Inspection on 09/08/05 for The Coppice

This inspection was carried out on 9th August 2005.

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 20/02/06

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 WF7 6BP Lead Inspector Mavis Pickard Announced 9 August 2005 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 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 J51J01_S6253_The Coppice_V223168_090805.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The Coppice Address Tall Trees Drive Featherstone Pontefract WF7 6BP 01977 790729 01977 790729 Telephone number Fax number Email 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 - Personal Care only 3 Category(ies) of Older People - 3 registration, with number of places THE COPPICE J51J01_S6253_The Coppice_V223168_090805.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Conditions of this registration are listed on the registration certificate displayed at the service. Date of last inspection 23/3/05 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 well maintained and residents have their own sitting room and bathroom. THE COPPICE J51J01_S6253_The Coppice_V223168_090805.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The service, which is home to 2 permanent residents, provides occasional respite day care for a further 1 resident who at times will stay overnight. The Inspector spent 3 hours at the home and met with 1 resident who was enjoying a visit from her sister. A second resident for who the home has a variation order in place as the individual is under the age of 65 years, was out attending day services. The person who has respite day care at the home was not resident on the day of this visit. 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 J51J01_S6253_The Coppice_V223168_090805.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection THE COPPICE J51J01_S6253_The Coppice_V223168_090805.doc Version 1.40 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 standard(s) 1,4 & 5 Prospective residents are provided with detailed information about the home. Residents have their needs assessed before admission and can visit the home before making a decision to move in. EVIDENCE: The home has not admitted any new residents for some time, however the manager provided records that evidenced she assessed peoples needs and provided detailed information about the home prior to admission. Residents and/or their relative/representative had enough information to make an informed choice to move in. Records show and relatives spoken to said that they and their relative had the opportunity to visit the home prior to admission. THE COPPICE J51J01_S6253_The Coppice_V223168_090805.doc Version 1.40 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 standard(s) 7,8 & 10 All residents have a detailed care plan. Residents care needs are met. People accommodated are treated with respect. EVIDENCE: Detailed care plans are maintained for each person accommodated these show that plans are set up in partnership with the residents and/or their representatives and are reviewed monthly. Care Management [social work] reviews are also routinely carried out. From direct observation of the running of the home, from speaking with a visitor and from examination of the resident care plans it is found that the service promotes and maintains the resident’s health. From speaking with visitors and from direct observation it is clear that residents are treated with respect. THE COPPICE J51J01_S6253_The Coppice_V223168_090805.doc Version 1.40 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 standard(s) Residents keep in contact with their relatives/friends. People accommodated are helped to have control over their lives. EVIDENCE: A resident was enjoying a regular visit from her sister who said that she visits twice a week and that the resident’s daughter also visits regularly, both are made very welcome. The manager said that although the home is small it is not lonely for the two residents and that they form part of the provider’s extended family. From records examined and from speaking with a visitor and the manager it is clear that both permanent residents live their lives how they would wish and that they do, as far as they can exercise control over their lives. THE COPPICE J51J01_S6253_The Coppice_V223168_090805.doc Version 1.40 Page 10 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 standard(s) 18 Residents are protected from abuse. EVIDENCE: The registered manager is aware of adult protection issues and aware of local multi agency policies and procedures for the protection of vulnerable adults. Discussions with the registered manager showed that any suspected, alleged or actual abuse would be appropriately reported and recorded. Where necessary assessments are undertaken for any area of perceived risk relating to the protection of residents. THE COPPICE J51J01_S6253_The Coppice_V223168_090805.doc Version 1.40 Page 11 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 standard(s) 19,20,21,23,26 Residents are provided with suitable facilities and live in safe, comfortable, well-maintained, clean surroundings. EVIDENCE: This domestic style care home is safe and well maintained. Records evidence that all necessary checks are carried out routinely and that the manager ensures the home and the equipment provided is appropriate and safe. Residents have access to a nicely furnished internal environment and to a wellmaintained and fully accessible garden area. THE COPPICE J51J01_S6253_The Coppice_V223168_090805.doc Version 1.40 Page 12 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 & 30 Sufficient competent and experienced people care for residents. EVIDENCE: The home does not employ paid staff. The manager is in sole charge and undertakes all responsibilities in the home. However a volunteer worker does work occasionally so that the manager can take a few hours out of the home. This worker who has satisfactory Criminal Records Bureaux [CRB] clearance also stays at the home and takes full responsibility when the manager takes a holiday. The volunteer worker undertakes regular training and attends various seminars during the course of the year appropriate to her role and in respect to mandatory care related issues, but has not undertaken a National Vocational Qualification. THE COPPICE J51J01_S6253_The Coppice_V223168_090805.doc Version 1.40 Page 13 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) A competent experienced manager runs the home. Resident’s health and safety is protected. EVIDENCE: From spending time in the home and from speaking with a regular visitor to the home it is clear that the home is well run, in the best interests of residents. The manager is impressive in the way she interacts with residents and visitors and in that she has created a truly homely environment for people accommodated. The registered manager attends various training courses and seminars during the course of the year appropriate to her role as a manager. THE COPPICE J51J01_S6253_The Coppice_V223168_090805.doc Version 1.40 Page 14 As the manager is the only paid ‘staff member’ she faces a barrier to completing an NVQ Level 4 in Management, or the Registered Manager’s Award. If the registered manager was to start an NVQ level 4 in Management then, as she does not employ any staff she would be unable to complete it other than by working in a management capacity elsewhere. This is not seen as being practical. From direct observation of the home and from examination of maintenance records it is found that the health and safety of residents and visitors is protected. THE COPPICE J51J01_S6253_The Coppice_V223168_090805.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x x 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 x COMPLAINTS AND PROTECTION 3 3 3 x 3 x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 3 x x 3 x x x x 3 THE COPPICE J51J01_S6253_The Coppice_V223168_090805.doc Version 1.40 Page 16 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 Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations THE COPPICE J51J01_S6253_The Coppice_V223168_090805.doc Version 1.40 Page 17 Commission for Social Care Inspection 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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