The manager reported that advertisements had been placed to recruit new staff for these positions and there appeared to be no detrimental impact on the residents. Of the 18 care staff employed at the home 14 have achieved either NVQ level 2 or 3. Other staff such as the domestic and kitchen staff have also successfully completed NVQ’s in cleaning and catering. Staff personnel files were examined. Both contained application forms including dates of previous employment and appropriate references. The CRB for one employee had been shredded but no record was available in the file of the date of issue or the reference number. This meant that no evidence could be provided that a CRB had been obtained for the employee. One new employee said they had been interviewed by the manager and the job explained. The employee confirmed that they had given 2 references and had obtained a CRB. Staff training records showed that staff had undertaken training in a range of topics such as immunisation and vaccination, leg ulcer management (a 4 day course), management of diabetes, foot care, enteral feeding, dental health, medication administration and dysphagia. One member of staff confirmed that they had received training the treatment of leg ulcers, management of incontinence and infection control as well as health and safety training such as moving and handling, fire safety and COSHH. Several members of staff said that the training was an area they felt had improved since the last inspection. Evidence was provided that 2 new employees had been registered for the Common Induction Standards training in line with Skills for Care organised by the Oldham Training Partnership – through this they do 2 days induction and cover all mandatory training and then have a booklet that they work through with a mentor (a senior carer) in the home. The manager said that she also provides them with a booklet for induction that is specifically related to the policies and practices undertaken at The Coppice. Coppice Nursing Home DS0000025431.V325469.R01.S.doc Version 5.2 Page 22 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 and 38 Quality in this outcome area is good. Systems in place support the manager in creating an open and consultative atmosphere, promoting active involvement from residents, relatives and staff to create a positive home for residents to live in. Residents’ financial interests are safeguarded. The health and safety arrangements in place ensure that residents live in a safe environment. This judgement has been made using available evidence including a visit to this service. Coppice Nursing Home DS0000025431.V325469.R01.S.doc Version 5.2 Page 23 EVIDENCE: Since the last inspection the manager has enrolled to undertake the Registered Managers Award and has undertaken other training to keep her knowledge updated such as a refresher in medicine administration. Staff said that the manager was very supportive and that she was keen to provide training for them. Staff also felt that the rapport between colleagues was good and that everyone in the home was working well as a team. Walking round the home with the manager it was clear that all the residents were comfortable chatting with her and used to seeing her around and about the home. One resident who wrote to the inspector said “despite holding down a difficult job (the manager) is able to laugh and joke with us whenever she comes in contact with us”. Staff meetings are held on an ad hoc basis, if staff feel that there are issues to discuss and all staff spoken to agreed that they were able to give their points of view. There is also a “talking wall” in the staff room where staff are invited to put forward suggestions on post-it notes that may improve the home. This can be done anonymously if staff wish. The manager has also just asked staff to put their names forward to join several working parties she wants to establish to look at certain aspects of life at the home to see if changes or improvements can be made. The activities co-ordinator holds meetings for the residents and relatives and staff and residents said that the last one was held before Christmas. It was reported that minutes were taken but these were not displayed anywhere. The minutes of meetings should be displayed so that people who could not attend the meeting are informed of what was discussed and agreed. The manager also said that minutes were not generally taken of staff meetings and again minutes should be taken for the benefit of staff that could not attend. The majority of residents have help from their families to manage their finances. The administrator helps 3 residents with their finances. She explained that Oldham MBC paid the residents’ money into a separate bank account for residents’ use only. It was reported that the procurement unit from Oldham MBC had audited the financial arrangements for the residents in June 2006 and had been satisfied with the arrangements in place. A full time maintenance person is employed who is responsible for undertaking regular health and safety checks on the building and equipment. Records confirmed that all equipment and facilities had been serviced and maintained properly. One resident was noted to have facial bruising. The carers were unclear how the resident had sustained the bruising so no accident or incident form was Coppice Nursing Home DS0000025431.V325469.R01.S.doc Version 5.2 Page 24 completed. Accident forms had been completed for the same resident on several other occasions, as they were prone to falling. The manager was advised that if bruising or marks were found but no one had witnessed how they happened they should be recorded anyway in order to monitor unexplained injuries. Coppice Nursing Home DS0000025431.V325469.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 X X 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X 2 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 Coppice Nursing Home DS0000025431.V325469.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. 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 OP8 Good Practice Recommendations The registered person should ensure that care plans include specific details about the type of pressure mattresses being used and the pump settings if applicable so that staff can ensure they are working properly. The registered person should ensure that all positional changes undertaken with residents are recorded if the need for them is identified in the care plan. The registered person should ensure that residents’ diverse needs are recorded so that they can be regularly reviewed and monitored. The registered person should consider asking and DS0000025431.V325469.R01.S.doc Version 5.2 Page 27 2. OP8 3. OP12 4. OP25 Coppice Nursing Home recording residents’ preferences concerning the lighting in their rooms as part of the admission policy and procedure. 5. OP29 The registered person should ensure that a record is made of CRB reference numbers and dates of issue before they are disposed of so that there is evidence that they were obtained. The registered person should ensure that a record is kept of any injury to residents even if the cause has not been witnessed, in order to monitor the prevalence of such injuries. 6. OP38 Coppice Nursing Home DS0000025431.V325469.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Coppice Nursing Home DS0000025431.V325469.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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