Inspection on 27/11/06 for Copwood Respite Unit

This inspection was carried out on 27th November 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 12 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Copwood Respite Unit 29/10/07

Copwood Respite Unit 04/01/06

Copwood Respite Unit 02/08/05

Copwood Respite Unit 05/01/05

Copwood Respite Unit 21/07/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

Pennine Camphill

Muston Road (70)

Grayling

The Cornerstone

John Street Nursing Home

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

CARE HOME ADULTS 18-65 Copwood Respite Unit 15 Copgrove Road Holmewood Bradford BD4 0DJ Lead Inspector Linda Trenouth Key Unannounced Inspection 27th November 2006 12:00p Copwood Respite Unit DS0000046758.V314614.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Copwood Respite Unit DS0000046758.V314614.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Copwood Respite Unit DS0000046758.V314614.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Copwood Respite Unit Address 15 Copgrove Road Holmewood Bradford BD4 0DJ 01274 684511 01274 684511 julie.hillan@bckt.nhs.uk 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) Bradford District NHS Care Trust Care Home 6 Category(ies) of Dementia (6), Learning disability (6), Physical registration, with number disability (6), Sensory impairment (6) of places Copwood Respite Unit DS0000046758.V314614.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th January 2006 Brief Description of the Service: Copwood is a Bradford District Care Trust home situated in the Holmewood area of Bradford. The home is registered to provide respite care for up to 6 people with learning disabilities who are over the age of 18. The home is attached to a day centre for adults with learning disabilities. It is a single storey building, hence all facilities are provided at ground floor level. The accommodation comprises a lounge, kitchen/ dining area, two bathrooms, six single bedrooms, and a multi-sensory room. There is also a dedicated office space which staff use as a sleep in room. Copwood has an enclosed garden and a large car parking area is located at the front of the adjoining day centre. Local shops and bus routes are within easy access. The home returned the pre inspection questionnaire, which provided information about staffing and respite users at the home. The questionnaire also requests the fees that the home charges. The fees for the respite service are £8.76 per night stay. Copwood Respite Unit DS0000046758.V314614.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. In April 2006 the Commission for Social Care Inspection (CSCI) made some changes to the way in which care services are inspected. Care services are now judged against outcome groups. The inspection report is divided into separate sections for each outcome group for example, Choice of Home and “Lifestyle.” An overall judgement is made for each outcome group based on the findings of the inspection. The judgements reflect how well the service delivers outcomes to the people using the service. The judgements categories are “excellent,” “good”, “adequate” and “poor.” The judgements are recorded within the main body of this report. More detailed information about these changes is available on our website – www.csci.org.uk One inspector made an unannounced visit to the home and stayed for approximately 7 hours. The inspection also included gathering of information and evidence prior to and after the visit to decide the overall judgement. The inspector met with three respite users and spoke with the manager and staff. The main purpose of this inspection was to make sure that the home continues to provide a good standard of care for the residents. The methods used at this visit included looking at the organisational records, observing working practices, and talking to respite users and staff. A tour was also made of the home. Comment cards were left at the home to provide residents and visitors with the opportunity to comment on the service and were also sent out to Social and Health Care Professionals. Two questionnaires were returned in time for completion of this report. Feedback was given to the acting manager the day after the inspection. Requirements and recommendations made during this visit, and those outstanding from previous inspections can be found at the end of the report. What the service does well: The service user guide is available in an easy read format to help people with different communication needs to find information about the home. Copwood Respite Unit DS0000046758.V314614.R01.S.doc Version 5.2 Page 6 Assessments and care plans are detailed. Each care plan identifies how service users’ needs can be met and daily records are well recorded. The staff have good training opportunities to provide them with specialist knowledge they need to meet the residents’ needs. Staff have regular individual supervision and team meetings. The organisation works well with local agencies, social workers, and adult protection departments. What has improved since the last inspection? What they could do better: Whilst it is anticipated that on occasions the unit will be used for an emergency placement, the use of the unit for long-term placements (i.e. 5 months) is not appropriate. The service user guide states that the service is for respite shortterm users only. The service must be for the use of respite only; the home cannot meet the needs of individuals requiring long-term care. The staffing levels and facilities at the home are not sufficient or appropriate for a long stay or permanent placement. The health and safety records must be completed and monitored by the manager to ensure the home is always safe. The bedroom carpets and hall carpets and furniture specified in the report must be replaced. The manager and staff must seek further ways to make the Copwood Respite Unit DS0000046758.V314614.R01.S.doc Version 5.2 Page 7 environment more homely and comfortable ensuring that the respite users stay in a safe, comfortable, and good quality environment. Staff seemed not to notice some of the environmental issues that required attention such as graffiti on one of the doors, sitting the clinical waste storage bins in the centre of the garden opposite the lounge window and the unkempt garden. A greater respect for the environment is needed, removal of graffiti from the outside door, removal of the clinical waste and tending to the garden area. Individual dignity and privacy must always be maintained. The manager and staff must be vigilant in this. The bedroom blinds were broken and did not provide adequate privacy for individuals when they were in their rooms. The home must be supported by the responsible individual conducting regular monitoring visits and producing detailed reports. 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. Copwood Respite Unit DS0000046758.V314614.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Copwood Respite Unit DS0000046758.V314614.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, and 5. Quality in this outcome area is adequate. This judgment has been made using available evidence including a visit to this service. The service must be for respite use or short stays only, the facilities are not sufficient or appropriate for a long stay or permanent placement. Prospective respite users and their families are provided with good information and are encouraged to visit the service, before they make a decision to move in. The assessments are detailed and provide good information for staff to plan how to meet the care needs of the service users. EVIDENCE: One service user has been staying at the respite unit since May 2006. This must be closely monitored to make sure the service user’s short term needs can be met. The service is set up for respite care and it is not appropriate for a service user to live in the home on a permanent basis as the respite service cannot meet their long term needs. This placement also affects the provision and support for other service users. Copwood Respite Unit DS0000046758.V314614.R01.S.doc Version 5.2 Page 10 The service user guide and service information is available to service users and their families. The information is normally displayed in the entrance area but with redecoration the notice board has not been put into place. The manager said that service user guides had been given to all new service users. Families are encouraged to visit the home before they take up the service and the prospective service user is invited for an introductory teatime visit, where a key worker is normally allocated. This helps to make sure the placement will be suitable to meet their needs. Contracts are issued to all service users and held on their individual care records. The care records were reviewed and the assessment information was detailed and comprehensive. The assessments provided good information to help develop the care plans and ensure that the respite service was able to meet the needs of the individuals. Copwood Respite Unit DS0000046758.V314614.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, and 9. Quality in this outcome area is adequate. This judgment has been made using available evidence including a visit to this service. The care plans were detailed and clearly reflected the service users’ personal needs, however service user are not always directly involved in care plans and not all restrictions of choice or freedom were agreed and documented in the care plan. EVIDENCE: Care records were reviewed and identified the support individuals required. Each service user plan included risk assessments and manual handling assessments and the action to minimise further risk was well recorded. Copwood Respite Unit DS0000046758.V314614.R01.S.doc Version 5.2 Page 12 Service users have their needs regularly assessed. Their personal needs and aspirations are identified in their care plan but the plans did not fully assess all restrictions and limitations on freedom. There appeared to be no agreements or consent for the administration of medication, use of baby monitors and access to a resident’s bedroom through the night. A new system for reviewing service user plans has been introduced but most plans have not yet been reviewed. The care plans must be reviewed with the service user a minimum of six monthly and must include restrictions of choice and limitations of their rights. All residents’ information is kept secure. Staff have access to the confidentiality policy and receive training on the management of confidentiality. Regular service user meetings are held. A representative from a local advocacy organisation attends meetings approximately every two months. Staff also arrange service users meetings. Relatives meetings have also been held recently with another respite unit within the same organisation. Copwood Respite Unit DS0000046758.V314614.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 15, 16 and 17. Quality in this outcome area is adequate. This judgment has been made using available evidence including a visit to this service. Residents have limited opportunities for social and leisure activities. Service users appear to have a good diet but it is unclear how meals are planned and how individual dietary and cultural needs are met. EVIDENCE: Service users and staff were seen during the evening meal. The meal was relaxed and service users seemed to enjoy their food. However, concerns were raised about the lack of menu planning and making sure that cultural need and personal preferences were met. The last two inspections have identified that opportunities for service users to go out in the community during respite stays were limited. The staff advised Copwood Respite Unit DS0000046758.V314614.R01.S.doc Version 5.2 Page 14 that there was only one driver for the minibus and that there are insufficient staff on duty to undertake activities or visits beyond the home. All service users continue to attend their usual day service during the week. Therefore staff said that they tend to want to relax in the evenings during the week. Staff spoke about one to one activities that people engage in like “colouring in,” watching a DVD and enjoying the multi sensory room. Some residents also enjoyed listening to music. Some outings had been organised at the weekend, to see the Christmas lights and go shopping. Activities were dependent on occupancy levels, staffing levels and available mini bus drivers. Copwood Respite Unit DS0000046758.V314614.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, and 20. Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. Residents are supported to manage their personal and health care needs. EVIDENCE: The care plans contain good information about how service users should be supported, this includes transfer techniques and preferred methods of communication. Staff and the manager spoke of maintaining consistency for service users during respite stays. This includes continuing with routines that are carried out at home where appropriate. Service users bring medication from home in containers that have been issued by the pharmacy. Stock checks are completed when medication is brought in, after administration, and when being returned. All medication must however be clearly audited. It was a concern that one respite users’ medication records were not completed. The risk of mistakes with respite medication is high, as the staff have to deal with constantly changing medication. The staff must be clear about their responsibilities in completing records. Copwood Respite Unit DS0000046758.V314614.R01.S.doc Version 5.2 Page 16 Copwood Respite Unit DS0000046758.V314614.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. Residents and their families have copies of the complaints procedure and there are good systems in place for them to raise their concerns. The home takes action to support and protect residents from bullying and abuse from other residents and actively works with other agencies to make people safe. EVIDENCE: The service user guide provides details of the home’s complaints procedure. The manager stated that all new service users are given a copy of the guide. The home has received 3 formal complaints, one of which was substantiated and 1 adult protection referral. All these have been responded to promptly. The care planning and review provides opportunities to seek service users’ views and concerns about care at the home. Residents and carers meetings are also held. This is seen as good practice. It was recommended that the service now introduce surveys/ questionnaires for the respite user and their families to complete after they have stayed at the respite unit. A key worker is linked to each resident to provide additional support. Copwood Respite Unit DS0000046758.V314614.R01.S.doc Version 5.2 Page 18 The manager confirmed that the registered provider’s representative, who talks to the residents and explores their level of satisfaction, makes regular visits. The manager and staff share information regarding incidents that occur in the home with the relevant agencies and staff now have a good awareness of adult protection procedures. The home has good working relationships with the local police and the local adult protection department. The manager ensures that any recommendations are then put into practice. Service users bring spending money for activities and outings and concerns were raised about the adequacy of the records that are kept relating to service users’ personal monies. The staff are managing the personal allowance of a service user who is living at the respite unit. The records reviewed were incomplete, staff were not reflecting fully what purchases had been made and receipts were not always available or easily referenced. Staff were not recording consistently and on some occasions only one signature was recorded for a transaction. The manager must audit the financial records regularly to ensure that the records account for any transactions undertaken on behalf of a service user. Copwood Respite Unit DS0000046758.V314614.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 27, 29 and 30 Quality in this outcome area is adequate. This judgment has been made using available evidence including a visit to this service. The organisation have produced a plan of refurbishment and redecoration and work has commenced. EVIDENCE: There have been some major improvements to the respite unit with redecoration throughout the home and replacement of kitchen units and carpets in certain areas. The bathroom is being converted into a walk in shower room and is almost completed. New UPVC windows have been fitted to the lounge windows. Concerns were raised about the state of carpets in the corridors and some bedrooms. Attempts have been made to clean these carpets but without success, they must now be replaced. The level of cleanliness was not satisfactory around beds and bedrooms. The care staff did not have sufficient time to thoroughly clean a room and their Copwood Respite Unit DS0000046758.V314614.R01.S.doc Version 5.2 Page 20 time should be focused on care and support for the individuals staying at the respite unit. Presently the care staff provide all the cleaning for the home. Separate cleaning hours must be provided to effectively clean all areas. Some of the furniture in the lounge required replacement including the institutional type furniture, which was an office type table and office chairs. These items were well used by the respite users for tabletop activities i.e. jigsaws and games, but unsuitable for a homely comfortable this environment. They must be replaced with domestic style furniture. Whilst the inspector appreciated the environment has to be practical to meet the needs of service users, the manager and staff must make more effort to create an environment that is welcoming and homely, using pictures, posters and other soft furnishings. The main view for the home is from the lounge, which looks upon an unkempt, and untidy garden. The clinical waste area is situated in middle of this garden; this is very unpleasant view. Whilst efforts have been made to enclose these bins with a large plastic bunker, it has not been effective, the doors of the unit are now broken and laying in the garden. The waste must be sited elsewhere. There were no lockable facilities in the bedrooms; service users were unable to lock any thing away in their rooms whilst staying at the home. There was little respect for service users’ privacy, the blinds were not fully covering the windows, and whilst the staff were aware of this no one had done anything about it. The home is close to other houses, which overlook the residents’ bedrooms. The manager and staff must be vigilant in protecting and supporting the dignity and privacy of all the service users. There was red graffiti/ spray painted on an external door, which had not been dealt with. There seemed to be little pride taken in the appearance of the building, both inside and out. It is hoped when the refurbishment is completed staff and service users can enjoy a comfortable home, with a high standard of furnishings, which all can relax and enjoy. Copwood Respite Unit DS0000046758.V314614.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, and 35. Quality in this outcome area is adequate. This judgment has been made using available evidence including a visit to this service. The opportunities for staff training are good; they have opportunities to attend courses that increase their knowledge and expertise in the learning disability field. Staff are given support and are regularly supervised but safe recruitment procedures could not be effectively reviewed due to lack of some staff records. EVIDENCE: Full staff records must be available with full evidence of safe recruitment. Of the staff records reviewed there were no application forms, references, CRB (Criminal Records Bureau) identification and induction records. A general review of how the staff team is organised must take place. The role of care staff must be to support and care for the respite users, to ensure effective cleaning the cleaning hours must be separate. The manager relies upon agency staff to cover shifts alongside existing staff. Recruitment is taking place to cover low staffing levels at the home. The manager is recruiting to three posts; the vacancies are 20 hours night care Copwood Respite Unit DS0000046758.V314614.R01.S.doc Version 5.2 Page 22 assistant, 26 care assistant and 28 hours for residential social worker. The recruitment of permanent staff will hopefully provide a consistency and stability to the staff team. The opportunities for staff training are good; they have opportunities to attend courses that increase their knowledge and expertise in the learning disability field. They also have attended course on deaf and blindness and Autism to further meet the needs of service users using the service. The staff recruitment and training records did not provide the required information. It proved difficult to confirm that staff had been recruited to the unit safely. All staff records must be available even when these staff have been transferred from other homes in the area. Copwood Respite Unit DS0000046758.V314614.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, and 42. Quality in this outcome area is adequate. This judgment has been made using available evidence including a visit to this service. Health and safety monitoring and general risk assessments need reviewing to ensure that the staff and service users are safe within and beyond the home. EVIDENCE: Service user meetings and carers meetings were being organised by the manager. There were no systems in place that gave service users an opportunity to comment on the quality of their respite stay. The manager agreed to look at introducing a survey that could be given to service users at the end of their stay. Copwood Respite Unit DS0000046758.V314614.R01.S.doc Version 5.2 Page 24 Electrical and gas systems are adequately checked and the manager said that the fire testing is undertaken in conjunction with the day centre and flat connected to the site. General health and safety records must however be effectively monitored including temperature recording, medication, menus, food and financial records. Clinical waste is regularly collected and staff confirmed that they had a good supply of aprons, gloves, and cleaning agents to meet control of infection requirements. Concerns were raised about general communication in an emergency. Whilst risk assessments have been undertaken, mobile phones should be made available to staff when they are undertaking activities with service users beyond the home. Consideration should also be given to an adequate communication systems for staff when working in the home should they require assistance. A call system either should be fitted to key areas or staff should have some form of mobile call system. Copwood Respite Unit DS0000046758.V314614.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 Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 2 3 3 x 4 x 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 2 26 x 27 2 28 x 29 2 30 2 STAFFING Standard No Score 31 x 32 3 33 x 34 2 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 x 3 x LIFESTYLES Standard No Score 11 x 12 2 13 2 14 2 15 2 16 x 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 2 3 3 x x 3 x Copwood Respite Unit DS0000046758.V314614.R01.S.doc Version 5.2 Page 26 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA1 Regulation 4 Requirement The service must be as stated in the service user guide and provide care for respite users only. Service user plans must be reviewed at appropriate intervals. Previous timescale 31/03/06 not met. The care plan must describe any restrictions of choice or freedom and be agreed with the service user, this includes consent to medication, access to residents’ bedrooms at night and use of listening in devices. Staffing levels must be such that they support service users access a range of appropriate social and leisure activities. The home must ensure that service users are protected from financial abuse and effectively monitor their financial records. More effort is required to ensure that furnishings are of good quality, domestic and homely. The curtains/ blinds must be sufficient to ensure adequate privacy in all bedrooms. A lockable storage space must DS0000046758.V314614.R01.S.doc Timescale for action 31/01/07 2 YA6 15 31/01/07 3 YA6 15 31/01/07 4 YA14 16 31/01/07 5 YA23 16 31/01/07 6 7 8 YA24 YA25 YA25 23 23 23 31/01/07 31/01/07 31/01/07 Page 27 Copwood Respite Unit Version 5.2 be provided in all bedrooms. 9 YA27 23 The registered provider must ensure the home has suitable bathing/ showering facilities to meet the needs of service users. (Previous Timescale of 31st October 2005 and 31/03/06 not met) 31/01/07 10 11 YA34 YA30 19 16 All staff recruitment records 31/01/07 must be held on the premises and available to the inspector. The registered provider must 31/01/07 remove the clinical waste bins from the garden and ensure a system is introduced that ensures clinical waste is disposed of safely. (Previous Timescale of 30th September 2005 and 31/03/06 not met) Health and safety documentation must be consistently completed and monitored by the management. 31/01/07 12 YA42 12 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 2. 3 4 Refer to Standard YA24 YA20 YA13 YA17 YA42 Good Practice Recommendations Suitable garden furniture should be provided. The medication records must be completed consistently; in adherence to the Royal Pharmaceutical Guidelines for the administration of medication in care homes. Service users should have more opportunities to go into the community. The food and menus must be planned to meet the choice and cultural needs of the service users using the service. Adequate risk assessments must be undertaken when staff care for service users beyond the home. Mobile phones DS0000046758.V314614.R01.S.doc Version 5.2 Page 28 Copwood Respite Unit must be made available to staff when they are undertaking activities with service users beyond the home. Consideration should also be given to adequate call systems for staff when working in the home should they require assistance. Copwood Respite Unit DS0000046758.V314614.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Copwood Respite Unit DS0000046758.V314614.R01.S.doc Version 5.2 Page 30 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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