Inspection on 10/05/07 for The Coppice

This inspection was carried out on 10th May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

The Coppice 20/02/06

The Coppice 09/08/05

The Coppice 23/03/05

The Coppice 11/02/05

The Coppice 02/03/04

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE The Coppice Tall Trees Drive Featherstone Pontefract West Yorks WF7 6BP Lead Inspector Susan Vardaxi Unannounced Inspection 10th May 2007 09:15 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 The Coppice DS0000006253.V329027.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. The Coppice DS0000006253.V329027.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Coppice Address Tall Trees Drive Featherstone Pontefract West Yorks WF7 6BP 01977 790729 01977 790729 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) Mrs Jackie Mitchell Mrs Jackie Mitchell Care Home 3 Category(ies) of Old age, not falling within any other category registration, with number (3) of places The Coppice DS0000006253.V329027.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. To provide care for one named person only less than 65 years of age Date of last inspection 20th February 2006 Brief Description of the Service: The Coppice is a small family sized care home, which provides care for up to three older people. It is located in a suburban area in North Featherstone and the main shopping centre at Featherstone is a short car or bus journey away. The single storey premises are set back from the main road and situated on rising ground in a large mature landscaped garden, which is private and secluded. A long drive leading up to the house provides off-street parking facilities for visitors. The front entrance is accessed via steps, or a ramp as appropriate. There is a paved patio area with garden furniture. The home and garden are very well maintained and the people who live there have their own sitting room and bathroom. The fees at May 2007 are £380. Hairdressing and newspapers are not included in the charges. The provider/manager said people are made aware of the service through the local community networks and of the Commission for Social Care and Inspection in the service users guide. The Coppice DS0000006253.V329027.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit to the home, which occurred on the 10th May 2007 and took place over a period of 3 hours commencing at 9:am. The visit involved speaking with the people who lived at the home and the provider/manager, checking some records held at the home and walking round the building and grounds. A relative had completed and returned a comment card to the Commission prior to the visit. Thanks are extended to the people who live at the home and the provider/manager for their hospitality and assistance throughout this visit. What the service does well: What has improved since the last inspection? A good quality care service has been maintained. The Coppice DS0000006253.V329027.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. The Coppice DS0000006253.V329027.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 The Coppice DS0000006253.V329027.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): 3,6 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 arrangements for admissions to the home had been satisfactory. Intermediate Care is not provided at the home. EVIDENCE: The provider said an admission to the home had occurred since the last visit. The provider/manager said she had not received the local authority’s assessment. However said the person now living at the home had been known to her for a number of years and was confident that their needs could be met. The provider/manager said a copy of the service user guide had been given to the relatives at the time of admission. A copy of the homes terms and conditions and local authority’s contracts were seen on the file. The Coppice DS0000006253.V329027.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 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 people who live at the home are satisfied with the care they receive, their health, personal and social care needs are set out in care plans and independence is promoted. EVIDENCE: Care plans for the two people who live at the home on a permanent basis were seen and promoted independence. The provider said she would complete a care plan and other records for a person who receives regular day and respite care at the home on the day of the visit. The provider/manager through discussion showed that she is aware of the people’s needs and said she would update care plans at the time that needs changed. A risk assessment had been completed for one person in respect of going out of the home unaccompanied to ensure they are safe. The Coppice DS0000006253.V329027.R01.S.doc Version 5.2 Page 10 Overall health needs are met, although discussion with the provider/manager found that a record of health care contacts has not always been kept to show this. The provider/manager said that the people who live at the home are taken to the GP when required and that records these events will be kept in the future. She said a medical check had been completed when a new person had been admitted and their weight had been checked then. There was no evidence of regular weight checks; the provider/manager said she would keep a record of weights in the future. Arrangements had been made for one person to visit the Optician in the near future and a letter arranging for a person to attend an outpatient appointment was seen on file. The provider/manager said none of the people currently take medication. The people spoken with made very positive comments about the home, the care they received and of the provider/manager. The people living at the home, who were present during the visit, was seen to be treated with respect. The Coppice DS0000006253.V329027.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 People who use this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The people who live at the home are encouraged to pursue hobbies and interest, develop personal skills and maintain links with relatives and the community. EVIDENCE: On the day of the inspection, two of the people living at the home were getting ready to go out. One person was going out with a relative and one person to attend a day centre while the person on respite care was relaxing watching television. One person had celebrated their birthday the day before the visit, their cards were on display and they said they had had a lovely day. Comments made by the people spoken with included “its lovely here I wouldn’t go anywhere else, “cant fault it here”, Can’t fault the manager because she’s lovely”. The Coppice DS0000006253.V329027.R01.S.doc Version 5.2 Page 12 One service user spoke of their interests and how they enjoy going out daily into the community and meeting people. They were pleased to talk about paintings they had completed and were displayed on the bedroom walls. Records seen included some work completed at creative writing classes. The provider/manager had provided a copy of the menu prior to the visit occurring. It showed that a choice of meals is available for lunch and a cooked breakfast at the weekends. Some of the evening meals on the menu were discussed with the provider/manager who said these meals are assessed daily as it would depend on what time the people had had lunch if they had eaten out and snacks are available at all times. She said there were no weight losses. She said one person had gained weight. The people spoken with said the meals were good and they could have what they want to eat and snacks and drinks are available at all times upon request The Coppice DS0000006253.V329027.R01.S.doc Version 5.2 Page 13 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): 16,17,18 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 people who live at the home appeared to be confident that their complaints would be dealt with. EVIDENCE: The complaints procedure was seen, and there was discussion with the provider/manager who said she would update the regulatory body name and contact details. The people living at the home raised no complaints, one person said they would feel confident to make a complaint and the provider/manager would deal with it they said, “she’s a very lovely lady”. No complaints have been made to the home since the last inspection. The provider/manager said arrangements are made for people to be included on the electoral register. The provider/manager provided a copy of Wakefield Multi Agency Safeguarding policies and procedures. She said she would report any incidences to the local authority if the need arose. The Coppice DS0000006253.V329027.R01.S.doc Version 5.2 Page 14 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): 19,22,24,26. 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. An attractive well-maintained and homely environment is provided for people to live in. EVIDENCE: A walk around the home and some of the grounds was completed and it was observed that all areas were decorated, furnished, cleaned and maintained to a very high standard throughout. Fixtures and fittings were domestic in nature, in a good state of repair and created a homely and comfortable atmosphere for people. The home sits in extensive grounds; these had been well maintained and landscaped to a high standard. A large patio area with seating provides a pleasant environment for people to sit out. The Coppice DS0000006253.V329027.R01.S.doc Version 5.2 Page 15 One person’s bedroom seen was personalised, the lighting was considered to be dim however the person occupying the room said it was light enough for them. The provider/manager said she would check with a person’s relatives if arrangements were being made for some personal possessions taken to the home so that they would feel more “at home.” The home has an ongoing programme of redecoration and maintenance. The Coppice DS0000006253.V329027.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 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 staffing arrangements appear satisfactory; mandatory-training updates would ensure safe practices are maintained. EVIDENCE: The provider/manager said a volunteer takes care of the people who live at the home in her absence, as there are no staff employed at the home. CRB checks had been completed for all concerned with the home. It was not established at the visit with the provider/ manager if the home insurance arrangements covered an unpaid person working in the home. This has been addressed in Standards 31-38 The provider/manager has undertaken some training including manual handling and dementia. The need for updates in respect of first aid and manual handling were discussed with her and she said that she would check course availability. However, she said that at this time the people were independent with all aspects of their mobility. She said any other training would be completed according to the peoples’ needs. The Coppice DS0000006253.V329027.R01.S.doc Version 5.2 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered person should approach the homes insurers and discuss with them any actions needed in relation to unpaid workers managing the home in the registered persons absence. Written agreement re this should be obtained and be available for inspection. EVIDENCE: The provider/manager has the experience to manage the home. The people who live at the home speak very highly of the care she provides. A comment card received from a relative prior to the visit stated, “The Coppice is a first class home, excellent care, first class manager fantastic to the people,” The Coppice DS0000006253.V329027.R01.S.doc Version 5.2 Page 18 The provider/manager has daily contact with the people and their relatives whose views and comments and comments about the home and care are welcomed. The home does not have any involvement in the management or storage of the peoples’ finances. The provider/manager said she checks the smoke detector alarms, and running hot water temperatures regularly however does not record that checks have been completed. She said records would be kept in the future. A fire risk assessment had been completed; the provider/manager said she would be updating this. She said an inspection by the Health and Safety officer had been arranged for the week after this visit. The Coppice DS0000006253.V329027.R01.S.doc Version 5.2 Page 19 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 N/A 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 X X 3 X 3 X 3 STAFFING Standard No Score 27 3 28 N/A 29 N/A 30 N/A MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X N/A N/A 3 2 The Coppice DS0000006253.V329027.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? N/A 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 2 Refer to Standard OP37 OP38 Good Practice Recommendations The provider /manager should ensure that records in respect system check kept, are up to date and available if requested for inspection. The registered person should approach the homes insurers and discuss with them any actions needed in relation to unpaid workers managing the home in the registered persons absence. Written agreement re this should be obtained and be available for inspection. The Coppice DS0000006253.V329027.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 The Coppice DS0000006253.V329027.R01.S.doc Version 5.2 Page 22 - 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!