Inspection on 29/10/07 for Copwood Respite Unit

This inspection was carried out on 29th October 2007.

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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Copwood Respite Unit 27/11/06

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 Unannounced Inspection 29 October 2007 9:30 th Copwood Respite Unit DS0000046758.V339488.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.V339488.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.V339488.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 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.V339488.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th November 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 people 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 and is located at the front of the adjoining day centre. Local shops and bus routes are within easy access. The home does not have a registered manager but an acting manager has been in post for over 9 months. The fees for the respite service are £8.76 per night stay, no extras are charged for. Copwood Respite Unit DS0000046758.V339488.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. We visited the service unannounced over two days for approximately 10 hours. The inspection also included gathering information and evidence before and after the visit to decide the overall judgement. The main purpose of this inspection is to make sure that the service continues to provide a good standard of care. The acting manager was available on the second day of the visit. During the visit we looked at the records, watched staff working, and talked to people who live at the home. We also looked around the building. The acting manager of the home completed a self-assessment form called an AQAA, which is information we ask for every year and is used as part of the inspection process. The returned self-assessment documentation provides information about staffing and people who use the service. We sent comment cards to people using the service, relatives, visitors, and social and health care professionals, to give them the opportunity to comment on the service. Six relative comments cards were returned. Feedback was given at the end of the inspection and requirements made during this visit can be found at the end of the report. What the service does well: People are assessed before they move in to make sure that their needs can be met. People are invited to visit before deciding whether to take a respite place to make sure that service is right for them. The care plans are detailed and people and their relatives are included in care planning and reviews. People are encouraged to make their own choices when they use the service and are not restricted by unnecessary routines. The activities in the home are well organised and people are having a better quality of experience by doing more interesting things. Copwood Respite Unit DS0000046758.V339488.R01.S.doc Version 5.2 Page 6 People are well supported with their personal and health care needs. Relatives made the following comments – “they let me know what my son has been doing by filling in his diary when he is in respite” “he enjoys going, if he is happy it makes it a lot better for parents to relax”. People are confident that their concerns will be acted on promptly and procedures are in place to safeguard them from harm. Staff manage some people’s money when they come into the home and accurate records are kept of all transactions which means that people are protected from financial abuse. Recruitment procedures are thorough which means that staff are safe and suitable to work with people staying at the home. What has improved since the last inspection? The health and safety records are completed and monitored to ensure the home is always safe. There has been a change of staff and new, skilled staff have been recruited. New systems have been introduced to check medications in and out of the home which means that all medicines are properly accounted for. The environment is more homely and comfortable place to stay. Further refurbishment work is taking place, which will continue improve the quality of environment. The two communal bathrooms have been upgraded to provide a walk in shower and assisted bath making sure all people using the service can bathe safely. The bedroom blinds have now been repaired making sure that everyone has privacy. The acting manager has introduced regular staff, house, and relative meetings to make sure that everyone has a chance to say how the home is run. Copwood Respite Unit DS0000046758.V339488.R01.S.doc Version 5.2 Page 7 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. Copwood Respite Unit DS0000046758.V339488.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.V339488.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2 People who use this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. The assessments are detailed and provide good information, which makes sure that the service can meet people’s needs. The service is designed for respite care and it is not providing a good service to the people that are living at the home on a longer-term basis. EVIDENCE: The service user guide states that the service is for respite short-term users only, but one person has lived at the service for over 18 months. The staffing levels and facilities at the home are not sufficient or appropriate for a long stay or permanent placement. More must be done to make sure a more suitable home is found to meet the needs of this individual. The acting manager says that alternative accommodation has been identified and initial visits and over night stays have begun. People who are wanting to use the service and their families are encouraged to visit the home and 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. Copwood Respite Unit DS0000046758.V339488.R01.S.doc Version 5.2 Page 10 People’s needs are assessed before they move in. The assessments are detailed and comprehensive. The assessments provide good information to help people decided that the respite service is able to meet the needs of the individual. Copwood Respite Unit DS0000046758.V339488.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. People are encouraged and supported to make their own choices about how they live their lives. EVIDENCE: The care records look at how people want to be cared for and what is important to them. They ask how people prefer to communicate and how they want to be supported. The care plans are regularly reviewed and involve the families of people using the service. Advocacy has also been arranged, this is important so that people have support when making important decisions. Each person’s plan has risk and manual handling assessments and the action to minimise further risk is well recorded. Copwood Respite Unit DS0000046758.V339488.R01.S.doc Version 5.2 Page 12 The relatives of people living at the home say that people can choose their daily routines and are able to make their own decisions about what to do during each day. People who stay at the home attend day services during the week and have to get up in time to meet their transport arrangements, but at the weekend if they prefer to get up later in a morning they are able to do so and there are no restrictions on when people go to bed. People say that when they stay at the service they can choose between a range of activities to participate in. This is important so that people can make daily decisions about how they want to spend their time. House and relative meetings are held at the home to discuss concerns and plan new activities. This makes sure that everyone has a say in the way the home is being run. Copwood Respite Unit DS0000046758.V339488.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15, 16, and 17. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. People have a good choice of activities whilst staying at the home, which gives them a range of experiences to enjoy a fulfilling life. EVIDENCE: People continue to attend their usual day service during the week. Staff say that people like to relax in the evenings when they have had a busy day. They have the opportunity to use the Snoozelan room, which is a multi sensory room with different textures, lights, and sounds or can listen to music in their room or watch television with others in the lounge. For those people who stay over the weekend the choice of activities has improved. Relatives say that they felt that activities are better. Copwood Respite Unit DS0000046758.V339488.R01.S.doc Version 5.2 Page 14 People have been on many trips out to places such as Golden Acre Park, Oakwood Hall, Bolton Abbey, Manningham Park, Shipley Glen and Yeadon Airport. There have also been more indoor activities such as painting, nail care, sing-along, music sessions, and baking. Staffing levels have increased at busy times and the acting manager has reorganised the rota, which has improved the choices and opportunities for activities for everyone. The menus are now planned better and are put on to the fridge but people staying at the service may not understand the words. The manager is planning a display in the hall, which will give daily information to everyone. This will include easy to read information about the meal that day. There is only one choice on the menu but staff say that people do get a choice if they don’t like what is on the menu. Staff seem to have a good understanding of what individuals do and do not like to eat. There is also more information in the person’s care plan about their dietary preferences. Copwood Respite Unit DS0000046758.V339488.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, and 20. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. People are supported to manage their personal and health care needs , this is important in making sure that people are as independent as possible. The administration of medication is safe but appropriate storage must be provided to make sure that people’s health is protected. EVIDENCE: People use the service for a short or over night stay and therefore families or carers usually organise health care and appointments. The healthcare needs of each person are clearly recorded in their care plan. The details include people’s nutritional needs and any specialist healthcare that is required. The staff understand the physical and healthcare needs of each individual to make sure everyone is supported and their needs are met. One member of staff told me about how they decide which room people stay in dependent on Copwood Respite Unit DS0000046758.V339488.R01.S.doc Version 5.2 Page 16 their physical and mobility needs. This is important to make sure that the person has a comfortable room, which can meet their needs safely. The care plans contain good information about how people should be supported, this includes transfer techniques and preferred methods of communication. All but one relative felt that people were well supported and that they were kept up to date with information. Relative’s comments included; “ they let me know what my son as been doing by filling in his diary when he is in respite” “ he gets on well with staff they ring me up if they have a problem and visa versa” “ he enjoys going, if he is happy it makes it a lot better for parents to relax” One relative however did feel that at times the staff failed to provide enough support with personal hygiene and appearance to their relative. Their relative had returned home without a shave and with unclean clothes on one occasion. The manager says that new forms have been developed to make sure that medication is accurately checked in and out of the home. People bring medication from home in containers that have been issued by the pharmacy. The staff told me that a second member of staff signs the record to check that the medicines have been properly accounted for. This is to make sure that mistakes are not made. There is an accountable and responsible attitude to medication and staff said if they made any mistakes there is clear guidance about what action they should take. The medicines are stored safely with the exception of the medicines stored in the kitchen fridge in a cash tin. The home must follow the Royal Pharmaceutical Society’s guidance on storage of medicines and provide a fridge for medication. The manager says that a fridge has now been ordered. Copwood Respite Unit DS0000046758.V339488.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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. People using the service and their relatives feel confident that their concerns would be acted on properly and procedures are in place to safeguard them from harm. EVIDENCE: The home has a complaints procedure that is on display. Relatives say that they know who to speak to if they have any areas of concern; nearly all the relatives said they felt that complaints are well managed. The acting manager and staff share information regarding incidents that occur in the home with the relevant agencies. There have been two safeguarding concerns raised by the relatives and staff at the home. The acting manager has worked with adult protection to make sure these people are protected and any concerns are promptly dealt with. The acting manager says that staff receive adult abuse awareness guidance in their induction and other forms of training are provided and updated so that staff are clear about how to recognise and respond to abuse. The manager says that staff have completed challenging behaviour training so that they have the knowledge and skills to calm down difficult situations. This is important to make sure that everyone feels safe. Copwood Respite Unit DS0000046758.V339488.R01.S.doc Version 5.2 Page 18 There are also regular house, relative, and staff meetings so people can raise any problems they may have. This is important so that everyone knows that concerns will be listened to and that their opinion matters. Personal monies are managed for people when they stay at the home, these are recorded and audited by a second member of staff. The administrative assistant also monitors any daily financial records managed by the staff. All transactions are recorded and receipts kept. This is to make sure people are safe from financial abuse. Staff say that they fill in a new record and inventory sheet each time a person stays at the service. This records everything a person brings with them in detail including clothing, medication and monies. This is in addition to the medication and financial records. This is to minimise any mistakes happening or items being lost. Copwood Respite Unit DS0000046758.V339488.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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27 and 30. People who use this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. People stay in a better environment but the appearance and comfort still need improvement. EVIDENCE: All areas of the home were clean and tidy. A cleaner is employed four hours per day to make sure the home is kept clean. Relatives also said that the service is clean when they visit. There have been some major improvements to the respite unit with refurbishment of the two bathrooms, one to a walk in shower and the second to a special care bath with tracking hoist, this means that people with limited mobility can now be safely supported in their personal care. One relative said, “Copwood could do with a bit of a brighten up” Copwood Respite Unit DS0000046758.V339488.R01.S.doc Version 5.2 Page 20 Decoration has been completed in the corridors and some communal areas. All bedrooms still need to be refurbished. The laundry and kitchen are also to be refurbished. Concerns were raised about the state of carpets in the corridors, lounge and some bedrooms. Attempts have been made to keep these carpets clean but they clearly need replacing, the manager says that these will be replaced in the next few months. This will mean that the home will look and feel much better for the people who stay there. Furniture and furnishings in the lounge have improved and are more comfortable and homely. This area has improved in the last year with the removal of office type furniture and the addition of more homely furnishings and the staff say new sofas have been ordered. The garden has also improved with the creation of a small-seated area outdoors and the unsightly clinical bin being enclosed. The fencing however surrounding this area does not protect people’s privacy. This area is adjacent to a public footpath and the lounge and bedrooms look over it. The fitting of a covered fence would make sure that privacy is protected. People do not have anywhere they can safely lock their belongings in their bedrooms. Staff say people can have a key to their bedroom if they are able to manage the key. The acting manager must look at replacing the existing style locks with the type fitted in the sister unit, Whiteoak. The people who stay at this respite unit have a key card, which magnetically releases the lock. This make sure that people who are unable to physically manage a key can easily secure and enter their rooms. People need easily manageable locks and a safe storage area to protect their privacy and personal belongings. Copwood Respite Unit DS0000046758.V339488.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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 and 36. People who use this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. The home has a more able staff group and better staffing levels but the overuse of agency staff compromises the welfare and safety of people living at the home. EVIDENCE: On the day of the visit all the staff working at the home were agency staff. One relative said that they were concerned about only agency staff on duty. One of the agency staff said that she has been to the home frequently over the last year and felt confident that she knows people well. The agency staff say that they have completed all their training including health and safety, the safe administration of medication and food hygiene, but one person says she had not been told how they would manage the safety of people in the home in the event of a fire. The acting manager says that this is a very rare event and that she tries to ensure that there is at least one permanent member of staff on duty. This is Copwood Respite Unit DS0000046758.V339488.R01.S.doc Version 5.2 Page 22 poor management of the rotas. There should always be a permanent member of the staff team on duty to provide consistency and guidance to the agency staff. Two recruitment files were looked at and all the relevant information is available. Staff have an induction with Bradford District Care Trust, which covers basic training and the role of the Trust, and they have an induction at the service. This makes sure new staff have enough knowledge to work safely and competently. There has been some staff turn over and most of the staff now working at the home began employment in the last few months. All staff have completed induction, health and safety, LDAF (Learning Disabilities Award Framework) and attended training in the management of challenging behaviours. Copwood Respite Unit DS0000046758.V339488.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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. The acting manager runs the home well and has made many significant improvements to the service. EVIDENCE: The acting manager is suitably qualified, and experienced to manage the home effectively. She has completed the NVQ level 4 in management and health and social care. The acting manager says she will now be the permanent manager of the home. The registered provider must now make sure they register the manager without delay. This is to make sure there is an accountable and consistent manager to provide support and make sure the service is safe. Copwood Respite Unit DS0000046758.V339488.R01.S.doc Version 5.2 Page 24 Relatives confirmed that they were invited to the relative meetings and felt able to raise any queries and concerns with the staff and manager of the home. Regular house meetings, relatives and staff meetings are being organised by the manager. The people who use the service and their relatives and carers could have better opportunities to comment on the quality of their respite stay. The manager agreed to look at introducing a survey that could be given to people at the end of their stay. The responsible individual or their representative visits the home monthly and completes an audit of the service to make sure the quality of the service is monitored and the manager and staff are supported. The self-assessment information stated that policies and procedures are available and regular maintenance and health and safety checks by external agencies are completed at the home. General health and safety records are well recorded. Electrical systems and the gas boiler have been recently serviced. The fire testing is undertaken in conjunction with the day centre and flat connected to the site. Clinical waste is regularly collected and staff say they have a good supply of aprons, gloves, and cleaning agents to make sure that everyone’s health is protected. There is no way that staff can easily summon help or assistance when they are caring for people. The acting manager needs to look at how this can be improved and made safer. A call system either should be fitted to key areas or staff should have some form of mobile call system. Food storage and safety must be reviewed. Staff must be vigilant in making sure that outdated food is discarded and food when opened is covered and dated. This is to make sure they protect the health and welfare of everyone. Copwood Respite Unit DS0000046758.V339488.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 x 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 2 27 3 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 2 33 x 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 3 x 3 x x 2 x Copwood Respite Unit DS0000046758.V339488.R01.S.doc Version 5.2 Page 26 Yes 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 People must not be accommodated at the home on a long term basis as the service can not meet their needs. Previous requirement 31/01/07 not met. Medication requiring cold storage must be stored in accordance with the Royal Pharmaceutical society’s guidelines to make sure that they are secure. The refurbishment programme must continue and bedrooms must be redecorated and refurbished and carpets must be replaced. A lockable storage space must be provided in all bedrooms and suitable locks fitted to the door to make sure that those people who have difficulties in managing keys can still protect their privacy and belongings. Previous requirement 31/01/07 not met Suitable staffing must be provided at all times to make sure that everyone is safe and all their needs are met. The manager must apply for DS0000046758.V339488.R01.S.doc Timescale for action 01/01/08 2 YA20 13 01/01/08 3 YA24 23 01/01/08 4 YA25 23 01/01/08 5 YA32 18 01/01/08 6 YA37 9 01/03/08 Page 27 Copwood Respite Unit Version 5.2 7 8 YA42 16 16 YA42 registration with us. This will make sure that there is accountable and consistent management. Food safety practices must be 01/01/08 followed to make sure that everyone’s health is protected. There must be some type of call 01/01/08 system provided so that staff can summon assistance when needed. 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 YA39 Good Practice Recommendations The acting manager must look at other ways of seeking people’s opinions about the service they receive. Satisfaction questionnaires after each visit would make sure that everyone is asked what they think about the service. Copwood Respite Unit DS0000046758.V339488.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Copwood Respite Unit DS0000046758.V339488.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!