Inspection on 20/02/06 for The Coppice

This inspection was carried out on 20th February 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 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 10/05/07

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 Elizabeth Hendry Unannounced Inspection 20th February 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Coppice DS0000006253.V284187.R01.S.doc Version 5.1 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.V284187.R01.S.doc Version 5.1 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.V284187.R01.S.doc Version 5.1 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 9th August 2005 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 large paved patio area with garden furniture. The home and garden are well maintained and residents have their own sitting room and bathroom. The Coppice DS0000006253.V284187.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the home’s second biannual inspection which took place over the course of a few hours. Time was spent talking with the owner/manager and service users. A tour of the home was conducted and records were viewed. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Coppice DS0000006253.V284187.R01.S.doc Version 5.1 Page 6 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.V284187.R01.S.doc Version 5.1 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not inspected on this occasion. EVIDENCE: The Coppice DS0000006253.V284187.R01.S.doc Version 5.1 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 The care planning system is clear and consistent, ensuring the service users’ needs are fully met. EVIDENCE: Care plans were viewed for both of the permanent service users. Clear and concise information was found to be contained within each care plan in a manner that was easy to read and understand. Evidence of monthly reviews taking place was present within each resident’s care plan. The owner/manager had a comprehensive understanding of each of the resident’s needs, and spoke of involving the residents in the care planning process wherever possible. None of the current residents living at the home currently take any medication therefore this standard was not inspected. The Coppice DS0000006253.V284187.R01.S.doc Version 5.1 Page 9 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 and 15 Service users are fully supported to take part in activities and develop interests. The dietary needs of service users are well catered for, with a balanced and varied selection of food available that meets all of the service users’ tastes and choices. EVIDENCE: Individual care plans clearly identified activities undertaken by each resident. On the day of the inspection, one service user was getting ready to attend a local creative writing class while the remaining resident was relaxing watching television. One service user spoke of the owner encouraging them to take up interests and providing support to go out into the community and meet new people. Records viewed identified that, since joining the home, this resident has made significant improvements in their social and recreational skills. The Coppice DS0000006253.V284187.R01.S.doc Version 5.1 Page 10 One resident spoken with said that the meals provided within the home are of a high standard. The owner explained that residents are offered choices for all meals, and that they take into account personal likes and preferences. Snacks and drinks are available at all times upon request. The Coppice DS0000006253.V284187.R01.S.doc Version 5.1 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 The home’s complaints policy and procedure is excellent, ensuring service users receive quality care at all times. EVIDENCE: The owner of the home spoke of the home’s complaints procedure and confirmed that a copy of this procedure is given to service users and their families upon admission into the home. Service users spoken to said that they would feel comfortable raising any concerns or issues with the owner without fear of reproach. The owner said that residents are encouraged to raise concerns at any time. No complaints have been made to the home since the last inspection. The Coppice DS0000006253.V284187.R01.S.doc Version 5.1 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 The standard of the environment within the home is excellent, providing service users with an attractive and homely place to live. EVIDENCE: A tour of the home was undertaken, and a high standard of decoration and furnishing was found throughout. Fixtures and fittings were domestic in nature, in a good state of repair and created a homely and comfortable atmosphere. The home sits in extensive grounds which are well maintained and landscaped to a high standard. A large patio area with seating provides residents with an attractive place to sit during the summer months. Each bedroom has been decorated and furnished according to individual tastes and preferences and all were seen to have been personalised by the resident. The home has an ongoing programme of redecoration and maintenance. The Coppice DS0000006253.V284187.R01.S.doc Version 5.1 Page 13 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 29 Service users are supported and protected by the home’s recruitment procedures. EVIDENCE: The owner spoke of the systems in place for providing care to the residents in their absence. All persons involved in the care and support of the service users hold a current enhanced criminal records bureau check and the owner is in receipt of satisfactory references. Residents spoke highly of the owners of the home, commenting that nothing is ever too much trouble for them. The Coppice DS0000006253.V284187.R01.S.doc Version 5.1 Page 14 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33 Quality assurance procedures within the home ensure the home runs in the best interests of the service users. EVIDENCE: The home places a high importance on ensuring quality care for all residents. The owner spoke of encouraging open discussions at any time for residents to raise concerns or suggest improvements. Letters received in respect of the service were very complimentary and praised the level of dedication the owner has in ensuring the well being of the residents in her care. The home does not have any involvement in the management or storage of service users’ finances. The Coppice DS0000006253.V284187.R01.S.doc Version 5.1 Page 15 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 14 15 4 X X X X X X X STAFFING Standard No Score 27 X 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X X X 3 X X X X X The Coppice DS0000006253.V284187.R01.S.doc Version 5.1 Page 16 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. Refer to Standard Good Practice Recommendations The Coppice DS0000006253.V284187.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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. 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